Health Condition 1: J96-J99- Other diseases of the respiratory system
Conditions
Interventions
Intervention1: Nasal septum tragal length: NTL Group: Endotracheal tube depth for insertion will be measured using
NasoTragal Length(NTL):measured with a measuring tape from the
collumellar base of th
Sponsors
Gaurav Bindukumar Pandey
Eligibility
Inclusion criteria
Inclusion criteria: Neonates(28 to 40weeks) requiring Endotracheal tube placement
Exclusion criteria
Exclusion criteria: 1.Congenital anomalies of the airway (e.g., tracheoesophageal fistula, congenital diaphragmatic hernia, laryngeal or tracheal stenosis) 2.Major craniofacial anomalies ((e.g., Pierre Robin sequence, cleft palate) 3.Severe chest wall deformities (e.g., pectus excavatum) may affect measurement methods like nasotragal length. 4.Vertebral abnormalities 5.Neonates already intubated prior to admission (outborn) 6.Hemodynamic instability precluding safe transport for chest XrayParental refusal for consent 7.Parental refusal for consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare endotracheal tube depth prediction methods using nasotragal length and weight based formula in neonatesto determine optimal endotracheal tube position using chest xray and point care of ultrasoundTimepoint: after every endotracheal tube fixation techniques chest xray will be done to locate the tip of endotracheal tube. Enotracheal tube Position Above T1, Between T1&T2, Below T2 | — |
Secondary
| Measure | Time frame |
|---|---|
| chest xray ultrasonography number of reposition needed as per position of Endotracheal tube determined by chest xray and point of care utrasonographyTimepoint: After every endotracheal tube fixation techniques Chest X-RAY will be done to locate the tip of endotracheal tube. Given that the first thoracic vertebra (T1) corresponds to the tracheal midpoint and T4 corresponds to the carina, a position between T1 and T2 represents an acceptable standard for the position of the ETT tip on chest radiographs. And Point of care ultrasound will be done to locate the tip of endotracheal tube with respect to Aortic arch | — |
Countries
India
Contacts
Public ContactGaurav Bindukumar Pandey
Government medical college and hospital chhatrapati sambhaji nagar
Outcome results
None listed