Endotracheal intubation of the newborn infant Neonatal Diseases
Conditions
Interventions
Infants who are intubated in the neonatal intensive care unit (NICU) will be randomised using sequentially numbered sealed opaque envelopes to have the depth of insertion estimated using:
Sponsors
National Maternity Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Newborn infants of any gestational age and either gender intubated in NICU
Exclusion criteria
Exclusion criteria: Infants with upper airway anomalies (e.g. Pierre-Robin sequence) or lung abnormalities (e.g. congenital diaphragmatic hernia) that may distort the upper airway anatomy and alter the position of the ETT tip on CXR
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| ETT tip in correct position (between upper border of T1 and lower border of T2) on chest X-ray (CXR) taken to confirm position immediately after intubation | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. ETT tip above T1 on CXR taken to confirm position immediately after intubation 2. ETT tip below T2 on CXR taken to confirm position immediately after intubation 3. Number of extubations before CXR 4. Repositioning of ETT following CXR 5. Air leaks (pneumothorax, pneumomediastinum, pulmonary interstitial emphysema) occurring before hospital discharge (will vary for participants, usually depending on gestational age at birth) 6. Duration of ventilation, assessed before hospital discharge 7. Oxygen therapy at 28 days of life 8. Oxygen therapy at 36 weeks corrected gestational age 9. Death before discharge from hospital | — |
Countries
Ireland
Outcome results
None listed