Neonatal intensive care, respiratory support, mechanical ventilation Neonatal Diseases
Conditions
Interventions
Newborns are randomised to two groups:
1. Oral ETT insertion depth estimated using a weight-basd formula [insertion depth (cm) = 6 + birth weight (kg)]
2. Operators ass
Sponsors
The National Maternity Hospital (Ireland)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Newborn infants intubated in the neonatal intensive care unit (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 chest X-ray (CXR) are not eligible for inclusion.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Correct position of the ETT on chest X-ray defined as between the upper border of the first thoracic vertebra (T1) and the lower border of the second thoracic vertebra (T2) on chest X-ray. ETT position will be determined by a consultant paediatric radiologist who will be unaware of the infant?s treatment allocation. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Number of extubations before chest X-ray 2. Repositioning of ETT following chest X-ray 3. Unequal lung expansion on initial chest X-ray following intubation 4. Air leaks - pneumothorax, pneumomediastinum, pulmonary interstitial emphysema 5. Duration of ventilation 6. Oxygen therapy at 28 days 7. Oxygen at 36 weeks 8. Death before discharge from hospital | — |
Countries
Ireland
Outcome results
None listed