Neonatal respiratory support Respiratory Neonatal respiratory support
Conditions
Interventions
Infants in both treatment arms will have an endotracheal tube placed via the mouth
Infants randomised to WEIGHT will have the ETT secured at the lips at a depth determined by the form
Sponsors
The National Maternity Hospital (Ireland)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Newly born infants [term (> or = 37 weeks' gestation) or preterm (< 37 weeks' gestation)] who are intubated in the neonatal intensive care unit
Exclusion criteria
Exclusion criteria: Infants with known upper airway (e.g. Pierre-Robin sequence) or lung (congenital diaphragmatic hernia) anomalies
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Endotracheal tube (ETT) tip between the upper border of the 1st thoracic vertebra (T1) and the lower border of the second thoracic vertebra (T2) on chest X-ray | — |
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