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GP97 Out with the old, in with new: are we still hesitant in implementing the new nrp 7th edition guidelines to determine initial endotracheal tube insertion depth for orotracheal intubation?

IntroductionIt is quite challenging to insert& accurately position Endotracheal tube (ETT) in preterms. Mal-positioned ETTs are associated with complications like hypoxaemia, pneumothorax and right upper lobe collapse. In addition, adjustment of incorrectly placed ETTs requires additional handli...

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Bibliographic Details
Published in:Archives of disease in childhood 2019-06, Vol.104 (Suppl 3), p.A69
Main Authors: Rehman, Liqa ur, Rasool, Ahsan, Shahid, Muhammad, Cahill, Paula, ZIa, Muhammad, Khan, Uzair, Ahmad, Riaz, Shori, Naeem, Azam, Muhammad
Format: Article
Language:English
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Summary:IntroductionIt is quite challenging to insert& accurately position Endotracheal tube (ETT) in preterms. Mal-positioned ETTs are associated with complications like hypoxaemia, pneumothorax and right upper lobe collapse. In addition, adjustment of incorrectly placed ETTs requires additional handling of the infant, exposure to radiation and potentially increased risk of infection.AimTo determine the chance of error of the ‘6cm+birth-weight’ guide for calculating orotracheal-ETT position and further review the compliance with new ‘tip-to-lip’ guidelines on a national scale.MethodThree years retrospective data of pre-terms (
ISSN:0003-9888
1468-2044
DOI:10.1136/archdischild-2019-epa.162