The Oro-Helical Length Accurately Predicts Endotracheal Tube Insertion Depth in Neonates

We evaluated the reliability of the oro-helical length in predicting the ideal endotracheal tube depth in neonates and found the oro-helical length was a consistently more reliable and better predictor of the ideal endotracheal tube depth on chest radiograph than the 7-8-9 rule, especially in infant...

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Bibliographic Details
Published in:The Journal of pediatrics 2018-09, Vol.200, p.265-269.e2
Main Authors: Lee, Dianne, Mele, Patricia C., Hou, Wei, Decristofaro, Joseph D., Maduekwe, Echezona T.
Format: Article
Language:English
Subjects:
airway
chest radiograph
extremely low birth weight infant
ideal depth
infants
malposition
measurements
vertebrae
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Summary:We evaluated the reliability of the oro-helical length in predicting the ideal endotracheal tube depth in neonates and found the oro-helical length was a consistently more reliable and better predictor of the ideal endotracheal tube depth on chest radiograph than the 7-8-9 rule, especially in infants weighing ≤1500 g.
ISSN:0022-3476
1097-6833
DOI:10.1016/j.jpeds.2018.04.045