Document Detail


Utilizing nasal-tragus length to estimate optimal endotracheal tube depth for neonates in taiwan.
MedLine Citation:
PMID:  20972740     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVE: To assess the application of the nasal-tragus length (NTL) to predict the proper endotracheal tube (ETT) depth; also, as relatively thinner size of Asian than Caucasian, the fitness of using the NTL to estimate the optimal ETT depth for neonates in Taiwan was examined.
METHODS: The newborn infants who do need intubation orally were included. Those with midface dysmorphism, craniofacial anomalies, head trauma and/or facial injury in whom it was unable to measure NTL, were excluded. The data were collected after a satisfactory ETT tip position was confirmed on chest roentgenogram. Equations were established via the polynomial and the linear regression of the NTL and the actual ETT; simplified formulae as NTL+0.5 and NTL+1 were assumed accordingly. Paired t test was used to assess the coefficients.
RESULTS: The 63 neonates, weighing 410 through 4,196 g and with gestation 21 through 41 weeks, were enrolled. No statistical difference was found between the actual ETT depth and the estimated ETT depth via the NTL+1 cm in neonates weighing ≤2,500 g (n = 41, p = 0.06), and also between the actual ETT depth and the estimated ETT depth via the NTL+0.5 cm in group weighing >2,500 g (n = 22, p = 0.171).
CONCLUSIONS: Using the NTL to predict the optimal ETT depth with the formula, NTL plus 1 cm, was clinically practical for newborn infants in Taiwan weighing ≤2,500 g, and a modified formula, NTL plus 0.5 cm, was more suitable for neonates weighing >2,500 g.
Authors:
Tzu-Chiang Wang; Li-Ling Kuo; Ching-Yu Lee
Publication Detail:
Type:  Journal Article     Date:  2010-10-23
Journal Detail:
Title:  Indian journal of pediatrics     Volume:  78     ISSN:  0973-7693     ISO Abbreviation:  Indian J Pediatr     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-03-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0417442     Medline TA:  Indian J Pediatr     Country:  India    
Other Details:
Languages:  eng     Pagination:  296-300     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Chi-Mei Foundation Hospital, No. 901, Zhonghua Rd., Yongkang City, Tainan County, 710, Taiwan, thearcanecrescent@gmail.com.
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