| Utilizing nasal-tragus length to estimate optimal endotracheal tube depth for neonates in taiwan. | |
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MedLine Citation:
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PMID: 20972740 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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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. |
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Authors:
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Tzu-Chiang Wang; Li-Ling Kuo; Ching-Yu Lee |
Publication Detail:
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Type: Journal Article Date: 2010-10-23 |
Journal Detail:
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Title: Indian journal of pediatrics Volume: 78 ISSN: 0973-7693 ISO Abbreviation: Indian J Pediatr Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-03-02 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0417442 Medline TA: Indian J Pediatr Country: India |
Other Details:
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Languages: eng Pagination: 296-300 Citation Subset: IM |
Affiliation:
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Department of Pediatrics, Chi-Mei Foundation Hospital, No. 901, Zhonghua Rd., Yongkang City, Tainan County, 710, Taiwan, thearcanecrescent@gmail.com. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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