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- W2113998885 abstract "Background The malposition of endotracheal tubes (ETTs) can be associated with endo-bronchial intubation or accidental extubation. A variety of methods have been reported for predicting insertional length (IL) including weight, nasal-tragus length (NTL) and sternal length (STL) measurements. In our unit no consistent predictor method was being used. Aim To audit the proportion of endotracheal tubes that required a significant position change after oral intubation. Our standard set was that the endotracheal tube should be in a satisfactory position in >80% of cases. If not met, practice would then be re-audited after a consistent predictor method had been implemented. Methods Data regarding changes in endotracheal tube position were collected. Significant position changes were defined as adjustments>0.5 cm. Results Twenty two babies were included in the initial audit, and only 73% of endotracheal tubes had a satisfactory position. Thirty six babies were included in the re-audit and when the nasal-tragus length predictor was used, 94% of endotracheal tubes had a satisfactory position, meeting the standard. Conclusion The nasal-tragus length predictor improved the accuracy of endotracheal tube positioning after oral intubation. It is a simple, fast, reproducible method and can be used in everyday practice to help avoid significant endotracheal tube malposition." @default.
- W2113998885 created "2016-06-24" @default.
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- W2113998885 date "2007-05-01" @default.
- W2113998885 modified "2023-10-11" @default.
- W2113998885 title "Clinical Audit: Optimal Positioning of Endotracheal Tubes in Neonates" @default.
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- W2113998885 doi "https://doi.org/10.1258/rsmsmj.52.2.25" @default.
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