Identifying the Most Accurate Method for Predicting the Safe Depth of Orally Placed Neonatal Endotracheal Tubes (ETT).
Completed
Conditions studied: Infant Showing No Response to Resuscitation, Ventilator Adverse Event, Apparent Life Threatening Event in Newborn and Infant
In brief
Placing artificial airways in infants is often performed under emergent life-saving conditions, which necessitates a procedure that is both accurate and efficient. Intubations of the newborn are often necessary before an accurate weight can be reported and estimations are often inaccurate. The current national standard uses body weight to predict the appropriate tube depth yet this approach tends to place the tube too deep for the smallest and most vulnerable neonate; and placement accuracy of any size infant is only 50-70%. The consequence of malpositioned ETTs resulting from poor oxygenation, lung hyperinflation, pneumothoraces and death has been suggested to cost $20 to $54 million annually. The morbidity and the financial impact suggest an optimal and accurate approach to place ETT in neonates has not been identified. Other methods to estimate the proper depth of the orotracheal tube have shown promise yet no comparison studies have been performed. Identifying the most accurate method to safely place neonatal orotracheal tubes will improve placement precision and reduce adverse events and their associated costs. Hypothesis Compared to weight, sternal to xyphoid length and shoulder to elbow length, the nasal to tragus length will become the most accurate method for predicting the safe depth of orally placed neonatal endotracheal tubes.
Key facts
- Study ID
- NCT02181894
- Run by
- University of Colorado, Denver
- People needed
- 8
- Starts
- 2014-11-01
- Expected to finish
- 2016-07-01
- Last updated by the study team
- 2018-07-26
Who can join
Age: any, up to 0. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Infants orally intubated and admitted into the Neonatal Intensive Care Unit.
You may not qualify if…
- Previous intubation
- Hydrops fetalis
- Thoracic congenital anomalies
- Facial abnormalities
- Naso-tracheal intubation
Where it is running
- Kaiser Permanente, Los Angeles Medical Center — Los Angeles, California, United States
- Children's Hospital Colorado — Aurora, Colorado, United States
- University of Colorado Hospital — Aurora, Colorado, United States
- The Coombe Women & Infants University Hospital — Dublin, Ireland
- The Rotunda Hospital — Dublin, Ireland
Full record on ClinicalTrials.gov
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