Comparison Between the Oro-Helical Length Technique and the 7-8-9 Rule in Determination of the Ideal Endotracheal Tube Insertion Depth in Neonates

Ain Shams University

Status: Unknown

Conditions: Endotracheal Intubation

Treatments: Procedure: Endotracheal tube insertion

Study type: Interventional

Funder types: Other

Identifiers

NCT04483895

Maha Abdel-Raouf master thesis

Details and patient eligibility

About

This study was conducted on neonates needing intubation; Group A,: the ETT insertion depth was estimated according to the OHL method. Group B,: the ETT insertion depth was estimated according to the 7-8-9 method.

Enrollment: 120 estimated patients

Sex: All

Ages: 1 to 28 days old

Volunteers: No Healthy Volunteers

Inclusion criteria

• • Full term and preterm neonates who were admitted to NICU and needing endotracheal intubation for invasive mechanical ventilation or administration of surfactant.

  • Delivery room intubations were not included as infants are not routinely weighed prior to resuscitation at our hospital. However, infants intubated in the delivery room who were subsequently intubated in the NICU were eligible for inclusion in our study.

Exclusion criteria

• 1. Major upper or lower airway anomalies. 2. Infants with craniofacial, vertebral anomalies. 3. Significant congenital anomalies including cardiac, abdominal or respiratory.

4. Neonates those whose parents declined consent were excluded from the study.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Quadruple Blind

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120 participants in 2 patient groups

The OHL method

Active Comparator group

Description:

the ETT insertion depth was estimated according to the OHL method.

Treatment:

Procedure: Endotracheal tube insertion

The 7-8-9 method

Active Comparator group

Description:

the ETT insertion depth was estimated according to the 7-8-9 method.

Treatment:

Procedure: Endotracheal tube insertion