Evidence · Research paper
Is It Time to Review Guidelines for ETT Positioning in the NICU? SCEPTIC-Survey of Challenges Encountered in Placement of Endotracheal Tubes in Canadian NICUs.
- Allied health
- Comfort and nursing care
- Delivery room and stabilisation
- Developmental care and positioning
- Mechanical ventilation
- Medical
- Newborn life support
- Nursing
- Respiratory
This paper is from 2016, more than five years ago. Newer evidence may have been published since.
Summary
A national online survey of neonatologists, fellows, respiratory therapists and nurse practitioners in Canadian NICUs examining beliefs and practices around endotracheal tube placement and depth estimation. It found wide variability in practice, with common use of weight-based formulae and vocal cord markings, and particular difficulty estimating depth in extremely low birthweight infants. Respondents generally agreed mid-trachea is the ideal tip position but differed on its radiographic definition. The authors call for research to develop better guidance for ETT tip placement in ELBW infants.
Summary written for NICUlearn. Always read the original.
- Licence:
- Open (Creative Commons)
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