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
Objectives. To examine current opinions and practices regarding endotracheal tube placement across several Canadian Neonatal Intensive Care Units. Design. Clinical directors from Canadian Neonatal Network affiliated NICUs and Neonatal-Perinatal Programs across Canada were invited via email to partic...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | International Journal of Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2016/7283179 |
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| _version_ | 1849306223467298816 |
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| author | Pankaj Sakhuja Michael Finelli Judy Hawes Hilary Whyte |
| author_facet | Pankaj Sakhuja Michael Finelli Judy Hawes Hilary Whyte |
| author_sort | Pankaj Sakhuja |
| collection | DOAJ |
| description | Objectives. To examine current opinions and practices regarding endotracheal tube placement across several Canadian Neonatal Intensive Care Units. Design. Clinical directors from Canadian Neonatal Network affiliated NICUs and Neonatal-Perinatal Programs across Canada were invited via email to participate in and disseminate the online survey to staff neonatologists, neonatal fellows, respiratory therapists, and nurse practitioners. Result. There is wide variability in the beliefs and practices related to ETT placement. The majority use “weight +6” formula and “aim to black line” on ETT at vocal cords to estimate the depth of an oral ETT and reported estimation as challenging in ELBW infants. The majority agreed that mid-trachea is an ideal ETT tip position; however their preferred position on chest X-ray varied. Many believe that ETT positioning could be improved with more precise ETT markings. Conclusion. Further research should focus on developing more effective guidelines for ETT tip placement in the ELBW infants. |
| format | Article |
| id | doaj-art-35d439a791cd4678801fc3cabe678e77 |
| institution | Kabale University |
| issn | 1687-9740 1687-9759 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Pediatrics |
| spelling | doaj-art-35d439a791cd4678801fc3cabe678e772025-08-20T03:55:08ZengWileyInternational Journal of Pediatrics1687-97401687-97592016-01-01201610.1155/2016/72831797283179Is It Time to Review Guidelines for ETT Positioning in the NICU? SCEPTIC—Survey of Challenges Encountered in Placement of Endotracheal Tubes in Canadian NICUsPankaj Sakhuja0Michael Finelli1Judy Hawes2Hilary Whyte3Division of Neonatology, The Hospital for Sick Children, University of Toronto, Toronto, ON, M5G 1X8, CanadaDivision of Neonatology, The Hospital for Sick Children, University of Toronto, Toronto, ON, M5G 1X8, CanadaDivision of Neonatology, The Hospital for Sick Children, University of Toronto, Toronto, ON, M5G 1X8, CanadaDivision of Neonatology, The Hospital for Sick Children, University of Toronto, Toronto, ON, M5G 1X8, CanadaObjectives. To examine current opinions and practices regarding endotracheal tube placement across several Canadian Neonatal Intensive Care Units. Design. Clinical directors from Canadian Neonatal Network affiliated NICUs and Neonatal-Perinatal Programs across Canada were invited via email to participate in and disseminate the online survey to staff neonatologists, neonatal fellows, respiratory therapists, and nurse practitioners. Result. There is wide variability in the beliefs and practices related to ETT placement. The majority use “weight +6” formula and “aim to black line” on ETT at vocal cords to estimate the depth of an oral ETT and reported estimation as challenging in ELBW infants. The majority agreed that mid-trachea is an ideal ETT tip position; however their preferred position on chest X-ray varied. Many believe that ETT positioning could be improved with more precise ETT markings. Conclusion. Further research should focus on developing more effective guidelines for ETT tip placement in the ELBW infants.http://dx.doi.org/10.1155/2016/7283179 |
| spellingShingle | Pankaj Sakhuja Michael Finelli Judy Hawes Hilary Whyte 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 International Journal of Pediatrics |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| url | http://dx.doi.org/10.1155/2016/7283179 |
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