Randomized controlled trial (RCT) comparing between shoulder umbilicus length versus body weight measurement for optimal endotracheal tube (ETT) depth in ventilated infants
INTRODUCTION: The optimal placement of the endotracheal tube (ETT) in ventilated neonates is essential but birth weight (BW) may be not the best parameter to predict it. A previous study suggested that shoulder umbilical length (SUL) might be superior. The aim of this study is a direct comparison...
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my.usm.eprints.49409 http://eprints.usm.my/49409/ Randomized controlled trial (RCT) comparing between shoulder umbilicus length versus body weight measurement for optimal endotracheal tube (ETT) depth in ventilated infants Ali, Adam Al-Anas Mat R Medicine INTRODUCTION: The optimal placement of the endotracheal tube (ETT) in ventilated neonates is essential but birth weight (BW) may be not the best parameter to predict it. A previous study suggested that shoulder umbilical length (SUL) might be superior. The aim of this study is a direct comparison between SUL vs. BW as predictor of optimal ETT placement in Malaysian ventilated neonates. METHODS: All neonates requiring ventilation in the NICU of Hospital Universiti Sains Malaysia during the 5 months study period were eligible to enter this randomized controlled trial. Babies included in this study were randomized in two groups: the tube depth was determined based on the SUL for the intervention group and based on the BW for the control group. The main outcome measure was mal-positioning of the ETT as seen on the chest x-ray performed within 1 hour after intubation. Tube placement was assessed by two neonatologists, blinded to the allocation. Data were analysed using SPSS, version 24. RESULTS: One hundred and ten (110) babies were randomized, 55 in each group. The ETT was mal-positioned (requiring adjustment in 13/55 babies (23%) for the SUL group and 22/55 babies (40%) in the BW group (p=0.06) CONCLUSION: In the SUL group, less babies showed a need for tube adjustment than in the BW group. The difference did not reach statistical significance. While, a larger study may be necessary to show statistical significance, the difference shown in this study may be large enough to be of clinical significance. 2020 Thesis NonPeerReviewed application/pdf en http://eprints.usm.my/49409/1/Adam%20Al-Anas%20Mat%20Ali-24%20pages.pdf Ali, Adam Al-Anas Mat (2020) Randomized controlled trial (RCT) comparing between shoulder umbilicus length versus body weight measurement for optimal endotracheal tube (ETT) depth in ventilated infants. Masters thesis, Universiti Sains Malaysia. |
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R Medicine Ali, Adam Al-Anas Mat Randomized controlled trial (RCT) comparing between shoulder umbilicus length versus body weight measurement for optimal endotracheal tube (ETT) depth in ventilated infants |
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INTRODUCTION: The optimal placement of the endotracheal tube (ETT) in ventilated
neonates is essential but birth weight (BW) may be not the best parameter to predict it. A
previous study suggested that shoulder umbilical length (SUL) might be superior. The aim of
this study is a direct comparison between SUL vs. BW as predictor of optimal ETT
placement in Malaysian ventilated neonates.
METHODS: All neonates requiring ventilation in the NICU of Hospital Universiti Sains
Malaysia during the 5 months study period were eligible to enter this randomized controlled
trial. Babies included in this study were randomized in two groups: the tube depth was
determined based on the SUL for the intervention group and based on the BW for the control
group. The main outcome measure was mal-positioning of the ETT as seen on the chest x-ray
performed within 1 hour after intubation. Tube placement was assessed by two
neonatologists, blinded to the allocation. Data were analysed using SPSS, version 24.
RESULTS: One hundred and ten (110) babies were randomized, 55 in each group. The ETT
was mal-positioned (requiring adjustment in 13/55 babies (23%) for the SUL group and
22/55 babies (40%) in the BW group (p=0.06)
CONCLUSION: In the SUL group, less babies showed a need for tube adjustment than in the
BW group. The difference did not reach statistical significance. While, a larger study may be
necessary to show statistical significance, the difference shown in this study may be large
enough to be of clinical significance. |
format |
Thesis |
author |
Ali, Adam Al-Anas Mat |
author_facet |
Ali, Adam Al-Anas Mat |
author_sort |
Ali, Adam Al-Anas Mat |
title |
Randomized controlled trial (RCT) comparing between
shoulder umbilicus length versus body weight measurement
for
optimal endotracheal tube (ETT) depth in ventilated infants |
title_short |
Randomized controlled trial (RCT) comparing between
shoulder umbilicus length versus body weight measurement
for
optimal endotracheal tube (ETT) depth in ventilated infants |
title_full |
Randomized controlled trial (RCT) comparing between
shoulder umbilicus length versus body weight measurement
for
optimal endotracheal tube (ETT) depth in ventilated infants |
title_fullStr |
Randomized controlled trial (RCT) comparing between
shoulder umbilicus length versus body weight measurement
for
optimal endotracheal tube (ETT) depth in ventilated infants |
title_full_unstemmed |
Randomized controlled trial (RCT) comparing between
shoulder umbilicus length versus body weight measurement
for
optimal endotracheal tube (ETT) depth in ventilated infants |
title_sort |
randomized controlled trial (rct) comparing between
shoulder umbilicus length versus body weight measurement
for
optimal endotracheal tube (ett) depth in ventilated infants |
publishDate |
2020 |
url |
http://eprints.usm.my/49409/1/Adam%20Al-Anas%20Mat%20Ali-24%20pages.pdf http://eprints.usm.my/49409/ |
_version_ |
1705057810875678720 |
score |
13.2014675 |