👉Nasal insertion depths for neonatal intubation

📌New reference charts/ formulas for optimising nasal intubation depths.
Spoiler alert: It is NOT (weight)+7cms or (weight x 1.5) +6cms!

🔗http://dx.doi.org/10.1136/archdischild-2020-319140

#intubation #resuscitation

👉Randomised controlled trial: Shoulder–umbilicus length versus body weight measurement for optimal endotracheal tube depth estimation in ventilated infants

📌In the experimental group, fewer infants showed a need for tube adjustment than in the control group. 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.

🔗https://onlinelibrary.wiley.com/doi/10.1111/jpc.14705

#intubation #ett #resuscitation

👉Video Laryngoscopy Improves the Success of Neonatal Tracheal Intubation for Novices but Not for Experienced Medical Staff

📌The #video #laryngoscopy could be an effective training tool for inexperienced staff in developing the skill of tracheal #intubation.

🔗https://doi.org/10.3389/fped.2020.00445

📌Association of Delivery Room and Neonatal Intensive Care Unit #Intubation, and Number of Tracheal Intubation Attempts with Death or Severe Neurological Injury among Preterm Infants

👉 The DR TI is associated with higher odds of death and/or SNI compared with NICU TI, and may help identify higher risk infants. There was no association between the number of TI attempts and death and/or SNI

🔗https://pubmed.ncbi.nlm.nih.gov/33075843/

This review examines the airway adjuncts currently used to acutely manage the neonatal #airway.

#intubation
dx.doi.org/10.1136/archdischild-2020-319398
*The full text is in the comments

This is the first study to report the time to #desaturation after ceasing positive pressure or spontaneous breaths in preterm neonates undergoing #intubation in the NICU.

dx.doi.org/10.1136/archdischild-2020-319509
*The full text in the comments

Finger #intubation without laryngoscope and confirmation of ET by palpation

doi.org/10.1002/ppul.25551
*The full text see in the comments

Though infants undergoing daytime and OE were dissimilar, extubation success rates did not differ (day or night). Larger multicenter studies are needed to test our findings and identify markers of extubation readiness in preterm infants.

#Intubation
doi.org/10.1038/s41372-021-01168-6