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-ep.494092021-07-11T02:41:11Z Randomized controlled trial (RCT) comparing between shoulder umbilicus length versus body weight measurement for optimal endotracheal tube (ETT) depth in ventilated infants 2020 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 http://eprints.usm.my/49409/ http://eprints.usm.my/49409/1/Adam%20Al-Anas%20Mat%20Ali-24%20pages.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan |
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Universiti Sains Malaysia |
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USM Institutional Repository |
| language |
English |
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R Medicine |
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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 |
| description |
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 |
| qualification_level |
Master's degree |
| 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 |
| granting_institution |
Universiti Sains Malaysia |
| granting_department |
Pusat Pengajian Sains Perubatan |
| publishDate |
2020 |
| url |
http://eprints.usm.my/49409/1/Adam%20Al-Anas%20Mat%20Ali-24%20pages.pdf |
| _version_ |
1747821997890469888 |