首页> 美国卫生研究院文献>International Journal of Pediatrics >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
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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

机译:现在该审查NICU中ETT定位指南了吗?专家评论—加拿大NICU气管插管放置遇到的挑战

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摘要

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.
机译:目标。检查有关加拿大多个新生儿重症监护病房的气管插管放置的最新观点和做法。设计。通过电子邮件邀请了来自加拿大新生儿网络附属的重症监护病房(NICU)和整个加拿大新生儿-围产儿项目的临床主任参加,并将在线调查分发给职员新生儿科医生,新生儿研究员,呼吸治疗师和护士。结果。与ETT放置有关的信念和实践差异很大。多数人在声带的ETT上使用“体重+6”公式和“瞄准黑线”来估计口服ETT的深度,并报告说对ELBW婴儿具有挑战性。多数人认为气管中部是理想的ETT尖端位置。但是,他们在胸部X线检查中的首选位置有所不同。许多人认为,使用更精确的ETT标记可以改善ETT的定位。结论。进一步的研究应侧重于为ELBW婴儿的ETT针尖放置制定更有效的指南。

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