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...
| Main Author: | |
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| Format: | Thesis |
| Language: | English |
| Published: |
2020
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| Subjects: | |
| Online Access: | http://eprints.usm.my/49409/ http://eprints.usm.my/49409/1/Adam%20Al-Anas%20Mat%20Ali-24%20pages.pdf |
| _version_ | 1848881429012807680 |
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| author | Ali, Adam Al-Anas Mat |
| author_facet | Ali, Adam Al-Anas Mat |
| author_sort | Ali, Adam Al-Anas Mat |
| building | USM Institutional Repository |
| collection | Online Access |
| 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. |
| first_indexed | 2025-11-15T18:18:52Z |
| format | Thesis |
| id | usm-49409 |
| institution | Universiti Sains Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T18:18:52Z |
| publishDate | 2020 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | usm-494092021-07-11T02:41:11Z 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. |
| spellingShingle | 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 |
| title | 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_short | 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 |
| topic | R Medicine |
| url | http://eprints.usm.my/49409/ http://eprints.usm.my/49409/1/Adam%20Al-Anas%20Mat%20Ali-24%20pages.pdf |