Adherence to Endotracheal Tube Depth Guidelines and Incidence of Malposition in Infants and Children

• Published in: Respiratory care Vol. 63; no. 9; p. 1111
• Main Authors: Volsko, Teresa A, McNinch, Neil L, Prough, Donald S, Bigham, Michael T
• Format: Journal Article
• Language: English
• Published: United States 01.09.2018
• Subjects: Chi-Square Distribution; Child; Child, Preschool; Female; Guideline Adherence - statistics & numerical data; Humans; Incidence; Infant; Intubation, Intratracheal - adverse effects; Intubation, Intratracheal - standards; Intubation, Intratracheal - statistics & numerical data; Male; Medical Errors - statistics & numerical data; Radiography - statistics & numerical data; Random Allocation; Trachea - diagnostic imaging; tracheal tube malposition; intubation; NRP; PALS; pediatrics

Adherence to guidelines for endotracheal tube (ETT) insertion depth may not be sufficient to prevent malposition or harm to the patient. To obtain an estimate of ETT malpositioning, we evaluated initial postintubation chest radiographs and hypothesized that many ETTs in multiple intubation settings...