New Formula for Nasal Endotracheal Intubation in Extremely Low-Birth Weight Infants in the Emergency Transport Setting: The "Genoa Formula".

Birth Weight Gestational Age Humans Infant Infant, Extremely Low Birth Weight Infant, Newborn Intubation, Intratracheal Retrospective Studies

Journal

Air medical journal
ISSN: 1532-6497
Titre abrégé: Air Med J
Pays: United States
ID NLM: 9312325

Informations de publication

Date de publication:
Historique:
received: 22 10 2020
accepted: 23 11 2020
entrez: 27 2 2021
pubmed: 28 2 2021
medline: 26 11 2021
Statut: ppublish

Résumé

The purpose of this study was to find a predictive equation for estimating the optimal nasal endotracheal tube insertion depth in extremely low-birth weight infants (ELBWs) requiring invasive ventilation in the critical care interfacility transport setting. We retrospectively calculated the optimal tube insertion depth in a cohort of neonates ≤ 1,000 g born at our neonatal intensive care unit and nasally intubated within the first 24 hours of life from January 2019 to May 2020. A total of 75 ELBW infants were included, with a median gestational age of 26.6 weeks (range, 22.1-32.6 weeks) and a median birth weight of 780 g (range, 410-990 g). The linear regression of the estimated optimal endotracheal tube insertion depth showed a good correlation when plotted against weight (R The proposed weight-based formula (the "Genoa formula") may help in predicting optimal insertion depths for nasal intubation in ELBW neonates, especially when a prompt radiologic confirmation of the tube position is not available, as during neonatal critical care transport.

Identifiants

DOI: 10.1016/j.amj.2020.11.013 PMID: 33637274
pubmed: 33637274
pii: S1067-991X(20)30283-2
doi: 10.1016/j.amj.2020.11.013
pii:
doi:

Types de publication

Journal Article

Langues

eng

Pagination

115-118

Informations de copyright

Copyright © 2020. Published by Elsevier Inc.

Auteurs

Carlo Bellini (C)

Neonatal Emergency Transport Service, Neonatal Intensive Care Unit, Department of Mother and Child, IRCCS Gaslini, Genoa, Italy; University of Genoa, Genoa, Italy. Electronic address: carlobellini@gaslini.org.

Paolo Massirio (P)

Neonatal Emergency Transport Service, Neonatal Intensive Care Unit, Department of Mother and Child, IRCCS Gaslini, Genoa, Italy; University of Genoa, Genoa, Italy.

Giulia Polleri (G)

Neonatal Emergency Transport Service, Neonatal Intensive Care Unit, Department of Mother and Child, IRCCS Gaslini, Genoa, Italy; University of Genoa, Genoa, Italy.

Marta Mambelli (M)

Neonatal Emergency Transport Service, Neonatal Intensive Care Unit, Department of Mother and Child, IRCCS Gaslini, Genoa, Italy; University of Genoa, Genoa, Italy.

Laura Costanza De Angelis (LC)

Neonatal Emergency Transport Service, Neonatal Intensive Care Unit, Department of Mother and Child, IRCCS Gaslini, Genoa, Italy; University of Genoa, Genoa, Italy.

Chiara Andreato (C)

Neonatal Emergency Transport Service, Neonatal Intensive Care Unit, Department of Mother and Child, IRCCS Gaslini, Genoa, Italy; University of Genoa, Genoa, Italy.

Maria Grazia Calevo (MG)

Neonatal Emergency Transport Service, Neonatal Intensive Care Unit, Department of Mother and Child, IRCCS Gaslini, Genoa, Italy; University of Genoa, Genoa, Italy.

Federica Mongelli (F)

Neonatal Emergency Transport Service, Neonatal Intensive Care Unit, Department of Mother and Child, IRCCS Gaslini, Genoa, Italy; University of Genoa, Genoa, Italy.

Diego Minghetti (D)

Neonatal Emergency Transport Service, Neonatal Intensive Care Unit, Department of Mother and Child, IRCCS Gaslini, Genoa, Italy; University of Genoa, Genoa, Italy.

Luca A Ramenghi (LA)

Neonatal Emergency Transport Service, Neonatal Intensive Care Unit, Department of Mother and Child, IRCCS Gaslini, Genoa, Italy; University of Genoa, Genoa, Italy.

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Classifications MeSH

questionsmedicales.fr › Phénomènes physiologiques › Croissance et développement › Croissance › Mensurations corporelles › Poids › Poids de naissance › New Formula for Nasal Endotracheal Intubation...
questionsmedicales.fr › Phénomènes physiologiques des appareils urinaire et reproducteur › Phénomènes physiologiques de la reproduction › Âge gestationnel › New Formula for Nasal Endotracheal Intubation...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › New Formula for Nasal Endotracheal Intubation...
questionsmedicales.fr › Personnes › Tranches d'âge › Nourrisson › New Formula for Nasal Endotracheal Intubation...
questionsmedicales.fr › Personnes › Tranches d'âge › Nourrisson › Nouveau-né › Nourrisson à faible poids de naissance › Nourrisson très faible poids naissance › Nourrisson de poids extrêmement faible à la naissance › New Formula for Nasal Endotracheal Intubation...
questionsmedicales.fr › Personnes › Tranches d'âge › Nourrisson › Nouveau-né › New Formula for Nasal Endotracheal Intubation...
questionsmedicales.fr › Techniques d'investigation › Intubation › Intubation trachéale › New Formula for Nasal Endotracheal Intubation...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études rétrospectives › New Formula for Nasal Endotracheal Intubation...