Confirmation of correct tracheal tube placement in newborn infants

Georg Marcus Schmolzer, Megan O'Reilly, Peter Davis, Po-Yin Cheung, Charles Christopher Roehr

Research output: Contribution to journalArticleResearchpeer-review

52 Citations (Scopus)

Abstract

Tracheal intubation remains a common procedure during neonatal intensive care. Rapid confirmation of correct tube placement is important because tube malposition is associated with serious adverse outcomes. The current gold standard test to confirm tube position is a chest radiograph, however this is often delayed until after ventilation has commenced. Hence, point of care methods to confirm correct tube placement have been developed. The aim of this article is to review the available literature on tube placement in newborn infants. We reviewed books, resuscitation manuals and articles from 1830 to the present with the search terms Infant, Newborn , Endotracheal intubation , Resuscitation , Clinical signs , Radiography , Respiratory Function Tests , Laryngoscopy , Ultrasonography , and Bronchoscopy . Various techniques have been studied to help clinicians assess tube placement. However, despite 85 years of clinical practice, the search for higher success rates and quicker intubation continues. Currently, chest radiography remains the gold standard test to confirm tube position. However, rigorous evaluation of new techniques is required to ensure the safety of newborn infants.
Original languageEnglish
Pages (from-to)731 - 737
Number of pages7
JournalResuscitation
Volume84
Issue number6
DOIs
Publication statusPublished - 2013

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