Dharamveer Tatwavedi1, Saudamini V Nesargi2, Nachiket Shankar3, Priyanka Mathias1, Suman Rao Pn4. 1. Interns in St. Johns Medical College Hospital, Bangalore, 560034, India. 2. Department of Neonatology, St. Johns Medical College Hospital, Bangalore, 560034, India. saudamini_nesargi@yahoo.com. 3. Department of Anatomy, St. Johns Medical College Hospital, Bangalore, 560034, India. 4. Department of Neonatology, St. Johns Medical College Hospital, Bangalore, 560034, India.
Abstract
OBJECTIVE: To assess the efficacy of modified Tochen's formula (birth weight + 5 cm) when compared to Tochen's formula for optimum placement of endotracheal tubes (ET) in low birth weight (LBW) neonates. STUDY DESIGN: In the NICU of a tertiary care hospital, LBW babies requiring intubation were randomized to Tochen's formula or modified Tochen's formula. The incidence of inadequate placement and optimum length of ET insertion were estimated. Analysis was done by the Chi square and 't'-tests. RESULTS: Sixty-seven babies were included: 34 in Tochen's group and 33 in modified Tochen's group. Baseline characteristics were similar. Modified Tochen's formula was significantly (p = 0.006) closer to the optimum position when compared to Tochen's formula. The percentages of optimum and adequate placements of the ET tube was higher in the modified Tochen's group, though not statistically significant. CONCLUSION: Modified Tochen's formula in LBW babies may enable more optimum placement of ETs.
OBJECTIVE: To assess the efficacy of modified Tochen's formula (birth weight + 5 cm) when compared to Tochen's formula for optimum placement of endotracheal tubes (ET) in low birth weight (LBW) neonates. STUDY DESIGN: In the NICU of a tertiary care hospital, LBW babies requiring intubation were randomized to Tochen's formula or modified Tochen's formula. The incidence of inadequate placement and optimum length of ET insertion were estimated. Analysis was done by the Chi square and 't'-tests. RESULTS: Sixty-seven babies were included: 34 in Tochen's group and 33 in modified Tochen's group. Baseline characteristics were similar. Modified Tochen's formula was significantly (p = 0.006) closer to the optimum position when compared to Tochen's formula. The percentages of optimum and adequate placements of the ET tube was higher in the modified Tochen's group, though not statistically significant. CONCLUSION: Modified Tochen's formula in LBW babies may enable more optimum placement of ETs.
Authors: Abdul Razak; Maheer Faden; Jameel Alghamdi; Abdulaziz Binmanee; Abdullah Hawash Alonazi; Anas Hamdoun; Saud Almugaiteeb; Waseemoddin Patel; Hamdi Katar; Fabian Lora; Abdullah Alismail; Adrian Lavery; Ibrahim Hamama; Noura Alsaleem; Manal Alshaikh; Lama Alrasheed; Omar Aldibasi Journal: BMJ Open Date: 2022-01-19 Impact factor: 2.692