Patrick J Peebles, Erik A Jensen, Heidi M Herrick, Paul J Wildenhain, Jennifer Rumpel, Ahmed Moussa, Neetu Singh, Ayman Abou Mehrem, Bin Huey Quek, Michael Wagner, Nicole R Pouppirt, Kristen M Glass, David G Tingay, Kate A Hodgson, Joyce E O'Shea, Taylor Sawyer, Brianna K Brei, Philipp Jung, Jennifer Unrau, Jae H Kim, James Barry, Stephen DeMeo, Lindsay C Johnston, Akira Nishisaki, Elizabeth E Foglia
BACKGROUND AND OBJECTIVES: Neonatal endotracheal tube (ETT) size recommendations are based on limited evidence. We sought to determine data-driven weight-based ETT sizes for infants undergoing tracheal intubation and to compare these with Neonatal Resuscitation Program (NRP) recommendations. METHODS: Retrospective multicenter cohort study from an international airway registry. We evaluated ETT size changes (downsizing to a smaller ETT during the procedure or upsizing to a larger ETT within 7 days) and risk of procedural adverse outcomes associated with first-attempt ETT size selection when stratifying the cohort into 200 g subgroups...
March 12, 2024: Pediatrics