{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,7]],"date-time":"2023-10-07T13:40:35Z","timestamp":1696686035391},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"14","funder":[{"name":"Fundaci\u00f3n para la Salud Materno Infantil"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:p>\n            Objective\u2003This study aimed to assess if a color scale in the endotracheal tube (ETT) can help operators to correctly select the size and depth of placement of the ETT and decrease the time required to complete the procedure and compared with the usual numeric ETT scale in a mannequin model.<\/jats:p><jats:p>\n            Study Design\u2003The study was conducted in eight centers. Each size of the ETT was identified with a different color. The experimental ETTs had two different colored areas, one for the mouthpiece and another to identify where the ETT should be taped above the lip (an area of 1\u2009cm. The operators were trained as part of the protocol using an instructional video. Four clinical scenarios requiring endotracheal intubation were designed and randomly assigned. Each operator had to select the size and depth of ETT based on the birth weight (BW), and then had to perform four intubations.<\/jats:p><jats:p>\n            Results\u2003A total of 108 operators performed 432 intubations. No differences were found in the correct placement and selection of the ETT. Median time (in seconds) required for intubation using numeric versus experimental tube was: for ETT \u00d8 NRP (Neonatal Resuscitation Program) 2.5, 11.5 versus 8 (p\u2009&lt;\u20090.001), ETT \u00d8 3, 12 versus 10 (p\u2009&lt;\u20090.001), ETT \u00d8 3.5, 15.5 versus12 (p\u2009=\u20090.003), ETT \u00d8 4, 12 versus11 (p\u2009=\u20090.019).<\/jats:p><jats:p>\n            Conclusion\u2003No significant difference was observed in the selection and correct placement of the ETT. However, the intubation time was significantly shorter using the experimental ETT. This device could improve the effectiveness of intubation by reducing the time needed to properly place the ETT at mid trachea.<\/jats:p><jats:p>\n            Key Points\n          <\/jats:p>","DOI":"10.1055\/a-1659-0422","type":"journal-article","created":{"date-parts":[[2021,9,30]],"date-time":"2021-09-30T22:52:00Z","timestamp":1633042320000},"page":"1543-1550","source":"Crossref","is-referenced-by-count":0,"title":["Can Intubation Be Improved with Endotracheal Tubes Marked with a Color Scale? Randomized Controlled Study"],"prefix":"10.1055","volume":"40","author":[{"given":"Juan P.","family":"Berazategui","sequence":"additional","affiliation":[{"name":"Neonatology Unit, Sanatorio Anchorena San Martin, Buenos Aires, Argentina"},{"name":"Neonatology Unit, Austral University Hospital, Pilar, Buenos Aires, Argentina"},{"name":"Department of Clinical Research - Foundation for Maternal and Child Health, Buenos Aires, Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramon P.","family":"Larcade","sequence":"additional","affiliation":[{"name":"Department of Clinical Research - Foundation for Maternal and Child Health, Buenos Aires, Argentina"},{"name":"Neonatology Unit \u2013 Sanatorio de la Trinidad Palermo and Ramos Mej\u00eda, Buenos Aires, Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ariel L.","family":"Fern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Department of Clinical Research - Foundation for Maternal and Child Health, Buenos Aires, Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rose M.","family":"Soria","sequence":"additional","affiliation":[{"name":"Department of Clinical Research - Foundation for Maternal and Child Health, Buenos Aires, Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adriana A.","family":"Castro","sequence":"additional","affiliation":[{"name":"Department of Clinical Research - Foundation for Maternal and Child Health, Buenos Aires, Argentina"},{"name":"Neonatology Unit, Hospital Evita Lan\u00fas, Buenos Aires, Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aldana S.","family":"\u00c1vila","sequence":"additional","affiliation":[{"name":"Department of Clinical Research - Foundation for Maternal and Child Health, Buenos Aires, Argentina"},{"name":"Neonatology Unit \u2013 Sanatorio de la Trinidad Palermo and Ramos Mej\u00eda, Buenos Aires, Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nestor E.","family":"Vain","sequence":"additional","affiliation":[{"name":"Department of Clinical Research - Foundation for Maternal and Child Health, Buenos Aires, Argentina"},{"name":"Neonatology Unit \u2013 Sanatorio de la Trinidad Palermo and Ramos Mej\u00eda, Buenos Aires, Argentina"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,11,16]]},"reference":[{"issue":"21","key":"ref2","doi-asserted-by":"crossref","first-page":"1970","DOI":"10.1056\/NEJMoa0911783","article-title":"Early CPAP versus surfactant in extremely preterm infants","volume":"362","author":"N N Finer","year":"2010","journal-title":"N Engl J Med"},{"issue":"10","key":"ref4","doi-asserted-by":"crossref","first-page":"934","DOI":"10.1111\/pan.12147","article-title":"Digital palpation of endotracheal tube tip as a method of confirming endotracheal tube position in neonates: an 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orotracheal and nasotracheal intubation in neonates requiring ventilatory assistance","volume":"77","author":"D D McMillan","year":"1986","journal-title":"Pediatrics"},{"issue":"06","key":"ref12","doi-asserted-by":"crossref","first-page":"1050","DOI":"10.1016\/S0022-3476(79)80309-1","article-title":"Orotracheal intubation in the newborn infant: a method for determining depth of tube insertion","volume":"95","author":"M L Tochen","year":"1979","journal-title":"J Pediatr"},{"issue":"03","key":"ref13","doi-asserted-by":"crossref","first-page":"E29","DOI":"10.1542\/peds.106.3.e29","article-title":"International guidelines for neonatal resuscitation: an excerpt from the guidelines 2000 for cardiopulmonary resuscitation and emergency cardiovascular care: international consensus on science. contributors and reviewers for the neonatal resuscitation guidelines","volume":"106","author":"S Niermeyer","year":"2000","journal-title":"Pediatrics"},{"issue":"01","key":"ref14","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1055\/s-2007-995221","article-title":"Optimal endotracheal tube tip position in extremely premature infants","volume":"25","author":"S Thayyil","year":"2008","journal-title":"Am J Perinatol"},{"issue":"09","key":"ref15","first-page":"1007","article-title":"Optimal positioning of endotracheal tubes for ventilation of preterm infants","volume":"145","author":"A Rotschild","year":"1991","journal-title":"Am J Dis Child"},{"issue":"03","key":"ref16","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1159\/000369375","article-title":"Estimating the endotracheal tube insertion depth in newborns using weight or gestation: a randomised trial","volume":"107","author":"A M Flinn","year":"2015","journal-title":"Neonatology"}],"container-title":["American Journal of 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