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April 17, 2026Open Access

Optimal nasotracheal tube insertion depth in neonates.

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Authors

STSusanne TippmannMHMartin HaanEMEva Mildenberger

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Overview

Prospective cohort study confirms body weight as key predictor of ETT depth in neonates, suggesting stronger clinical guidelines.

Key Points

  • To validate nasotracheal endotracheal tube (ETT) insertion depth recommendations for neonates and develop a standardized bedside reference.
  • Analyzed 497 nasotracheal intubations in a tertiary neonatal intensive care unit from 2017 to 2023.
  • Used standardized chest radiography to assess tube position post-intubation.
  • Recorded clinical and biometric parameters and evaluated their associations with insertion depth using LOESS curves and linear regression models.
  • Body weight showed the strongest association with optimal nasotracheal ETT insertion depth (adjusted R2 = 0.88; RMSE = 0.52).
  • An evidence-based chart and web-based decision-support tool were developed to aid in bedside estimations.
  • Findings confirm established reference ranges across various gestational ages and weights.

Cite This Study

Tippmann et al. (2026) studied this question.

synapsesocial.com/papers/69e1cf985cdc762e9d85886dhttps://doi.org/10.48620/96905
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