ArticleJournal of perinatology : official journal of the California Perinatal Association2026
Prenatal biometry-based prediction of optimal endotracheal tube depth in infants with a birth weight less than 500 g.
Article in Journal of perinatology : official journal of the California Perinatal Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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14 authors.
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Abstract
objectiveTo develop a prenatal biometry-based model predicting optimal oral endotracheal tube (ETT) depth in infants with birth weight <500 g. STUDY
designRetrospective single-center cohort of 62 infants (birth weight <500 g) orally intubated at birth, with prenatal ultrasound within 3 days of delivery. Optimal ETT depth was determined from post-intubation radiographs. Femur length (FL), estimated fetal weight (EFW), biparietal diameter, head circumference, and abdominal circumference were assessed by correlation and multivariable regression.
resultsGestational age was 25.2 ± 1.7 weeks; birth weight, 437 g (382.5-470 g). Malposition ≥0.5 cm occurred in 29 infants (46.8%). FL and EFW correlated strongly with optimal depth (r = 0.598 and 0.594; both p < 0.001). The quadratic model combining FL and EFW yielded the best fit (adjusted R² = 0.58).
conclusionPrenatal FL and EFW may guide predelivery oral ETT depth in infants with birth weight <500 g, supporting individualized airway planning.
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