Orotracheal tube insertion in extremely low birth weight infants

J Pediatr. 2009 May;154(5):764-5. doi: 10.1016/j.jpeds.2008.11.057.


Thirty-one consecutive infants <1000 g at birth were intubated according to Tochen's rule; placement was verified/modified after auscultation and by radiology. Depth measurements were by caliper and radiology. Tochen's rule alone would lead to inadequate tube placement in 47% of infants. Auscultation allows adequate placement in only three-fourths of patients.

MeSH terms

  • Auscultation
  • Humans
  • Infant, Newborn
  • Infant, Very Low Birth Weight*
  • Intubation, Intratracheal / methods*
  • Radiography, Thoracic