Advertisement

Pediatric Radiology

, Volume 9, Issue 1, pp 37–40 | Cite as

Mechanism of endotracheal tube movement with change of head position in the neonate

  • S. M. Donn
  • L. R. Kuhns
Originals

Abstract

The mechanism of alteration of endotracheal tube position with movement of the head and neck in the neonate was studied in a term newborn cadaver. The infant was intubated and serial radiographs were obtained with the head and neck in different positions. We propose that the skull acts as a lever arm from the anterior end of the maxilla to the first cervical vertebra. The fulcrum for movement of this lever arm is the upper cervical spine. Movement of the endotracheal tube in the trachea is directed by the maxillocervical lever arm when the skull and upper cervical spine are flexed, extended, or rotated.

Key words

Endotracheal tube Neonate Radiography 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Bednarek, F.J., Kuhns, L.R.: Endotracheal tube placement in infants determined by suprasternal palpation: A new technique. Pediatrics56, 224 (1975)PubMedGoogle Scholar
  2. 2.
    Conrady, P., Goodman, L., Laing, F., et al.: Alteration of endotracheal tube position-flexion and extension of the neck. Crit. Care Med.4, 8 (1976)Google Scholar
  3. 3.
    Goodman, L.R., Conrady P.A., Laing, F., et al.: Radiographic evaluation of endotracheal tube position. A. J. R.127, 433 (1976)Google Scholar
  4. 4.
    Heinonen, J., Takki, S., Tammisto, T.: Effect of the Trendelenburg tilt and other procedures on the position of endotracheal tubes. Lancet1969 I 850Google Scholar
  5. 5.
    Kuhns, L.R., Poznanski, A.K.: Endotracheal tube position in the infant. J. Pediatr.78, 991 (1971)PubMedGoogle Scholar
  6. 6.
    Todres, I.D., deBras, F., Kramer, S.S. et al.: Endotracheal tube displacement in the newborn infant. J. Pediatr.89, 126 (1976)PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1980

Authors and Affiliations

  • S. M. Donn
    • 1
    • 2
  • L. R. Kuhns
    • 1
    • 2
  1. 1.Departments of Pediatrics and Communicable DiseasesC.S. Mott Children's Hospital, University of Michigan Medical CenterAnn ArborUSA
  2. 2.Division of Pediatric RadiologyC.S. Mott Children's Hospital, University of Michigan Medical CenterAnn ArborUSA

Personalised recommendations