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

Pediatric Radiology volume 9, pages 37–40 (1980)Cite this article

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.

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Authors and Affiliations

  1. Departments of Pediatrics and Communicable Diseases, C.S. Mott Children's Hospital, University of Michigan Medical Center, 48109, Ann Arbor, Michigan, USA

    S. M. Donn & L. R. Kuhns

  2. Division of Pediatric Radiology, C.S. Mott Children's Hospital, University of Michigan Medical Center, 48109, Ann Arbor, Michigan, USA

    S. M. Donn & L. R. Kuhns

Authors
  1. S. M. Donn
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  2. L. R. Kuhns
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Donn, S.M., Kuhns, L.R. Mechanism of endotracheal tube movement with change of head position in the neonate. Pediatr Radiol 9, 37–40 (1980). https://doi.org/10.1007/BF00973968

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  • DOI: https://doi.org/10.1007/BF00973968

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