Correct placement of endotracheal tube by single strand fiberoptic light in prematures. Initial clinical experience

In order to reduce non radiographically improper placement of the endotracheal tube, we manufactured a single fiberoptic strand, connected to a high-intensity illuminator, to be introduced by reference marks up to the tip of conventional endotracheal tube. This system showed, in our initial clinical experience, confirmed by radiograms, to be non invasive and safe. Use of this method could be useful when the intubated premature is moved for necessary procedures, and a chest-X-ray film is not allowed. Infact, it permits the visualization of the tip of the endotracheal tube by a circle of light on the neck at the suprasternal notch. Furthermore, it results useful for all conventional tubes, without constant reduction in cross-sectional area or modification of mechanic characteristics of the tube wall.