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Related Concept Videos

Endotracheal Intubation I: Procedure01:15

Endotracheal Intubation I: Procedure

Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
Endotracheal Intubation II: Nursing Management01:17

Endotracheal Intubation II: Nursing Management

Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
Endotracheal Tube Extubation01:24

Endotracheal Tube Extubation

Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals.
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Enteral Nutrition I: Orogastric and Nasogastric Feeding01:26

Enteral Nutrition I: Orogastric and Nasogastric Feeding

Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
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Updated: Jun 14, 2026

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
04:46

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

Published on: January 17, 2011

Securing endotracheal tubes: does NeoBar availability improve tube position?

Tammy Lee Brinsmead1, Mark William Davies

  • 1Grantley Stable Neonatal Unit, Royal Brisbane & Women's Hospital, Brisbane, Queensland, Australia. tammybrinsmead@yahoo.com.au

Journal of Paediatrics and Child Health
|March 27, 2010
PubMed
Summary

The NeoBar device did not significantly improve neonatal endotracheal tube (ETT) positioning compared to tape alone. Both methods resulted in less than two-thirds of ETTs in acceptable positions, with shifts towards higher and lower placements respectively.

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The Rigid Tube as an Alternative in Controlling the Problematic Airway
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The Rigid Tube as an Alternative in Controlling the Problematic Airway
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Published on: June 6, 2020

Area of Science:

  • Neonatal care
  • Medical device evaluation
  • Respiratory support

Background:

  • Proper endotracheal tube (ETT) placement is critical for effective ventilation in neonates.
  • Suboptimal ETT positioning can lead to complications such as airway injury or inadequate gas exchange.
  • The NeoBar is a device designed to improve ETT security and positioning.

Purpose of the Study:

  • To evaluate the effectiveness of the NeoBar in improving neonatal endotracheal tube (ETT) tip position.
  • To compare ETT positioning when secured with the NeoBar versus traditional tape.

Main Methods:

  • Retrospective study comparing two cohorts of intubated neonates.
  • ETT position assessed subjectively (very high, high, OK, low, very low) and objectively (vertebral body, ETT-tip-to-T1 distance).
  • Cohorts divided into 'Tape-only' and 'NeoBar' periods.

Main Results:

  • No significant difference in the proportion of 'OK' ETT positions between Tape-only (58.2%) and NeoBar (58.3%) periods (P=1.0).
  • Significantly more very high ETTs in the NeoBar period and more low/very low ETTs in the Tape-only period (P=0.011).
  • Trends in ETT-tip-to-T1 distance were not statistically significant (P=0.079).

Conclusions:

  • Less than two-thirds of ETTs were in acceptable positions with both methods.
  • The NeoBar period showed a trend towards higher ETT placements, while the Tape-only period trended towards lower placements.
  • Further research is needed to correlate observed ETT position differences with clinical outcomes.