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Randomised cross-over study of thin catheters used for less invasive surfactant delivery in a newborn manikin
  1. Robert Thomas Joyce1,2,
  2. Lucy Elizabeth Geraghty1,2,
  3. Colm Patrick Finbarr O'Donnell1,2
  1. 1 Neonatal Unit, National Maternity Hospital, Dublin, Ireland
  2. 2 School of Medicine, University College Dublin, Dublin, Ireland
  1. Correspondence to Professor Colm Patrick Finbarr O'Donnell; codonnell{at}nmh.ie

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‘Less invasive surfactant application’ requires insertion of a thin catheter into the trachea during laryngoscopy. Thin catheters cannot be used to give positive pressure ventilation, so their correct placement is determined by seeing them enter the trachea, rather than by other means (eg, detection of breath sounds, ‘misting’ in the tube or exhaled carbon dioxide). Videolaryngoscopy (VL) allows for confirmation of correct catheter insertion by multiple observers. Some thin catheters are pliable and require a Magill’s forceps for insertion,1 while other semirigid catheters do not.2 We rarely use Magill’s forceps at our hospital, so we studied five thin catheters that may be inserted without their use. Two …

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Footnotes

  • Contributors CPFO'D devised the experiment which was carried out by RTJ and LEG. RTJ and LEG carried out the experiment. RTJ performed the statistical analysis and wrote the manuscript, with assistance from CPFO'D. All authors provided input in terms of feedback and reviewed the manuscript prior to submission. RTJ acts as the guarantor.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.