Optimal endotracheal tube insertion depth in infants with birth weights under 500 grams

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Abstract
Objective Develop a birth anthropometry-based model to estimate initial endotracheal tube (ETT) insertion depth for infants with birth weight p < 0.001). A combined quadratic model showed the strongest fit (adjusted R² = 0.70), outperforming single parameter rules. Conclusion In neonates <500 g, a quadratic weight-length model improves the prediction of radiograph-defined midtracheal ETT depth and offers a practical bedside guide for initial placement.

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