ET CARE

Dr Rhishikesh Thakre DM,MD,DNB,DCH,FCPS,MBBS

ET Preparation

ET Fixation

Birth Weight (kg)

ETT Size (mm)

Distance of ETT at lip (cm)

ETT Suction Catheter (Fr)

Depth of ETT suction catheter insertion (cm)

<1 1-2 2 -3 >3

2.5 3 3.5 4

7 8 9 9-10

5 6 7 8

7.5 8.5 9.5 9.5-10.5

ET Suctioning
Not to be done routinely 2 personnel job Strict asepsis Suctioning catheter size / insertion Suction pressure < 100 cm H2O

 Pre-oxygenate prior to suctioning Apply suction while withdrawing in swirling motion NS instillation

ETT fixation- key points

Identification of mark Proper fixation X Ray confirmation Recording the precise point No need for X Ray confirmation each time

X-Ray confirmation

X-Ray confirmation

ET care
Avoid undue dead space Avoid undue movements No routine change of ETT

Tip to lip distance (6+wt. in kgs) Weight

1 kg 2 kg 3 kg

Distance
7 cm 8 cm 9 cm

Bedside ETT Card:

Name : Weight (gm) : ET size : mm ET lip fixation : cm Date tube inserted : ET Catheter depth : Catheter length

cm