The intubation depth marker: the confusion of the black line.
BACKGROUND
Estimation of the correct depth of insertion of a tracheal tube (TT) in children is extremely important. Insertion of an excessive length may result in endobronchial intubation while an inadequate length of insertion may lead to accidental extubation.


METHODS
We reviewed TTs commonly used in paediatric practice and also reviewed recommended guidelines for correct depth of insertion.


RESULTS
Amongst the different brands of TTs used, there was a wide discrepancy in the placement of the intubation depth marker. This is important as the intubation depth marker is often used as a guideline for intubation.


CONCLUSIONS
For optimal placement we can rely on various formulae and manufacturers' markings on the TTs. Clinical judgement, however, remains the cornerstone of optimal placement.
Goel
Sunita
S
Bai Jerbai Wadia Hospital for Children, Mumbai, India.
Lim
Suan-Ling
SL
D004867:Equipment Design / Q000592:standards; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation*