Neonatal Resuscitation Program: Equipment List for Endotracheal Intubation

What follows are more notes from the 2011 Textbook of Neonatal Resuscitation:*

What equipment and Supplies are needed for endotracheal intubation?: * pp 162 + 163

Figure of  the equipment needed follows this list.

1. Laryngoscope with an extra set of batteries and extra bulbs.
2. Blades: No. 1 (term newborn), No. 0 (preterm newborn), No. 00 (optional for extremely preterm). Straight rather than curved blades are preferred.
3. Endotracheal tubes with inside diameters of 2.5 [wt < 1,000 g; Below 28 wks], 3.0 [wt 1,000 – 2,000 g; 28 – 34 wks], 3.5 [wt 2,000 – 3,000 g; 34 -38 wks], and 3.5 – 4.0 [wt > 3,000 g; > 38 wks].
4. Stylet (optional) that fits into the endotracheal tubes.
5. Carbon dioxide (CO2) monitor or detector.
6. Suction setup with catheters of size 10F (for suctioning the pharynx), size 8F, and either size 5F or 6F (for suctioning endotracheal tubes of various sizes.                    [Suction catheter size for endotracheal tubes of various inner diameters: 2.5 ET –> 5F or 6 F catheter; 3.0 ET –> 6F or 8 F catheter; 3.5 ET –> 8F catheter; 4.0 ET –> 8F or 10F catheter]
7. Roll of water proof tape (1/2 or 3/4 inch), or endotracheal tube securing device.
8. Scissors.
9. Oral airway.
10. Meconium aspirator.
11. Stethoscope (with neonatal head)
12. Positive pressure device ( bag or T-piece resuscitator) and tubing for delivering air and/or supplemental oxygen. Self inflating bag should  have an oxygen reservoir and all types of devices should have a pressure manometer.
13. Pulse oximeter and neonatal probe.
14. Laryngeal mask airway (size 1) with 5-mL syringe.

Equipment Needed for Airway Management Below (Numbers refer to list numbers)

Equipment Needed for Airway Management Above (Numbers refer to list numbers)

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Resources:

* Textbook of Neonatal Resuscitation, 6th ed. 2011, American Academy of Pediatrics and American Heart Association.