| The Factors Associated with Successful Paediatric Endotracheal Intubation on the First Attempt in Emergency Departments: A 13-Emergency-Department Registry Study. | |
| | |
MedLine Citation:
|
PMID: 22429973 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
BACKGROUND: We investigated which factors are associated with successful paediatric endotracheal intubation (ETI) on the first attempt in emergency department (EDs) from multicentre emergency airway registry data. METHODS: We created a multicentre registry of intubations at 13 EDs and performed surveillance over 5 years. Each intubator filled out a data form after an intubation. We defined "paediatric patients" as patients younger than 10 years of age. We assessed the specialty and level of training of intubator, the method, the equipment, and the associated adverse events. We analysed the intubation success rates on the first attempt (first-pass success, FPS) based on these variables. RESULTS: A total of 430 ETIs were performed on 281 children seen in the ED. The overall FPS rate was 67.6%, but emergency medicine (EM) physicians showed a significantly greater success rate of 74.4%. In the logistic regression analysis, the intubator's specialty was the only independent predictive factor for paediatric FPS. In the subgroup analysis, the EM physicians used the rapid sequence intubation/intubation (RSI) method and Macintosh laryngoscope more frequently than physicians of other specialties. ETI-related adverse events occurred in 21 (7.2%) out of the 281 cases. The most common adverse event in the FPS group was mainstem bronchus intubation, and vomiting was the most common event in the non-FPS group. The incidence of adverse events was lower in the FPS group than in the non-FPS group, but this difference was not statistically significant. CONCLUSIONS: The intubator's specialty was the major factor associated with FPS in emergency department paediatric ETI, The overall ETI FPS rate among paediatric patients was 67.6%, but the EM physicians had a FPS rate of 74.4%. A well structured airway skill training program, and more actively using the RSI method are important and this could explain this differences. |
| | |
Authors:
|
Hyuk Joong Choi; Sang Mo Je; Ji Hoon Kim; Euichung Kim; |
Related Documents
:
|
8158033 - Effectiveness of diethylcarbamazine in treating loiasis acquired by expatriate visitors... 22509123 - Evaluation of oral health status and salivary flow rate in obese patients after bariatr... 3432173 - Comparison of the efficacy of nicardipine, a new calcium channel blocker, with nifedipi... |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2012-3-16 |
Journal Detail:
|
Title: Resuscitation Volume: - ISSN: 1873-1570 ISO Abbreviation: - Publication Date: 2012 Mar |
Date Detail:
|
Created Date: 2012-3-20 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0332173 Medline TA: Resuscitation Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
|
Copyright © 2012. Published by Elsevier Ireland Ltd. |
Affiliation:
|
Department of Emergency Medicine, College of Medicine, Hanyang University, Seoul, Korea. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Comparison of GlideScope(®) versus Macintosh laryngoscope for the removal of a hypopharyngeal forei...
Next Document: Duration of hospital participation in Get With the Guidelines-Resuscitation and survival of in-hospi...