Document Detail

Oral intubation in premature infants with and without stabilizing devices.
MedLine Citation:
PMID:  22583887     Owner:  NLM     Status:  MEDLINE    
PURPOSE: This study evaluated the effects of palatal stabilizing devices (PSDs) on accidental extubations (AEs) and other intubation complications in infants with breathing tubes at a neonatal intensive care unit (NICU) of a university hospital. PSDs are individually crafted acrylic oral devices for stabilizing breathing tubes in neonates.
METHODS: Charts of all first admission NICU neonates weighing less than 1,500 g were reviewed (N =733); 548 were intubated and had information available on birth weight, gender, transfer status, gestational age, length of admission, ventilator type, sedation, dates of intubations and extubations, number of accidental extubations, dates of PSD placement, and complications.
RESULTS: 153 subjects received PSDs, with 19 AEs; 395 received no PSDs, with 31 AEs. Non-PSD neonates were intubated for a median of 3 and PSD neonates for 26 days. PSDs were associated with sedation, male gender, longer admissions, longer intubation periods, being on a high-frequency ventilator, and low birth weight (P<.05). 0.4 accidental extubations over 100 intubated patient days were recorded for the PSD vs 0.79 for the non-PSD group.
CONCLUSIONS: Palatal stabilizing devices were not related to other complications of breathing tubes. The PSD group had fewer accidental extubations per days of intubation vs the non-PSD group.
Rebecca Testa; Shahrbanoo Fadavi; Anne Koerber; Indru Punwani; Rama Bhat
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pediatric dentistry     Volume:  34     ISSN:  1942-5473     ISO Abbreviation:  Pediatr Dent     Publication Date:    2012 Mar-Apr
Date Detail:
Created Date:  2012-05-15     Completed Date:  2013-05-13     Revised Date:  2013-05-31    
Medline Journal Info:
Nlm Unique ID:  7909102     Medline TA:  Pediatr Dent     Country:  United States    
Other Details:
Languages:  eng     Pagination:  138-41     Citation Subset:  D; IM    
University of Illinois at Chicago, Chicago, Illinois, USA.
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MeSH Terms
Infant, Newborn
Infant, Premature*
Intubation, Intratracheal / instrumentation*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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