Duration of intubation attempts during neonatal resuscitation

The Journal of Pediatrics
Brian LaneWade D Rich

Abstract

Since the American Academy of Pediatrics Neonatal Resuscitation Program recommends that intubation should be completed in approximately 20 seconds, we measured the duration of neonatal intubation attempts by different operators, using video recordings of neonatal resuscitations. We used an ongoing quality improvement program to measure the duration of intubation attempts. The mean duration for the 50 successful intubations, including 6 for meconium, was 27.3 seconds compared with 29.8 seconds for unsuccessful attempts (not significant). Fifteen infants were successfully intubated on each of the first and second attempts, 10 on the third attempt, and 10 required more than 3 attempts. The mean duration of successful intubation was 31.9 seconds for PL-1's, 27.5 seconds for PL-2/3's, and 23.6 seconds for fellows. Overall intubations were more successful for a duration of 30 seconds or less compared with 20 seconds or less (72% vs 38%; chi(2)=10.3, P=.001). No infant decompensated between 20 and 30 seconds. Ten successful and 12 failed attempts took longer than 40 seconds. We recommend that a duration of 30 seconds is a reasonable guideline for neonatal intubation during resuscitation.

References

Sep 1, 1987·Anesthesia and Analgesia·R H FriesenR E Thieme
Jun 1, 1984·Critical Care Medicine·T A MarshallT L Austin
May 1, 1980·The Journal of Pediatrics·T N RajuE J Bennett
Apr 1, 1994·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·C Millar, B Bissonnette
May 19, 1998·Anesthesia and Analgesia·S D Cook-SatherM S Schreiner
Oct 11, 2001·Journal of Perinatology : Official Journal of the California Perinatal Association·N SinghalY J Yee
Apr 5, 2002·The Journal of Perinatal & Neonatal Nursing·M A Wilder
Sep 3, 2004·Pediatrics·Neil N FinerUNKNOWN National Institute of Child Health and Human Development Neonatal Research Network

❮ Previous
Next ❯

Citations

Jun 16, 2010·World Journal of Pediatrics : WJP·Shetal Shah
May 5, 2005·The Journal of Pediatrics·Tina A LeoneNeil N Finer
Feb 21, 2006·Journal of Paediatrics and Child Health·Colm P F O'DonnellLindsay F J Mildenhall
Nov 14, 2013·Journal of Clinical Monitoring and Computing·Pauwel GoethalsDavid Schaner
Mar 1, 2014·Journal of Perinatology : Official Journal of the California Perinatal Association·C N LeN N Finer
Feb 26, 2014·Archives of Disease in Childhood. Fetal and Neonatal Edition·Emily A Kieran, Colm P F O' Donnell
Mar 22, 2014·Indian Journal of Pediatrics·Praveen KumarLouis P Halamek
Jul 18, 2014·Indian Pediatrics·Ashish Rajeshwar DongaraRajendra Ganpatrao Desai
Oct 9, 2009·Journal of Perinatology : Official Journal of the California Perinatal Association·Z BismillaH Whyte
Oct 12, 2010·Journal of Perinatology : Official Journal of the California Perinatal Association·N Finer, W Rich
Jul 23, 2015·Archives of Disease in Childhood·Peter Jones
Nov 6, 2015·Journal of Perinatology : Official Journal of the California Perinatal Association·M B WallensteinD K Stevenson
Dec 6, 2012·Resuscitation·Georg M SchmölzerCharles Christoph Roehr
Sep 8, 2012·Clinics in Perinatology·Tina A LeoneWade Rich
Jan 15, 2016·Journal of Perinatology : Official Journal of the California Perinatal Association·S van OsG M Schmölzer
Jul 27, 2011·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·I LayouniF Decobert
Mar 29, 2011·Seminars in Perinatology·JoDee M Anderson, Jamie B Warren
Apr 7, 2010·Clinics in Perinatology·Wade D RichNeil N Finer
Nov 7, 2015·The Journal of Pediatrics·L Dupree HatchE Wesley Ely
Feb 24, 2009·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·R LenclenF Huard
Aug 30, 2006·Acta Paediatrica·Christophe MilesiJean Charles Picaud
Mar 6, 2009·Pediatrics International : Official Journal of the Japan Pediatric Society·Ridvan DuranBetül Acunaş
Mar 27, 2010·Pediatrics International : Official Journal of the Japan Pediatric Society·Tanil KendirliNilgün Atay
Jun 14, 2006·The Journal of Pediatrics·José Henrique Silva Moura, Gisélia Alves Pontes da Silva
Mar 18, 2015·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Andrea S RinderknechtBenjamin T Kerrey
Jun 12, 2012·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Hazel AngFlora Y Wong
Jul 23, 2013·The Journal of Pediatrics·Lisa K McCarthyColm P F O'Donnell
Aug 27, 2016·BMC Pregnancy and Childbirth·Dimitrios KonstantelosMario Rüdiger
Jul 4, 2017·Journal of Paediatrics and Child Health·Helen G LileyUNKNOWN Australian New Zealand Committee on Resuscitation
Sep 16, 2017·Archives of Disease in Childhood·Nicolas J PejovicThorkild Tylleskär
Jun 24, 2017·The Cochrane Database of Systematic Reviews·Joyce E O'SheaPeter G Davis
May 25, 2007·Journal of Perinatology : Official Journal of the California Perinatal Association·Jonathan Muraskas
Apr 11, 2018·Archives of Disease in Childhood. Fetal and Neonatal Edition·Marie-Ève RobinsonNicole Rouvinez-Bouali
Aug 11, 2018·Academic Medicine : Journal of the Association of American Medical Colleges·Kelsey A MillerJoshua Nagler
Jul 9, 2010·Pediatric Research·Kari D RobertsMark C Mammel
Jul 25, 2006·Expert Opinion on Investigational Drugs·Marcio C Mancini, Alfredo Halpern
Feb 24, 2019·Archives of Disease in Childhood. Fetal and Neonatal Edition·Colm Patrick Finbarr O'Donnell
Sep 7, 2019·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Emily D GeyerAlok Moharir
Dec 17, 2014·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Jessica J KlotzPamela B Andreatta
Jan 8, 2020·BMJ Open Quality·Lise Brogaard, Niels Uldbjerg
Apr 11, 2018·BMJ Paediatrics Open·Joseph O'Connell, Gary Weiner
May 8, 2017·OTO Open : the Official Open Access Journal of the American Academy of Otolaryngology--Head and Neck Surgery Foundation·Art AmbrosioMatthew Brigger
Jun 6, 2019·Children·Nicole K YamadaLouis P Halamek

❮ Previous
Next ❯

Related Concepts

Related Feeds

Bradyarrhythmias

Bradyarrhythmias are slow heart rates. Symptoms may include syncope, dizziness, fatigure, shortness of breath, and chest pains. Find the latest research on bradyarrhythmias here.