Incidence, impact and indicators of difficult intubations in the neonatal intensive care unit: a report from the National Emergency Airway Registry for Neonates

Archives of Disease in Childhood. Fetal and Neonatal Edition
Taylor SawyerNational Emergency Airway Registry for Neonates (NEAR4NEOS) investigators

Abstract

To determine the incidence, indicators and clinical impact of difficult tracheal intubations in the neonatal intensive care unit (NICU). Retrospective review of prospectively collected data on intubations performed in the NICU from the National Emergency Airway Registry for Neonates. Ten academic NICUs. Neonates intubated in the NICU at each of the sites between October 2014 and March 2017. Difficult intubation was defined as one requiring three or more attempts by a non-resident provider. Patient (age, weight and bedside predictors of difficult intubation), practice (intubation method and medications used), provider (training level and profession) and outcome data (intubation attempts, adverse events and oxygen desaturations) were collected for each intubation. Out of 2009 tracheal intubations, 276 (14%) met the definition of difficult intubation. Difficult intubations were more common in neonates <32 weeks, <1500 g. The difficult intubation group had a 4.9 odds ratio (OR) for experiencing an adverse event and a 4.2 OR for severe oxygen desaturation. Bedside screening tests of difficult intubation lacked sensitivity (receiver operator curve 0.47-0.53). Difficult intubations are common in the NICU and are associated with advers...Continue Reading

References

May 5, 2005·The Journal of Pediatrics·Tina A LeoneNeil N Finer
Feb 25, 2009·Critical Care Medicine·Adrian A MatiocAaron Jofee
Oct 9, 2009·Journal of Perinatology : Official Journal of the California Perinatal Association·Z BismillaH Whyte
Mar 3, 2012·Journal of Perinatology : Official Journal of the California Perinatal Association·K J DownesH T Akinbi
Jan 26, 2013·American Journal of Respiratory and Critical Care Medicine·Audrey De JongUNKNOWN AzuRéa Network for the Frida-Réa Study Group
May 15, 2015·Neonatology·Elizabeth E FogliaAkira Nishisaki
Oct 21, 2015·Pediatrics·Joyce E O'SheaPeter G Davis
Nov 6, 2015·Journal of Perinatology : Official Journal of the California Perinatal Association·M B WallensteinD K Stevenson
Nov 7, 2015·The Journal of Pediatrics·L Dupree HatchE Wesley Ely
Mar 5, 2016·Journal of Perinatology : Official Journal of the California Perinatal Association·T SawyerL Johnston
Apr 15, 2017·Journal of Neonatal-perinatal Medicine·T SawyerA Nishisaki
Feb 23, 2018·Journal of Perinatology : Official Journal of the California Perinatal Association·Jeanne KrickTaylor Sawyer
May 16, 2018·The Cochrane Database of Systematic Reviews·Dominik RothHarald Herkner
Sep 20, 2018·American Journal of Perinatology·Tara A LynchKathryn Drennan
Dec 20, 2018·Veterinary Sciences·Marlene SickingerAxel Wehrend
Feb 24, 2019·Archives of Disease in Childhood. Fetal and Neonatal Edition·Colm Patrick Finbarr O'Donnell

❮ Previous
Next ❯

Citations

Feb 24, 2019·Archives of Disease in Childhood. Fetal and Neonatal Edition·Colm Patrick Finbarr O'Donnell
Dec 24, 2019·Paediatric Anaesthesia·John Fiadjoe, Akira Nishisaki
Oct 1, 2019·Anesthesia and Analgesia·Scott D N Else, Pete G Kovatsis
Mar 14, 2020·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Benjamin T KerreyAdam W Kiefer
May 3, 2020·NeoReviews·Taylor Sawyer, Kaalan Johnson
Jul 31, 2019·Anesthesia and Analgesia·Raymond S ParkPete G Kovatsis
Oct 28, 2019·Clinics in Perinatology·Raymond S ParkPete G Kovatsis
Sep 21, 2020·British Journal of Anaesthesia·James PeytonUNKNOWN PeDI Collaborative Investigators
Apr 23, 2021·Archives of Disease in Childhood. Fetal and Neonatal Edition·Joyce E O'SheaCharles Christoph Roehr
Sep 6, 2020·Journal of Cardiothoracic and Vascular Anesthesia·Byungdoo Andrew LeeIn-Kyung Song
Sep 10, 2021·American Journal of Perinatology·Tara GlennAnna Maria Hibbs
Sep 30, 2021·Journal of Perinatology : Official Journal of the California Perinatal Association·Rebecca ShayJames S Barry
Jun 27, 2021·Pediatrics·Peter EvansElizabeth E Foglia

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
Simon Lifor National Emergency Airway Registry for Children (NEAR4KIDS) and Pediatric Acute Lung Injury and Sepsis Investigators (PA
Critical Care Medicine
Yuko ShiimaNational Emergency Airway Registry for Children Investigators
Cardiology in the Young
Eleanor A GradidgeFor National Emergency Airway Registry for Children (NEARKIDS) Investigators and Pediatric Acute Lung Injury and Sepsis Inve
Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)
E Gonzalez-CarrascoI Casas
© 2022 Meta ULC. All rights reserved