Endotracheal tube manipulation during cardiopulmonary resuscitation in the neonatal intensive care unit
| Autor: | Jaclyn M LeVan, Maria R Pierce, Christina N Stine, Utpal Bhalala, Kaashif A. Ahmad, Katy L Kohlleppel, Steven G Velasquez, Cody Henderson |
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| Rok vydání: | 2021 |
| Předmět: |
Retrospective review
medicine.medical_specialty Neonatal intensive care unit business.industry health care facilities manpower and services medicine.medical_treatment education Obstetrics and Gynecology Return of spontaneous circulation 03 medical and health sciences 0302 clinical medicine Laryngeal mask airway health services administration 030225 pediatrics Pediatrics Perinatology and Child Health Emergency medicine Cohort medicine cardiovascular diseases 030212 general & internal medicine Cardiopulmonary resuscitation business health care economics and organizations Endotracheal tube |
| Zdroj: | Journal of Perinatology. 41:1566-1570 |
| ISSN: | 1476-5543 0743-8346 |
| DOI: | 10.1038/s41372-021-00953-7 |
| Popis: | Objectives We sought to describe the approach to and impact of endotracheal tube (ETT) placement for cardiopulmonary resuscitation (CPR) occurring in the neonatal intensive care unit (NICU). Study design A retrospective review of in-NICU CPR from 2012 to 2017 across ten NICUs in San Antonio, Texas. Results Of 209 CPR events, 22 (10.5%) patients required ETT placement at CPR onset, 23 (11%) had an existing ETT removed and replaced, and 8 (3.4%) both. We found no association between time without an ETT tube during CPR and time to return of spontaneous circulation (ROSC) or rate of ROSC. We found no documented use of a laryngeal mask airway during in-NICU CPR. Conclusions For CPR occurring in the NICU, the achievement of ROSC or time to ROSC is not impacted by the need to place an initial AA at the onset of CPR in this contemporary cohort. |
| Databáze: | OpenAIRE |
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