Adverse Events and Unsuccessful Intubation Attempts Are Frequent During Neonatal Nasotracheal Intubations

Autor: Susanne Tippmann, Martin Haan, Julia Winter, Ann-Kathrin Mühler, Katharina Schmitz, Mascha Schönfeld, Luise Brado, Seyed Hamidreza Mahmoudpour, Eva Mildenberger, André Kidszun
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Frontiers in Pediatrics, Vol 9 (2021)
Druh dokumentu: article
ISSN: 2296-2360
DOI: 10.3389/fped.2021.675238
Popis: Background: Intubation of neonates is difficult and hazardous. Factors associated with procedure-related adverse events and unsuccessful intubation attempts are insufficiently evaluated, especially during neonatal nasotracheal intubations.Objective: Aim of this study was to determine the frequency of tracheal intubation–associated events (TIAEs) during neonatal nasotracheal intubations and to identify factors associated with TIAEs and unsuccessful intubation attempts in our neonatal unit.Methods: This was a prospective, single-site, observational study from May 2017 to November 2019, performed at a tertiary care neonatal intensive care unit in a German academic teaching hospital. All endotracheal intubation encounters performed by the neonatal team were recorded.Results: Two hundred and fifty-eight consecutive intubation encounters in 197 patients were analyzed. One hundred and forty-eight (57.4%) intubation encounters were associated with at least one TIAE. Intubation inexperience (
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