Impact of multiple intubation attempts on adverse tracheal intubation associated events in neonates: a report from the NEAR4NEOS.
J Perinatol
; 42(9): 1221-1227, 2022 09.
Article
em En
| MEDLINE
| ID: mdl-35982243
ABSTRACT
OBJECTIVE:
To determine the relationship between number of attempts and adverse events during neonatal intubation. STUDYDESIGN:
A retrospective study of prospectively collected data of intubations in the delivery room and NICU from the National Emergency Airway Registry for Neonates (NEAR4NEOS) in 17 academic centers from 1/2016 to 12/2019. We examined the association between tracheal intubation attempts [1, 2, and ≥3 (multiple attempts)] and clinical adverse outcomes (any tracheal intubation associated events (TIAE), severe TIAE, and severe oxygen desaturation).RESULTS:
Of 7708 intubations, 1474 (22%) required ≥3 attempts. Patient, provider, and practice factors were associated with higher TI attempts. Increasing intubation attempts was independently associated with a higher risk for TIAE. The adjusted odds ratio for TIAE and severe oxygen desaturation were significantly higher in TIs with 2 and ≥3 attempts than with one attempt.CONCLUSION:
The risk of adverse safety events during intubation increases with the number of intubation attempts.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Oxigênio
/
Intubação Intratraqueal
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Humans
/
Newborn
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article