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Bruckner, M; Morris, NM; Pichler, G; Wolfsberger, CH; Heschl, S; Mileder, LP; Schwaberger, B; Schmölzer, GM; Urlesberger, B.
In Newborn Infants a New Intubation Method May Reduce the Number of Intubation Attempts: A Randomized Pilot Study.
Children (Basel). 2021; 8(7): Doi: 10.3390/children8070553 [OPEN ACCESS]
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Führende Autor*innen der Med Uni Graz

Krainer Marlies

Co-Autor*innen der Med Uni Graz

Heschl Stefan

Mileder Lukas Peter

Morris Nicholas Mark

Pichler Gerhard

Schmölzer Georg

Schwaberger Bernhard Christian

Urlesberger Berndt

Wolfsberger Christina H.

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Abstract:

Severe desaturation or bradycardia often occur during neonatal endotracheal intubation. Using continuous gas flow through the endotracheal tube might reduce the incidence of these events. We hypothesized that continuous gas flow through the endotracheal tube during nasotracheal intubation compared to standard nasotracheal intubation will reduce the number of intubation attempts in newborn infants. In a randomized controlled pilot study, neonates were either intubated with continuous gas flow through the endotracheal tube during intubation (intervention group) or no gas flow during intubation (control group). Recruitment was stopped early due to financial and organizational issues. A total of 16 infants and 39 intubation attempts were analyzed. The median (interquartile range) number of intubation attempts and number of abandoned intubations due to desaturation and/or bradycardia were 1 (1-2) and 4 (2-5), (p = 0.056) and n = 3 versus n = 20, (p = 0.060) in the intervention group and control group, respectively. Continuous gas flow through the endotracheal tube during intubation seems to be favorable and there are no major unexpected adverse consequences of attempting this methodology.

Find related publications in this database (Keywords)

intubation

endotracheal tube

ventilation

acute respiratory failure

desaturation

neonatal intensive care unit

neonates

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