Desaturation during tracheal intubation. Medical search. Frequent questions

Infants had a higher frequency of tracheal intubation associated event or desaturation than older patients (48% infants vs 34% for 1-7 yr and 18% for 8-17 yr). (nebraska.edu)
The overall frequency of tracheal-intubation-associated events was not different (cardiac: 17% versus non-cardiac: 16%, p=0.13), nor was the rate of severe tracheal-intubation-associated events (cardiac: 7% versus non-cardiac: 6%, p=0.11). (hofstra.edu)

Potential interventions to decrease tracheal intubation associated events and oxygen desaturation, such as tracheal intubation checklist, use of apneic oxygenation, and video laryngoscopy, may need to be considered to improve ICU outcomes. (nebraska.edu)
Fiberoptic-guided intubation via an SAD has the advantage of ventilation and continuous oxygenation during the procedure [ 1 , 5 ]. (ekja.org)
Background:Current practice guidelines recommend the use of nasal cannula as an alternative pre-oxygenation method for tracheal intubation. (tmu.edu.tw)
Patient comfort score was higher in high-flow nasal oxygenation, mean difference: 1.00 (95% CI: 0.46-1.54, P=.0003).Conclusion:High-flow nasal oxygenation better enhanced PaO 2 and extended safe apnea time and is not inferior to facemask oxygenation in preventing desaturation during tracheal intubation. (tmu.edu.tw)
Many clinicians prefer rapid sequence intubation (RSI), which involves pre-oxygenation followed by near-simultaneous administration of an induction agent and a neuromuscular blocker to facilitate intubation without transitional ventilation. (emra.org)
1 The pre-oxygenation step is critical since it allows for denitrogenation of the lungs and increases the oxygen content of functional reserve capacity, both creating a physiologic reserve that prevents hypoxia in the apneic phase of intubation. (emra.org)
This article reviews preoxygenation and peri-intubation oxygenation techniques to minimize the risk of hypoxemia during emergency tracheal intubation of adult patients. (criticalcarepractitioner.co.uk)
Techniques reviewed include positioning, preoxygenation and denitrogenation, use of positive pressure devices to increase mean airway pressure, and passive apneic oxygenation during tracheal intubation efforts. (criticalcarepractitioner.co.uk)
Due to his already poor oxygenation, you are concerned about him desaturating during intubation and wonder if there is anything you can do to help prevent it. (thesgem.com)
The combined use of low-flow nasal cannula and facemask for apnoeic oxygenation has been shown to increase time to desaturation during intubation attempts. (wfsahq.org)

After preoxygenation, anesthesia was induced, tracheal intubation performed with patients kept apneic, and the endotracheal tube left open to air. (nih.gov)
Plain endotracheal tube (ETT) intubation guided by a fiberoptic bronchoscope through Ambu ® AuraGain TM was demonstrated in a pediatric manikin to the participants before training. (ekja.org)
A 2021 randomized trial reported that successful intubation on the first attempt was 80.4% with use of a bougie and 83.0% with use of an endotracheal tube with stylet, a difference that was not statistically significant. (ama-assn.org)
When performing intubation with an endotracheal tube with stylet, a malleable metal rod is placed inside endotracheal tube. (ama-assn.org)
When performing intubation with a bougie, this long thin plastic rod is placed directly into the trachea, and the endotracheal tube is then passed over the bougie, and then the bougie is then removed, the so-called Seldinger technique. (ama-assn.org)
Historically, most emergency tracheal intubations in the United States have been performed using an endotracheal tube with stylet, and the bougie has been reserved for cases of anticipated difficulty, or following a first attempt failure. (ama-assn.org)
It arises from glottic and subglottic edema caused by ischemia of the tracheal mucosa as a result of pressure by the endotracheal tube (ETT). (mhmedical.com)
Long-term intubation may result in a variety of problems related to the upper airway, including endotracheal tube obstruction from secretions, vocal cord injury, subglottic stenosis, and tracheal stenosis. (mhmedical.com)

In anaesthesia and advanced airway management, rapid sequence induction (RSI) - also referred to as rapid sequence intubation or as rapid sequence induction and intubation (RSII) or as crash induction - is a special process for endotracheal intubation that is used where the patient is at a high risk of pulmonary aspiration. (wikipedia.org)
Therefore, various techniques have been introduced to extend the time available for airway management and for successful intubation in children with expected or unexpected difficult airway [ 1 ]. (ekja.org)
Freehand fiberoptic intubation, fiberoptic-guided intubation through a supraglottic airway device (SAD), or intubation using a videolaryngoscope are the recommended techniques for difficult pediatric airway management [ 2 ]. (ekja.org)
Patients worldwide die every year from unrecognized esophageal intubation, which is an avoidable complication of airway management usually resulting from human error. (nihonkohden.com)
Rapid Sequence Intubation (RSI) has been a mainstay of emergency airway management for years. (thesgem.com)
In our study we investigated providers who are not confronted daily with airway management, which means our sample group performs less than 100 endotracheal intubations per year. (biomedcentral.com)

Secondary outcomes were safe apnea time, arterial desaturation during intubation, lowest peripheral capillary oxygen saturation during intubation, and patient comfort score. (tmu.edu.tw)

Interestingly, a rapid sequence intubation technique was only used in 22.4% of intubations, which was more likely to be used by emergency physicians and was associated with a greater likelihood of first pass success. (resus.me)
Bandyopadhyay A, Kumar P, Jafra A, Thakur H, Yaddanapudi LN, Jain K. Peri-Intubation Hypoxia After Delayed Versus Rapid Sequence Intubation in Critically Injured Patients on Arrival to Trauma Triage: A Randomized Controlled Trial . (emra.org)

Emergency physicians were team leaders in 69.5% (95% CI 64.0-74.5), whereas ED registrars or senior Resident Medical Officers made the first attempt at intubation in 88.1% (95% CI 83.9-91.3). (resus.me)
It randomized patients to use of a bougie, or use of a stylet on the first attempt at intubation. (ama-assn.org)
Secondary end point(s): - Difficulty of orotracheal intubation o Intubation Difficulty Scale (IDS) score (Appendix 2) for complexity of endotracheal intubation28 o Percentage of patients who required re-ventilation after a failed first attempt at intubation o Percentage of patients who received an additional dose of propofol at induction o Percentage using the emergency protocol established by the study. (who.int)

0001). There was no difference in the risk of peri-intubation desaturation or lowest peripheral capillary oxygen saturation between groups. (tmu.edu.tw)
Thus, adequate preoxygenation is often not achieved and a higher incidence of peri-intubation desaturation has been reported. (emra.org)

The arterial O2 saturation was measured before preoxygenation and continually recorded during desaturation. (nih.gov)
Although attaining similar arterial O2 saturation values after preoxygenation, patients in the four-maximal-breath group had significantly shorter times (P less than 0.0001) to all levels of desaturation. (nih.gov)
preoxygenation methods, indications for intubation). (emottawablog.com)
80% (desaturation) after sufficient preoxygenation, or peri-interventional cardiac arrest. (bvsalud.org)
Delayed sequence intubation (DSI) involves administering a dissociative dose of ketamine followed by goal-directed preoxygenation for a minimum of 3 minutes, neuromuscular blocker administration, and intubation. (emra.org)
Abstract Background and objectives Preoxygenation is crucial for providing sufficient oxygen reservoir to a patient before intubation and enables the extension of the period between breathing termination and critical desaturation (safe apnoea time). (figshare.com)
The primary outcome was safe apnea time, and the secondary outcomes were post-operative complications, number of patients who achieved the expired O2 fraction (FeO2) after 3 min of preoxygenation, minimal SpO2 during tracheal intubation, partial pressure of oxygen in the arterial blood (PaO2) and partial pressure of carbon dioxide (PaCO2) after preoxygenation, and PaO2 and PaCO2 after tracheal intubation. (figshare.com)
Significant differences were observed in safe apnoea time, number of patients who achieved FeO2 90% after preoxygenation for 3 min, and PaO2 and PaCO2 after preoxygenation and tracheal intubation. (figshare.com)

The goal of this study was to investigate whether adverse peri-intubation associated events occur at increased frequency in pediatric patients with hematopoietic cell transplant (HCT) compared with non-HCT oncologic or other pediatric ICU (PICU) patients and therefore might contribute to increased mortality. (ahrq.gov)
Patients: All patients less than18 years of age undergoing primary tracheal intubations with ICU outcome data were analyzed. (nebraska.edu)
We demonstrate that ScvO₂ desaturations by continuous oximetry are associated with major adverse events in pediatric patients undergoing cardiac surgery. (silverchair.com)
Consider providing prophylactic ventilation in patients at high-risk of desaturation during the peri-intubation period. (emottawablog.com)
CONCLUSIONS: The overall incidence of adverse tracheal-intubation-associated events in cardiac patients was not different from that in non-cardiac patients. (hofstra.edu)
Multiple intubation attempts occurred less often in cardiac patients (p=0.04), and oxygen desaturations occurred more often, even after excluding patients with cyanotic heart disease. (cambridge.org)
This study assesses the effectiveness of a training program in which novice anesthetic residents routinely were taught fiberoptic tracheal intubation of anesthetized, paralyzed, apneic patients. (asahq.org)
Subsequently, their intubation skills with the two techniques were studied in a prospective, single-blind randomized trial involving 131 elective patients. (asahq.org)
Some authors have said that fiberoptic intubation is more difficult to perform in anesthetized patients and should be reserved for the awake patient. (asahq.org)
We hypothesise that awake tracheal intubation is associated with a lower incidence of severe adverse events compared to standard tracheal intubation in critical care patients. (bvsalud.org)
METHODS: Records were acquired for all tracheal intubations performed from 2020 to 2022 for critical care patients at a tertiary hospital. (bvsalud.org)
CONCLUSIONS: In this retrospective observational study of intubation practices in critical care patients, awake tracheal intubation was associated with a lower incidence of severe adverse events than anaesthetised tracheal intubation. (bvsalud.org)
Although fiberoptic-guided endotracheal intubation using a supraglottic airway device (SAD) is a good alternative for the management of difficult airways, its learning curve for residents has not been evaluated in pediatric patients. (ekja.org)
A difficult intubation occurred in 3.4% (95% CI 1.9-6.1) and all patients were intubated orally in five or less attempts. (resus.me)
Complications occurred in 29.0% (95% CI 23.5-34.1) of the patients, with desaturation the commonest in 15.7% (95% CI 11.9-20.5). (resus.me)
When general anaesthesia is administered for ERCP, the airway is protected by endotracheal intubation which may decrease risk for broncho-aspiration in some patients, although this measure has not been demonstrated to be effective in patients at risk during digestive endoscopy. (getwellsoon.ai)
Intubation and extubation manoeuvres may prolong endoscopic room occupation time, post-anaesthesia care unit stay may be longer and about 30 to 70% of patients will suffer from sore throat (this is reduced if lidocaine is used). (getwellsoon.ai)
Evidence from prospective studies suggests that complex procedures, including therapeutic ERCP, may be performed safely under deep sedation without tracheal intubation using propofol, even in high-risk patients. (getwellsoon.ai)
And today, we're going to tell you the results of the bougie or stylet in patients undergoing intubation emergently, the bougie trial, which was conducted by the Pragmatic Critical Care Research Group. (ama-assn.org)
Severe hypoxemia occurs in 25% of patients, cardiovascular collapse occurs in 20%, and cardiac arrest occurs in 4% of ICU intubations. (ama-assn.org)
Shown at bottom left is the primary outcome of the trial, in which bougie increased intubation of the first attempt, which occurred in 98% of patients in the bougie arm and 87% in stylet arm. (ama-assn.org)
None of the patients had clinically respiratory (desaturation, barotrauma) or hemodynamic (hypotension) complications. (archive.org)
for maintenance of anesthesia in pediatric patients following induction with agents other than Desflurane, USP, Liquid for Inhalation and intubation. (nih.gov)
Use this nursing care plan and management guide to help care for patients who are mechanically ventilated or with endotracheal intubation. (nurseslabs.com)
Patients that require intubation in the ED have, be definition, stressed physiologic systems and, as such, should be considered difficult until proven otherwise. (emguidewire.com)
Adults patients (older than 17 years of age) undergoing induction and tracheal intubation in the intensive care unit. (thesgem.com)
Patients who were pregnant, incarcerated, had immediate need for intubation or if the treating clinicians felt that ventilation was indicated or contraindicated between induction and laryngoscopy. (thesgem.com)
Among critically ill adults undergoing tracheal intubation, patients receiving bag-mask ventilation had higher oxygen saturations and a lower incidence of severe hypoxemia than those receiving no ventilation. (thesgem.com)
o Percentage of patients with suspected inhalation, defined as visualization of gastric fluid in the oropharynx on intubation or inhalation pneumonitis diagnosed within 48 hours of surgery. (who.int)
As intrathoracic pressure increases, patients develop hypotension, tracheal deviation , and neck vein distention. (symptoma.com)

Peri-intubation adverse events in the critically ill child after hematopoietic cell transplant. (ahrq.gov)
Objective: Tracheal intubation in PICUs is a common procedure often associated with adverse events. (nebraska.edu)
Conclusions: Adverse tracheal intubation associated events and desaturations are common and associated with longer mechanical ventilation in critically ill children. (nebraska.edu)
We hypothesized that central venous oxygen desaturations are associated with adverse clinical outcomes. (silverchair.com)
The relationships between ScvO₂ desaturations, clinical outcomes, and major adverse events were determined. (silverchair.com)
They may have a higher risk of adverse tracheal-intubation-associated events, as compared with children with non-cardiac disease.Materials and methodsWe sought to evaluate the occurrence of adverse tracheal-intubation-associated events in children with cardiac disease compared to children with non-cardiac disease. (hofstra.edu)
We sought to evaluate the occurrence of adverse tracheal-intubation-associated events in children with cardiac disease compared to children with non-cardiac disease. (cambridge.org)
We hypothesized that the LMA Supreme is not associated with higher adverse maternal and neonatal outcomes when compared to the tracheal tube. (frontiersin.org)
Other peri-intubation adverse events have been reported like hemodynamic instability, direct airway trauma, and vomiting with or without pulmonary aspiration. (emra.org)

The aim of this study is to evaluate the association between immediate events such as tracheal intubation associated events or desaturation and ICU outcomes: length of stay, duration of mechanical ventilation, and mortality. (nebraska.edu)
Using a recently available continuous ScvO₂ oximetry catheter, we examined the association between venous oxygen desaturations and patient outcomes. (silverchair.com)
Secondary outcomes included the occurrence of severe tracheal-intubation-associated events, multiple intubation attempts, and oxygen desaturation. (hofstra.edu)
Secondary outcomes included patient admission to the intensive care unit, neonate required tracheal intubation, external cardiac massage, and admission to the neonatal intensive care unit. (frontiersin.org)
Despite initial data suggesting high mortality rates among those requiring intubation, United States data suggests better outcomes for those requiring invasive ventilation. (csurgeries.com)

There is no consensus about the best way to teach fiberoptic intubation. (asahq.org)
Novices taught fiberoptic intubation and rigid laryngoscopic intubation under similar conditions, with similar volumes of experience, learn both techniques well. (asahq.org)
FIBEROPTIC intubation is a valuable technique in management of difficult airways. (asahq.org)
Despite many articles on the teaching of fiberoptic intubation, [3-14] ,* a recent review states, "At the time, there is no general agreement on the most satisfactory anesthetic technique for teaching fiberoptic intubation. (asahq.org)
[15] However, Schaeffer described a technique of total intravenous anesthesia for teaching fiberoptic intubation and compared the intubation performance of experts at rigid laryngoscopic intubation with that of novices at fiberoptic intubation. (asahq.org)
[3] We use a similar anesthetic technique routinely to ensure adequate training for our residents in fiberoptic intubation. (asahq.org)
This case report describes the use of the Air-Q size 1 laryngeal airway (LA) to assist fiberoptic intubation in an ASA 4 neonate with cardiac disease, an anticipated difficult airway with the addition of an unstable cervical spine, as well as the anesthetic techniques used to maintain hemodynamic stability while the airway was secured. (stanford.edu)

Following tracheal intubation, mechanical ventilation of the lungs was initiated with controlled ventilation of 15 cmH2O and a PEEP of 4 cmH2O. (archive.org)
Learn about the nursing assessment , nursing interventions, goals and nursing diagnosis for mechanical ventilation and endotracheal intubation in this guide. (nurseslabs.com)
If a client has evidence of respiratory failure or a compromised airway, endotracheal intubation and mechanical ventilation are indicated. (nurseslabs.com)
Additionally, any need for secondary intubation/mechanical ventilation (MV) and occurrence of complications were determined. (bmj.com)

standard intubation videolaryngoscopy (VL) and direct laryngoscopy (DL) undergoing general anaesthesia). (bvsalud.org)
Although the majority of results are comparable with overseas data, the rates of difficult laryngoscopy and desaturation are higher than previously reported. (resus.me)
Furthermore, orotracheal intubation may induce short time hemodynamic changes related to laryngoscopy. (getwellsoon.ai)
Intubation was performed using direct laryngoscopy in both groups. (emra.org)

To describe the practice of endotracheal intubation in the ED of a tertiary hospital in Australia, with particular emphasis on the indication, staff seniority, technique, number of attempts required and the rate of complications. (resus.me)
Intubation maneuver: Risk increases with multiple and/or traumatic attempts. (mhmedical.com)
Intravenous administration of dexamethasone prior to extubation helps to reduce airway swelling if the patient is undergoing airway surgery or has experienced multiple and traumatic attempts at intubation. (mhmedical.com)
number of attempts needed for tracheal catheterisation. (bmj.com)
In prehospital emergency situations one-third of intubation attempts using conventional laryngoscopes fail and have to be aborted [ 3 ]. (biomedcentral.com)
Additionally, it has been shown that the risks of hypoxemia, aspiration and even cardiac arrest increase significantly after more than two intubation attempts [ 4 ]. (biomedcentral.com)

Intubation times, SpO2, ETCO2, hemodynamic changes on intubation, and complications were recorded for 71 fiberoptic and 57 laryngoscopic intubations. (asahq.org)
It is simple and atraumatic to insert, with minimal hemodynamic response and a lower risk of airway complications when compared with tracheal intubation. (frontiersin.org)
Further failure to intubate on the first attempt occurs in up to 20% of intubations in the ED and ICU, is associated with these severe complications. (ama-assn.org)
Secondary Objective: To evaluate in both groups the difficulty of intubation, the respiratory impact of induction, the hemodynamic impact, and the occurrence of traumatic complications related to intubation. (who.int)

However, the presence of a cardiac diagnosis was associated with a higher occurrence of both tracheal-intubation-associated cardiac arrest and oxygen desaturation. (hofstra.edu)
Cardiac arrest occurred in 2.2% (95% CI 0.9-4.4) after intubation. (resus.me)

One important difference between RSI and routine tracheal intubation is that the anesthesiologist does not typically manually assist the ventilation of the lungs after the onset of general anesthesia and cessation of breathing until the trachea has been intubated and the cuff has been inflated. (wikipedia.org)
Ventilation in pre-intubation period is balance between hypoxia and aspiration. (emottawablog.com)
2. Age-specific considerations Airway Features 8 Age-specific considerations Fast desaturation High metabolic rate (5-8 ml/kg/min) Tidal volume (6-7 ml/kg/min) High respiratory rate (40-60 breaths/min) High alveolar ventilation (130 ml/kg/min) Lung compliance is less while chest wall compliance is more than those in adults reduced. (dvfgm.de)
Preoperative examination of the patient revealed a severe tracheal stenosis with a residual airway opening of only 4 mm, excluding the use of conventional endotracheal tubes to apply controlled ventilation. (ventinovamedical.com)
ETT: Tightly fitting in the trachea with a leak pressure above 25 cm H 2 O. Leak pressure should be between 10 and 25 cm H 2 O to permit ventilation and to maintain perfusion of the tracheal mucosa. (mhmedical.com)
Is bag-mask ventilation (BMV) performed during the apneic period of RSI (defined as the time between administration of RSI medications and intubation) in critically ill adults safe and effective? (thesgem.com)
Bag-mask ventilation (BMV) during the time between administration of sedation/paralysis and insertion of the laryngoscope into the mouth for intubation. (thesgem.com)

Additional findings include severe respiratory distress, tracheal deviation away from the affected side, hypotension, and jugular venous distention. (symptoma.com)
Signs Unilateral absent breath sounds Hyperresonant chest to percussion Cyanosis Respiratory distress Tachycardia Hypotension Tracheal deviation to contralateral side Neck vein distention IV. (symptoma.com)

The safe apnea time to maintain appropriate oxygen saturation in children is shorter than that of adults, and desaturation with bradycardia frequently occurs especially in children with difficult airways. (ekja.org)
The oxygen saturation was 100 per cent throughout and end-tidal CO 2 was within the normal range after intubation. (japractice.co.uk)
The lowest oxygen saturation observed during the interval between induction and two minutes after tracheal intubation. (thesgem.com)

The primary outcome was the occurrence of any tracheal-intubation-associated event. (hofstra.edu)
The primary outcome was intubation on the first attempt, and data was collected by an independent observer. (ama-assn.org)
Main outcome parameters were time to view and time to intubation. (biomedcentral.com)

All intubations were performed using general anesthesia and muscle paralysis. (asahq.org)
Patient scheduled for bariatric surgery (or repeat bariatric surgery) scheduled under general anesthesia with orotracheal intubation. (who.int)

If the airway obstruction becomes severe, arterial desaturation occurs, and reintubation may be required to maintain a patent airway. (mhmedical.com)

Moreover, this technique demonstrated a higher success rate and lower incidence of hypoxia compared to indirect intubation using a videolaryngoscope in infants with difficult airways [ 6 ]. (ekja.org)
We aim to evaluate if there might be better success in securing an airway if the unexperienced provider in the prehospital environment uses a videolaryngoscope in every first attempt of an emergency intubation. (biomedcentral.com)

We created a multicentre registry of intubations at 13 EDs and performed surveillance over 5 years. (resus.me)
As evidence of this in a large registry of intubations performed in U.S. emergency departments, the use of a bougie on the first attempt was reported only 3% of intubations. (ama-assn.org)

Significant correlations resulted between the ScvO₂ area under the curve less than 40% and creatinine clearance at 12 h in the Intensive Care Unit (r = -0.58), Intensive Care Unit length of stay (r = 0.56), max inotrope use (r = 0.52), inotrope use at 24 h (r = 0.40), inotrope index score (r = 0.39), hospital length of stay (r = 0.36), and length of intubation (r = 0.32). (silverchair.com)

While intubation is not always required in adults with epiglottitis, management in an ICU is mandatory, and intubation equipment and a tracheostomy tray should be at the bedside. (mhmedical.com)

However, several recent observational studies have suggested that routine use of a bougie in the first attempt might increase the incidence of a successful intubation. (ama-assn.org)

Known difficult orotracheal intubation (Cormack score = 3 (see Appendix 5)31). (who.int)

Therefore, this technique can maximize the safety of children and the success rate of intubation in children with both expected and unexpected difficult airways, who are prone to hypoxia and subsequent bradycardia during apnea [ 1 , 5 ]. (ekja.org)

Deep sedation with propofol during digestive endoscopy has been shown to be superior to moderate sedation with a combination of benzodiazepine plus opioid in many aspects, including better patient cooperation, shorter recovery time and lower number of desaturation events. (getwellsoon.ai)

Tracheal deviation Unexplained hypotension Unilateral absence of breath sounds Presence of distended neck veins Hypertympanic percussion note over affected side. (symptoma.com)

In the control group, administration of the reversal agent, neostigmine, and tracheal extubation was based on qualitative monitoring of neuromuscular blockade, whereas in the intervention group it was based on quantitative measurements via acceleromyography. (bariatrictimes.com)

The total apnoea time during intubation was 7 minutes 30 sec. (japractice.co.uk)

The SAD is a more useful device for securing the airway compared to endotracheal intubation [ 3 ], and can be used as an intubation conduit [ 4 ]. (ekja.org)

The symptoms appear after extubation because compression by the ETT prevents narrowing of the tracheal lumen. (mhmedical.com)

RESULTS: Of the 135 tracheal intubations included for analysis, 45 involved the use of an awake tracheal intubation. (bvsalud.org)
In this EM Cases CritCases blog - a collaboration with STARS Air Ambulance Service , and their medical director Mike Betzner , we present a challenging airway obstruction case, discuss the limitations of non-rebreather masks, using PEEP on bag-valve-masks, heliox, tips on awake intubation, and the differential for high peak inspiratory pressures in the post intubation period. (emergencymedicinecases.com)

This confers a degree of fault tolerance on the procedure when it is used in elective or semi-elective settings: if intubation is unsuccessful, and if the clinical condition allows it, the procedure may be abandoned and the patient should regain the ability to protect their own airway sooner than would be the case under routine methods of induction. (wikipedia.org)
Many reports have demonstrated successful or even life-saving use of LMA for failed tracheal intubation occurring in elective and emergent obstetric situations ( 7 - 10 ). (frontiersin.org)

Endotracheal intubations in three simulated normal and difficult airways were performed. (biomedcentral.com)

This retrospective cohort study of critically ill children who underwent tracheal intubation (TI) was conducted between 2014 and 2019. (ahrq.gov)
A retrospective analysis of tracheal intubations from 38 international paediatric ICUs was performed using the National Emergency Airway Registry for Children (NEAR4KIDS) quality improvement registry. (hofstra.edu)

Apnea with or without nasal cannula oxygen during the time between administration of sedation/paralysis and insertion of the laryngoscope into the mouth for intubation. (thesgem.com)

A Preponderance of evidence suggests that procedural sedation is associated with undetected apnea or hypoventilation that can result in oxygen desaturation. (capnography.com)

Safety of tracheal intubation in the presence of cardiac disease in paediatric ICUs. (hofstra.edu)
Recently we have also seen the publication of Korean registry data on paediatric intubations performed in 13 academic EDs over 5 years( 2 ), in which first pass success rates (overall 67.6%) were higher with emergency physicians compared with paediatricians. (resus.me)
This relatively low first pass success rate is reminiscent of the American study published in September( 3 ) which raised some eyebrows with its 52% first pass intubation success rates in a paediatric ED, and which also showed that attending-level providers were 10 times more likely to be successful on the first attempt than all trainees combined. (resus.me)
Possible reasons for such a low first pass success rate compared with adult registry data include the rigorous video analysis method used, or perhaps more likely that paediatric emergency subspecialists are exposed to fewer critical procedures, resuscitations, and intubations than their general emergency medicine counterparts( 4 ). (resus.me)
We investigated which factors are associated with successful paediatric endotracheal intubation (ETI) on the first attempt in emergency department (EDs) from multicentre emergency airway registry data. (resus.me)

Trauma was the indication for intubation in 30.5% (95% CI 25.3-36.0) and medical conditions in 69.5% (95% CI 64.0-74.5). (resus.me)
Duration of endotracheal intubation: Risk for trauma or ischemia increases with prolonged intubation. (mhmedical.com)
Head or neck surgery: Frequent position changes of the head and neck increase the risk for trauma or ischemia of tracheal mucosa. (mhmedical.com)
22 participants (14.8 ± 4.0 intubations per year, mostly trauma surgeons) with limited experience in videolaryngoscopy (mean total number of videolaryngoscopy .4 ± .2) were enrolled. (biomedcentral.com)

It might be considered an alternative to tracheal intubation in obstetric practice. (frontiersin.org)

However, aspiration at the time of in/ex-tubation as well as micro-aspiration of contaminated upper airway secretions along leaks and defects of the tracheal cuff seal is not excluded if standard endotracheal tubes are used. (getwellsoon.ai)
Ongoing upper airway infection or a recent bout of infectious croup: Tracheal mucosa is inflamed and edematous. (mhmedical.com)

Trainees can obtain proficiency for fiberoptic-guided intubation through SAD within 25 times when using pediatric manikin. (ekja.org)
Pediatric Physiology and Its Implications for the Anesthesiologist / / Fisiología Pediátrica: Implicancia en Anesthesia . (dvfgm.de)

Anatomy13

Organisms1

Diseases28

Chemicals and Drugs52

Analytical, Diagnostic and Therapeutic Techniques and Equipment61

Psychiatry and Psychology1

Phenomena and Processes15

Disciplines and Occupations4

Anthropology, Education, Sociology and Social Phenomena2

Technology, Industry, Agriculture2

Information Science4

Named Groups1

Health Care17

Frequency of tracheal intubation associated2

Oxygenation10

Endotracheal tube8

Airway management6

Safe apnea time1

Rapid sequence i2

Attempt at intubation3

Peri-intubation desaturation2

Preoxygenation8

Patients30

Adverse9

Outcomes5

Fiberoptic intubation7

Mechanical ventilation4

Laryngoscopy4

Attempts6

Complications4

Cardiac arrest2

Ventilation7

Respiratory2

Oxygen saturation3

Outcome3

General anesthesia2

Arterial1

Videolaryngoscope2

Registry of intubations2

Intensive care1

Adults1

Successful intubation1

Orotracheal intubation1

Hypoxia1

Propofol1

Hypotension1

Neuromuscular1

Apnoea time1

Compared to endotracheal1

Extubation1

Awake2

Elective2

Airways1

Retrospective2

Nasal1

Sedation1

Paediatric5

Trauma4

Practice1

Upper airway2

Pediatric2