Impact of multiple intubation attempts on adverse tracheal intubation associated events in neonates: a report from the NEAR4NEOS.
Journal
Journal of perinatology : official journal of the California Perinatal Association
ISSN: 1476-5543
Titre abrégé: J Perinatol
Pays: United States
ID NLM: 8501884
Informations de publication
Date de publication:
09 2022
09 2022
Historique:
received:
02
05
2022
accepted:
27
07
2022
revised:
20
06
2022
pubmed:
19
8
2022
medline:
9
9
2022
entrez:
18
8
2022
Statut:
ppublish
Résumé
To determine the relationship between number of attempts and adverse events during neonatal intubation. 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). 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. The risk of adverse safety events during intubation increases with the number of intubation attempts.
Identifiants
pubmed: 35982243
doi: 10.1038/s41372-022-01484-5
pii: 10.1038/s41372-022-01484-5
doi:
Substances chimiques
Oxygen
S88TT14065
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
1221-1227Informations de copyright
© 2022. The Author(s), under exclusive licence to Springer Nature America, Inc.
Références
Foglia EE, Ades A, Sawyer T, Glass KM, Singh N, Jung P, et al. Neonatal intubation practice and outcomes: an international registry study. Pediatrics. 2019;143:e20180902.
Parker MM, Nuthall G, Brown C 3rd, Biagas K, Napolitano N, Polikoff LA, et al. Relationship between adverse tracheal intubation associated events and PICU outcomes. Pediatr Crit Care Med. 2017;18:310–8.
doi: 10.1097/PCC.0000000000001074
Hatch LD, Grubb PH, Lea AS, Walsh WF, Markham MH, Whitney GM, et al. Endotracheal intubation in neonates: a prospective study of adverse safety events in 162 infants. J Pediatr. 2016;168:62–6.e6.
doi: 10.1016/j.jpeds.2015.09.077
Sawyer T, Foglia E, Hatch LD, Moussa A, Ades A, Johnston L, et al. Improving neonatal intubation safety: a journey of a thousand miles. J Neonatal Perinat Med. 2017;10:125–31.
doi: 10.3233/NPM-171686
Foglia EE, Ades A, Napolitano N, Leffelman J, Nadkarni V, Nishisaki A. Factors associated with adverse events during tracheal intubation in the NICU. Neonatology 2015;108:23–9.
doi: 10.1159/000381252
Sawyer T, Foglia EE, Ades A, Moussa A, Napolitano N, Glass K, et al. Incidence, impact and indicators of difficult intubations in the neonatal intensive care unit: a report from the National Emergency Airway Registry for Neonates. Arch Dis Child Fetal Neonatal Ed. 2019;104:F461–F6.
doi: 10.1136/archdischild-2018-316336
Friesen RH, Honda AT, Thieme RE. Changes in anterior fontanel pressure in preterm neonates during tracheal intubation. Anesth Analg. 1987;66:874–8.
pubmed: 3619094
Marshall TA, Deeder R, Pai S, Berkowitz GP, Austin TL. Physiologic changes associated with endotracheal intubation in preterm infants. Crit Care Med. 1984;12:501–3.
doi: 10.1097/00003246-198406000-00006
Kaplan JD, Schuster DP. Physiologic consequences of tracheal intubation. Clin Chest Med. 1991;12:425–32.
doi: 10.1016/S0272-5231(21)00794-2
Millar C, Bissonnette B. Awake intubation increases intracranial pressure without affecting cerebral blood flow velocity in infants. Can J Anaesth. 1994;41:281–7.
doi: 10.1007/BF03009904
Galvez JA, Acquah S, Ahumada L, Cai L, Polanski M, Wu L, et al. Hypoxemia, bradycardia, and multiple laryngoscopy attempts during anesthetic induction in infants: a single-center, retrospective study. Anesthesiology 2019;131:830–9.
doi: 10.1097/ALN.0000000000002847
Hasegawa K, Shigemitsu K, Hagiwara Y, Chiba T, Watase H, Brown CA 3rd, et al. Association between repeated intubation attempts and adverse events in emergency departments: an analysis of a multicenter prospective observational study. Ann Emerg Med. 2012;60:749–54 e2.
doi: 10.1016/j.annemergmed.2012.04.005
Graciano AL, Tamburro R, Thompson AE, Fiadjoe J, Nadkarni VM, Nishisaki A. Incidence and associated factors of difficult tracheal intubations in pediatric ICUs: a report from National Emergency Airway Registry for Children: NEAR4KIDS. Intensive Care Med. 2014;40:1659–69.
doi: 10.1007/s00134-014-3407-4
Sakles JC, Chiu S, Mosier J, Walker C, Stolz U. The importance of first pass success when performing orotracheal intubation in the emergency department. Acad Emerg Med. 2013;20:71–8.
doi: 10.1111/acem.12055
Mort TC. Emergency tracheal intubation: complications associated with repeated laryngoscopic attempts. Anesth Analg. 2004;99:607–13. table of contents
doi: 10.1213/01.ANE.0000122825.04923.15
Long E, Sabato S, Babl FE. Endotracheal intubation in the pediatric emergency department. Paediatr Anaesth. 2014;24:1204–11.
doi: 10.1111/pan.12490
Choi HJ, Je SM, Kim JH, Kim E. The factors associated with successful paediatric endotracheal intubation on the first attempt in emergency departments: a 13-emergency-department registry study. Resuscitation 2012;83:1363–8.
doi: 10.1016/j.resuscitation.2012.03.010
Fiadjoe JENA, Jagannathan N, Hunyady AI, Greenberg RS, Reynolds PI, Matuszczak ME, Rehman MA, Polaner DM, Szmuk P, Nadkarni VM, McGowan FX Jr, Litman RS, Kovatsis PG. Airway management complications in children with difficult tracheal intubation from the Pediatric Difficult Intubation (PeDI) registry: a prospective cohort analysis. Lancet. Respir Med. 2015;4:37–48.
Lee JH, Turner DA, Kamat P, Nett S, Shults J, Nadkarni VM, et al. The number of tracheal intubation attempts matters! A prospective multi-institutional pediatric observational study. BMC Pediatr. 2016;16:58.
doi: 10.1186/s12887-016-0593-y
Wallenstein MB, Birnie KL, Arain YH, Yang W, Yamada NK, Huffman LC, et al. Failed endotracheal intubation and adverse outcomes among extremely low birth weight infants. J Perinatol. 2016;36:112–5.
doi: 10.1038/jp.2015.158
Sauer CW, Kong JY, Vaucher YE, Finer N, Proudfoot JA, Boutin MA, et al. Intubation attempts increase the risk for severe intraventricular hemorrhage in preterm infants-a retrospective cohort study. J Pediatr. 2016;177:108–13.
doi: 10.1016/j.jpeds.2016.06.051
Carroll CL, Spinella PC, Corsi JM, Stoltz P, Zucker AR. Emergent endotracheal intubations in children: be careful if it’s late when you intubate. Pediatr Crit Care Med. 2010;11:343–8.
doi: 10.1097/PCC.0b013e3181ce6d19
Ehrlich PF, Seidman PS, Atallah O, Haque A, Helmkamp J. Endotracheal intubations in rural pediatric trauma patients. J Pediatr Surg. 2004;39:1376–80.
doi: 10.1016/j.jpedsurg.2004.05.010
Disma N, Virag K, Riva T, Kaufmann J, Engelhardt T, Habre W. Difficult tracheal intubation in neonates and infants. NEonate and Children audiT of Anaesthesia pRactice IN Europe (NECTARINE): a prospective European multicentre observational study. Br J Anaesth. 2021;126:1173–81.
doi: 10.1016/j.bja.2021.02.021
Glenn T, Sudhakar S, Markowski A, Malay S, Hibbs AM. Patient characteristics associated with complications during neonatal intubations. Pediatr Pulmonol. 2021;56:2576–82.
doi: 10.1002/ppul.25453
Lingappan K, Arnold JL, Fernandes CJ, Pammi M. Videolaryngoscopy versus direct laryngoscopy for tracheal intubation in neonates. Cochrane Database Syst Rev. 2018;6:CD009975.
pubmed: 29862490
Hypes CD, Stolz U, Sakles JC, Joshi RR, Natt B, Malo J, et al. Video laryngoscopy improves odds of first-attempt success at intubation in the intensive care unit. a propensity-matched analysis. Ann Am Thorac Soc. 2016;13:382–90.
doi: 10.1513/AnnalsATS.201508-505OC
Ozawa Y, Ades A, Foglia EE, DeMeo S, Barry J, Sawyer T, et al. Premedication with neuromuscular blockade and sedation during neonatal intubation is associated with fewer adverse events. J Perinatol. 2019;39:848–56.
doi: 10.1038/s41372-019-0367-0
Johnston L, Sawyer T, Ades A, Moussa A, Zenge J, Jung P, et al. Impact of physician training level on neonatal tracheal intubation success rates and adverse events: a report from national emergency airway registry for neonates (NEAR4NEOS). Neonatology 2021;118:434–42.
doi: 10.1159/000516372
Le CN, Garey DM, Leone TA, Goodmar JK, Rich W, Finer NN. Impact of premedication on neonatal intubations by pediatric and neonatal trainees. J Perinatol. 2014;34:458–60.
doi: 10.1038/jp.2014.32
Leone TA, Rich W, Finer NN. Neonatal intubation: success of pediatric trainees. J Pediatr. 2005;146:638–41.
doi: 10.1016/j.jpeds.2005.01.029
O’Shea JE, Thio M, Kamlin CO, McGrory L, Wong C, John J, et al. Videolaryngoscopy to Teach Neonatal Intubation: A Randomized Trial. Pediatrics 2015;136:912–9.
doi: 10.1542/peds.2015-1028
Pouppirt NR, Nassar R, Napolitano N, Nawab U, Nishisaki A, Nadkarni V, et al. Association between video laryngoscopy and adverse tracheal intubation-associated events in the neonatal intensive care unit. J Pediatr. 2018;201:281–4.e1.
doi: 10.1016/j.jpeds.2018.05.046