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Impact of Intubator’s Training Level on First-Pass Success of Endotracheal Intubation in Acute Care Settings: A Four-Center Retrospective Study

(1) Background: First-pass success (FPS) of endotracheal intubation is more challenging in children than in adults. We aimed to identify factors associated with FPS of intubation in acute care settings. (2) Methods: We analyzed data of children aged <10 years who underwent intubation within ≤24 h...

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Autores principales: Kim, Jung-Heon, Jung, Jae-Yun, Park, Joong-Wan, Lee, Se-Uk, Son, Meong-Hi, Lee, Jeong-Yong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9322935/
https://www.ncbi.nlm.nih.gov/pubmed/35883944
http://dx.doi.org/10.3390/children9070960
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author Kim, Jung-Heon
Jung, Jae-Yun
Park, Joong-Wan
Lee, Se-Uk
Son, Meong-Hi
Lee, Jeong-Yong
author_facet Kim, Jung-Heon
Jung, Jae-Yun
Park, Joong-Wan
Lee, Se-Uk
Son, Meong-Hi
Lee, Jeong-Yong
author_sort Kim, Jung-Heon
collection PubMed
description (1) Background: First-pass success (FPS) of endotracheal intubation is more challenging in children than in adults. We aimed to identify factors associated with FPS of intubation in acute care settings. (2) Methods: We analyzed data of children aged <10 years who underwent intubation within ≤24 h of arrival at four Korean emergency departments (2016–2019). Variables were compared according to FPS. A logistic regression was performed to quantify the association of factors with FPS. An experienced intubator was defined as a senior resident or a specialist. (3) Results: Of 280 children, 169 (60.4%) had FPS. The children with FPS were older (median age, 23.0 vs. 11.0 months; p = 0.018), were less frequently in their infancy (36.1% vs. 50.5%; p = 0.017), and were less likely to have respiratory compromise (41.4% vs. 55.0%; p = 0.030). The children with FPS tended to be more often intubated by experienced intubators than those without FPS (87.0% vs. 78.4%; p = 0.057). Desaturation was rarer in those with FPS. Factors associated with FPS were experienced intubators (aOR, 1.93; 95% CI, 1.01–3.67) and children’s age ≥12 months (1.84; 1.13–3.02). (4) Conclusion: FPS of intubation can be facilitated by deploying or developing clinically competent intubators, particularly for infants, in acute care settings.
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spelling pubmed-93229352022-07-27 Impact of Intubator’s Training Level on First-Pass Success of Endotracheal Intubation in Acute Care Settings: A Four-Center Retrospective Study Kim, Jung-Heon Jung, Jae-Yun Park, Joong-Wan Lee, Se-Uk Son, Meong-Hi Lee, Jeong-Yong Children (Basel) Article (1) Background: First-pass success (FPS) of endotracheal intubation is more challenging in children than in adults. We aimed to identify factors associated with FPS of intubation in acute care settings. (2) Methods: We analyzed data of children aged <10 years who underwent intubation within ≤24 h of arrival at four Korean emergency departments (2016–2019). Variables were compared according to FPS. A logistic regression was performed to quantify the association of factors with FPS. An experienced intubator was defined as a senior resident or a specialist. (3) Results: Of 280 children, 169 (60.4%) had FPS. The children with FPS were older (median age, 23.0 vs. 11.0 months; p = 0.018), were less frequently in their infancy (36.1% vs. 50.5%; p = 0.017), and were less likely to have respiratory compromise (41.4% vs. 55.0%; p = 0.030). The children with FPS tended to be more often intubated by experienced intubators than those without FPS (87.0% vs. 78.4%; p = 0.057). Desaturation was rarer in those with FPS. Factors associated with FPS were experienced intubators (aOR, 1.93; 95% CI, 1.01–3.67) and children’s age ≥12 months (1.84; 1.13–3.02). (4) Conclusion: FPS of intubation can be facilitated by deploying or developing clinically competent intubators, particularly for infants, in acute care settings. MDPI 2022-06-27 /pmc/articles/PMC9322935/ /pubmed/35883944 http://dx.doi.org/10.3390/children9070960 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kim, Jung-Heon
Jung, Jae-Yun
Park, Joong-Wan
Lee, Se-Uk
Son, Meong-Hi
Lee, Jeong-Yong
Impact of Intubator’s Training Level on First-Pass Success of Endotracheal Intubation in Acute Care Settings: A Four-Center Retrospective Study
title Impact of Intubator’s Training Level on First-Pass Success of Endotracheal Intubation in Acute Care Settings: A Four-Center Retrospective Study
title_full Impact of Intubator’s Training Level on First-Pass Success of Endotracheal Intubation in Acute Care Settings: A Four-Center Retrospective Study
title_fullStr Impact of Intubator’s Training Level on First-Pass Success of Endotracheal Intubation in Acute Care Settings: A Four-Center Retrospective Study
title_full_unstemmed Impact of Intubator’s Training Level on First-Pass Success of Endotracheal Intubation in Acute Care Settings: A Four-Center Retrospective Study
title_short Impact of Intubator’s Training Level on First-Pass Success of Endotracheal Intubation in Acute Care Settings: A Four-Center Retrospective Study
title_sort impact of intubator’s training level on first-pass success of endotracheal intubation in acute care settings: a four-center retrospective study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9322935/
https://www.ncbi.nlm.nih.gov/pubmed/35883944
http://dx.doi.org/10.3390/children9070960
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