Articles: intubation.
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Critical care medicine · Oct 2020
Multicenter Study Observational StudyImpact of Failure of Noninvasive Ventilation on the Safety of Pediatric Tracheal Intubation.
Noninvasive ventilation is widely used to avoid tracheal intubation in critically ill children. The objective of this study was to assess whether noninvasive ventilation failure was associated with severe tracheal intubation-associated events and severe oxygen desaturation during tracheal intubation. ⋯ Critically ill children are frequently exposed to noninvasive ventilation before intubation. Noninvasive ventilation failure was not independently associated with severe tracheal intubation-associated events or severe oxygen desaturation compared to primary tracheal intubation.
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Multicenter Study
Respiratory Therapist Intubation Practice in Pediatric ICUs: A Multicenter Registry Study.
Tracheal intubation by respiratory therapists (RTs) is a well-established practice that has been described primarily in adult and neonatal patients. However, minimal data exist regarding RTs' intubation performance in pediatric ICUs. The purpose of this study was to describe the current landscape of intubations performed by RTs in pediatric ICUs. ⋯ RTs infrequently intubate in pediatric ICUs, with success rates similar to other providers but higher adverse event rates. RTs were more likely to use video laryngoscopy than other providers. RTs' intubation participation, success, and adverse event rates varied greatly across pediatric ICUs.
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Critical care medicine · Sep 2020
Multicenter StudyOxygenation Strategy During Acute Respiratory Failure in Critically-Ill Immunocompromised Patients.
To assess the response to initial oxygenation strategy according to clinical variables available at admission. ⋯ Some clinical characteristics at ICU admission including etiology and severity of acute respiratory failure enable to identify patients at high risk for intubation.
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Anaesth Intensive Care · Sep 2020
Letter Multicenter StudyA multicentre audit of COVID-19 intubations in New South Wales metropolitan hospitals.
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Multicenter Study Observational Study
Outcomes after Tracheostomy in COVID-19 Patients.
To determine the outcomes of patients undergoing tracheostomy for COVID-19 and of healthcare workers performing these procedures. ⋯ Alterations to tracheostomy practices and processes were successfully instituted. Following these steps, tracheostomy in COVID-19 intubated patients seems safe for both patients and healthcare workers performing the procedure.