Pediatric Anesthesia ISSN 1155-5645
REVIEW ARTICLE
Endotracheal intubation in the pediatric emergency department Elliot Long1,2,3, Stefan Sabato2,4 & Franz E. Babl1,2,3 1 2 3 4
Department of Emergency Medicine, Royal Children’s Hospital, Parkville, Vic., Australia Murdoch Children’s Research Institute, Parkville, Vic., Australia Department of Paediatrics, Faculty of Medicine, Dentistry, and Health Sciences, University of Melbourne, Melbourne, Vic., Australia Department of Anaesthesia and Pain Management, The Royal Children’s Hospital, Parkville, Vic., Australia
Keywords intubation; emergency department; child; difficult laryngoscopy; adverse events Correspondence Elliot Long, Department of Emergency Medicine, Royal Children’s Hospital, Flemington Rd, Parkville, Vic. 3052, Australia Email: [email protected] Section Editor: Brian Anderson Accepted 22 June 2014 doi:10.1111/pan.12490
Summary Background and Objectives: Prospective safety data on emergency department (ED) intubation in children are limited. We aimed to describe the practice and adverse events associated with endotracheal intubation in a large urban pediatric ED. Methods: Prospective observational study at a tertiary pediatric ED with an annual census of 82 000. The primary outcome measure was the adverse event rate. Secondary outcome measures were incidence of difficult laryngoscopy and first pass success rate without desaturation or hypotension. Results: Over a 12-month period in 2013, there were 71 intubations in 66 patients (9/10 000 ED visits). Median age was 3 years, with 25% in infants
REVIEW ARTICLE
Endotracheal intubation in the pediatric emergency department Elliot Long1,2,3, Stefan Sabato2,4 & Franz E. Babl1,2,3 1 2 3 4
Department of Emergency Medicine, Royal Children’s Hospital, Parkville, Vic., Australia Murdoch Children’s Research Institute, Parkville, Vic., Australia Department of Paediatrics, Faculty of Medicine, Dentistry, and Health Sciences, University of Melbourne, Melbourne, Vic., Australia Department of Anaesthesia and Pain Management, The Royal Children’s Hospital, Parkville, Vic., Australia
Keywords intubation; emergency department; child; difficult laryngoscopy; adverse events Correspondence Elliot Long, Department of Emergency Medicine, Royal Children’s Hospital, Flemington Rd, Parkville, Vic. 3052, Australia Email: [email protected] Section Editor: Brian Anderson Accepted 22 June 2014 doi:10.1111/pan.12490
Summary Background and Objectives: Prospective safety data on emergency department (ED) intubation in children are limited. We aimed to describe the practice and adverse events associated with endotracheal intubation in a large urban pediatric ED. Methods: Prospective observational study at a tertiary pediatric ED with an annual census of 82 000. The primary outcome measure was the adverse event rate. Secondary outcome measures were incidence of difficult laryngoscopy and first pass success rate without desaturation or hypotension. Results: Over a 12-month period in 2013, there were 71 intubations in 66 patients (9/10 000 ED visits). Median age was 3 years, with 25% in infants
