Apneic Oxygenation during Rapid Sequence Intubation in Critically Ill Children

被引:8
作者
Mortimer, Todd [1 ]
Burzynski, Jeff [1 ]
Kesselman, Murray [1 ]
Vallance, Jeff [2 ]
Hansen, Gregory [1 ]
机构
[1] Univ Manitoba, Sect Pediat Intens Care, Dept Pediat & Child Hlth, Winnipeg, MB, Canada
[2] Athabasca Univ, Fac Hlth Disciplines, Athabasca, AB, Canada
关键词
apneic oxygenation; hypoxemia; airway management;
D O I
10.1055/s-0035-1568149
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
This prospective case series documented hypoxemia and potential complications associated with apneic oxygenation in critically ill pediatric patients during rapid sequence intubation. Forty-four patients received apneic oxygenation via nasal cannula at rates of 5, 10, and 15 L/min for ages <4, 4 to 12, and 12 to 18 years, respectively. Pre- and postintubation attempt mean Spo(2) were 98.9 +/- 2.95 and 90.7 +/- 1.95%, respectively. Postintubation Spo(2) < 80% were significantly less with one intubation attempt, compared with multiple attempts (p < 0.001). No serious complications were noted. Apneic oxygenation was well tolerated in critically ill children.
引用
收藏
页码:28 / 31
页数:4
相关论文
共 11 条
[1]   Rate of decline in oxygen saturation at various pulse oximetry values with prehospital rapid sequence intubation [J].
Davis, Daniel P. ;
Hwang, James Q. ;
Dunford, James V. .
PREHOSPITAL EMERGENCY CARE, 2008, 12 (01) :46-51
[2]   Pharyngeal oxygen administration increases the time to serious desaturation at intubation in acute lung injury: an experimental study [J].
Engstrom, Joakim ;
Hedenstierna, Goran ;
Larsson, Anders .
CRITICAL CARE, 2010, 14 (03)
[3]  
Gausche-Hill M, ADV PEDIAT EMERGENCY
[4]   Incidence and associated factors of difficult tracheal intubations in pediatric ICUs: a report from National Emergency Airway Registry for Children: NEAR4KIDS [J].
Graciano, Ana Lia ;
Tamburro, Robert ;
Thompson, Ann E. ;
Fiadjoe, John ;
Nadkarni, Vinay M. ;
Nishisaki, Akira .
INTENSIVE CARE MEDICINE, 2014, 40 (11) :1659-1669
[5]  
Moran C, 2014, CRIT CARE RESUSC, V16, P233
[6]   The incidence and risk factors for cardiac arrest during emergency tracheal intubation: A justification for incorporating the ASA guidelines in the remote location [J].
Mort, TC .
JOURNAL OF CLINICAL ANESTHESIA, 2004, 16 (07) :508-516
[7]   Guidelines for the determination of brain death in infants and children: An Update of the 1987 Task Force Recommendations-Executive Summary [J].
Nakagawa, Thomas A. ;
Ashwal, Stephen ;
Mathur, Mudit ;
Mysore, Mohan .
ANNALS OF NEUROLOGY, 2012, 71 (04) :573-585
[8]   A National Emergency Airway Registry for Children: Landscape of Tracheal Intubation in 15 PICUs [J].
Nishisaki, Akira ;
Turner, David A. ;
Brown, Calvin A., III ;
Walls, Ron M. ;
Nadkarni, Vinay M. .
CRITICAL CARE MEDICINE, 2013, 41 (03) :874-885
[9]   Preoxygenation and Prevention of Desaturation During Emergency Airway Management [J].
Weingart, Scott D. ;
Levitan, Richard M. .
ANNALS OF EMERGENCY MEDICINE, 2012, 59 (03) :165-175
[10]   PREOXYGENATION, REOXYGENATION, AND DELAYED SEQUENCE INTUBATION IN THE EMERGENCY DEPARTMENT [J].
Weingart, Scott D. .
JOURNAL OF EMERGENCY MEDICINE, 2011, 40 (06) :661-667