Neonatal intubation performance: Room for improvement in tertiary neonatal intensive care units

摘要: Abstract Objective To describe neonatal tracheal intubation (TI) performance across five intensive care units. Methods This prospective descriptive study was conducted at level III units (NICU) between July 2010 and 2011. TI data were collected using a standardized collection instrument (provider, procedure, patient characteristics) analyzed inferential statistics. The primary outcome of interest procedural success rate defined as tube placed in the airway vocal cords that could be used to provide ventilation. Results Forty-four percent 455 attempts (203 patients) successful. Attending physicians 3rd year fellows had highest rates; 72.2% 70%, respectively. Pediatric residents lowest (20.3%). median duration 30 s for residents, 25 s fellows, 20 s attending physicians. most common reasons cited failure inability visualize (25%), decompensation (desaturation/bradycardia, 41%) esophageal (19%). all ranged from 5 s 180 s there no difference successful failed attempts. Impending respiratory (46.5%) indication TI. Patient factors (weight, gestational age, or number previous attempts) not associated with success. Conclusions Overall procedure rates poor. Providers advanced training more likely