Paediatric intubation in Scottish emergency departments

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Guidelines for Elective Pediatric Fiberoptic Intubation
11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

A J Oglesby1, C A Graham, D Beard

  • 1Specialist Registrar in Accident and Emergency Medicine Royal Infirmary of Edinburgh Lauriston Place Edinburgh EH3 9YW, UK.

Paediatric Anaesthesia
|September 3, 2003
PubMed

Insights

Paediatric intubation in emergency departments is rare, with most cases involving trauma. Collaboration and training are crucial for emergency medicine, anaesthesia, and paediatric doctors.

Area of Science:

  • Emergency Medicine
  • Paediatric Critical Care
  • Clinical Practice Research

Background:

  • Paediatric intubation in emergency departments is an infrequent procedure.
  • This study prospectively observed paediatric intubation practices in urban Scottish emergency settings.

Purpose of the Study:

  • To examine the characteristics and methods of paediatric intubation in emergency departments.
  • To identify the professionals involved and the success rates of intubation attempts.

Main Methods:

  • Prospective observational study of all intubation attempts in seven urban Scottish emergency departments (1999-2000).
  • Included children under 13 years; prehospital intubations by mobile medical teams were also considered.
  • Data collected on patient demographics, indications, intubating professional, techniques used, and number of attempts.

Main Results:

  • 44 paediatric intubations (2.6%) occurred among 1713 patients; median age was 4 years.
  • Trauma was the primary indication (57%); anaesthetists performed most intubations (73%).
  • Rapid sequence intubation (RSI) was common (68%); 80% were intubated on the first attempt.

Conclusions:

  • Paediatric intubation in the emergency department is uncommon.
  • Effective paediatric intubation requires collaboration and specialized training for emergency medicine, anaesthesia, and paediatric physicians.
Abstract

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