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[Complications of tracheal intubation in pediatrics]

Nélio de Souza1, Werther Brunow de Carvalho

  • 1Santa Casa de São Paulo, São Paulo, SP.

Revista Da Associacao Medica Brasileira (1992)
|March 2, 2010
PubMed

Insights

Pediatric tracheal intubation complications, including trauma and hypoxia, are frequent. Lack of physician experience is a major cause, highlighting the need for enhanced training and supervision in pediatric intensive care units.

Area of Science:

  • Pediatric critical care medicine
  • Anesthesiology
  • Respiratory therapy

Context:

  • Tracheal intubation is a critical procedure in pediatric intensive care.
  • Complications can arise from the intubation process itself and the duration of intubation.
  • Understanding complication rates and causes is vital for improving patient outcomes.

Purpose:

  • To determine the frequency and types of complications associated with tracheal intubation in pediatric patients.
  • To identify the primary causes of these tracheal intubation complications.
  • To inform strategies for reducing adverse events during intubation.

Summary:

  • A cross-sectional study analyzed 147 pediatric patients requiring tracheal intubation for over 24 hours.
  • Complications included inadequate tube size (31.3%), multiple intubation attempts (14.3%), trauma, hypoxia, bradycardia, and accidental extubation (21.8%).
  • Resident physicians demonstrated higher rates of difficulty, trauma, and bradycardia during intubation.

Impact:

  • Findings underscore the significant impact of physician experience and training on tracheal intubation safety.
  • Recommendations include implementing robust training programs and increasing supervision for medical staff performing intubations.
  • Reducing intubation-related complications can lead to improved patient recovery and decreased morbidity in pediatric ICUs.
Abstract

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