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Effect of apneic oxygenation with intubation to reduce severe desaturation and adverse tracheal intubation-associated events in critically ill children Napolitano, Natalie; Polikoff, Lee; Edwards, Lauren; Tarquinio, Keiko M.; Nett, Sholeen; Krawiec, Conrad; Kirby, Aileen; Salfity, Nina; Tellez, David; Krahn, Gordon; Breuer, Ryan; Parsons, Simon J.; Page-Goertz, Christopher; Shults, Justine; Nadkarni, Vinay; Nishisaki, Akira

Abstract

Background: Determine if apneic oxygenation (AO) delivered via nasal cannula during the apneic phase of tracheal intubation (TI), reduces adverse TI-associated events (TIAEs) in children. Methods: AO was implemented across 14 pediatric intensive care units as a quality improvement intervention during 2016–2020. Implementation consisted of an intubation safety checklist, leadership endorsement, local champion, and data feedback to frontline clinicians. Standardized oxygen flow via nasal cannula for AO was as follows: 5 L/min for infants (

Item Metadata

Title
Effect of apneic oxygenation with intubation to reduce severe desaturation and adverse tracheal intubation-associated events in critically ill children
Creator
Napolitano, Natalie; Polikoff, Lee; Edwards, Lauren; Tarquinio, Keiko M.; Nett, Sholeen; Krawiec, Conrad; Kirby, Aileen; Salfity, Nina; Tellez, David; Krahn, Gordon; Breuer, Ryan; Parsons, Simon J.; Page-Goertz, Christopher; Shults, Justine; Nadkarni, Vinay; Nishisaki, Akira
Publisher
BioMed Central
Date Issued
2023-01-17
Description
Background: Determine if apneic oxygenation (AO) delivered via nasal cannula during the apneic phase of tracheal intubation (TI), reduces adverse TI-associated events (TIAEs) in children. Methods: AO was implemented across 14 pediatric intensive care units as a quality improvement intervention during 2016–2020. Implementation consisted of an intubation safety checklist, leadership endorsement, local champion, and data feedback to frontline clinicians. Standardized oxygen flow via nasal cannula for AO was as follows: 5 L/min for infants (
Subject
Pediatrics; Tracheal intubation; Airway; Hypoxemia; Apneic oxygenation
Genre
Article
Type
Text
Language
eng
Date Available
2023-11-15
Provider
Vancouver : University of British Columbia Library
Rights
Attribution 4.0 International (CC BY 4.0)
DOI
10.14288/1.0437682
URI
http://hdl.handle.net/2429/86523
Affiliation
Medicine, Faculty of; Non UBC; Pediatrics, Department of
Citation
Critical Care. 2023 Jan 17;27(1):26
Publisher DOI
10.1186/s13054-023-04304-0
Peer Review Status
Reviewed
Scholarly Level
Faculty; Researcher
Copyright Holder
The Author(s)
Rights URI
http://creativecommons.org/licenses/by/4.0/
Aggregated Source Repository
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Rights

Attribution 4.0 International (CC BY 4.0)