Abstract

CESPEDES, Liz; MORILLA, Laura; MESQUITA, Mirta  and  PAVLICICH, Viviana. Evaluation of advanced airway management in a pediatric emergency department. Rev. cient. cienc. salud [online]. 2019, vol.1, n.1, pp.33-38. ISSN 2664-2891.  https://doi.org/10.53732/rccsalud/01.01.2019.33.

Endotracheal intubation (EIT) in critically ill patients is a high-risk procedure that requires high competence in the management of the airway. It is essential to know the skills of emergency physicians in the advanced management of airways and difficult airways (DA). Observational, descriptive and prospective study with the objective to describe the advanced management of airways and VAD in a pediatric emergency department, that includes patients from 0 to 18 years who required endotracheal intubation between May 2018 and January 2019. The physio pathological diagnosis, prevalence of VAD, use of rapid intubation sequence (SIR), tool used for intubation, intubation time, attempts, operator, and complications were evaluated. It was established as success if the patient was intubated in two attempts. We studied 66 patients between 0.7-192 months of age (median: 7.5 months). In 19.7% of the patients, prediction of VAD was identified; SIR was performed in 64 (96.9%) patients. Success rate was 77.3% (51/66), in the first attempt 39/66 (59.1%) and in the second 12/54 (77.3%). Operator change was required in 14 opportunities. All patients were intubated by conventional laryngoscopy. Intubation time ranged between 2-6 minutes. mean number of attempts was 1.8 (± 1.4). Complications of the EIT were present in 22 patients; frequency of saturation less than 70% was significantly higher in patients who required more than two attempts for intubation. The identification of difficult airway was relatively frequent.

Keywords : intubation intratracheal; airway management; pediatric emergency medicine.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )