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Comment
. 2017 Dec 4;25(1):117.
doi: 10.1186/s13049-017-0432-7.

Pre-hospital advanced airway management in children: a challenge that training can handle

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Comment

Pre-hospital advanced airway management in children: a challenge that training can handle

Joanna B Watterson et al. Scand J Trauma Resusc Emerg Med. .

Abstract

We respond to the Tarpgaard et al. article reporting on pre-hospital endotracheal intubation (PHETI) success and complications by Danish critical care teams including critical care anaesthetists. We compare the authors' results with previously published results from our service's experience with PHETI in a similar patient population, also with physician and paramedic medical teams. From 25 children <16 years of age, the Danish study reports overall success, and first-pass success, and complication rates of 96, 75 and 20%, respectively. A recently published study of 82 patients that we completed revealed the following results: 100, 91 and 14%, respectively. We propose training and operating protocols we believe contribute to this relative success in paediatric PHETI.

Keywords: Out-of-hospital paediatric intubation; PHETI; Paediatric intubation; Training.

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Competing interests

The authors declare that they have no competing interests.

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References

    1. Tarpgaard M, Hansen TM, Rognås L. Anaesthetist-provided pre-hospital advanced airway management in children: a descriptive study. Scand J Trauma Resusc Emerg Med. 2015;23:61. doi: 10.1186/s13049-015-0140-0. - DOI - PMC - PubMed
    1. Burns BJ, Watterson JB, Ware S, Regan L, Reid C. Analysis of out-of-hospital pediatric intubation by an Australian helicopter emergency medical service. Ann Emerg Med. 2017. Epub 2017 April 29. - PubMed
    1. Rognås L, Troels MH, Kirkegaard H, Tønnesen E. Pre-hospital advanced airway management by experienced anaesthesiologists: a prospective descriptive study. Scand J Resusc Emerg Med. 2013;21:58. doi: 10.1186/1757-7241-21-58. - DOI - PMC - PubMed
    1. Burns B, Habig K, Eason H, Ware S. Difficult intubation factors in prehospital rapid sequence intubation by an Australian helicopter emergency medical service. Air Med J. 2016;35:28–32. doi: 10.1016/j.amj.2015.10.002. - DOI - PubMed
    1. Schmidt AR, Ulrich L, Seifert B, Albrecht R, Spahn DR, Stein P. Ease and difficulty of pre-hospital airway management in 425 paediatric patients treated by a helicopter emergency medical service: a retrospective analysis. Scand J Trauma Resusc Emerg Med. 2016;24:22. doi: 10.1186/s13049-016-0212-9. - DOI - PMC - PubMed