Pre-hospital advanced airway management in children: a challenge that training can handle
- PMID: 29202774
- PMCID: PMC5715618
- DOI: 10.1186/s13049-017-0432-7
Pre-hospital advanced airway management in children: a challenge that training can handle
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.
Conflict of interest statement
Ethics approval and consent to participate
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Competing interests
The authors declare that they have no competing interests.
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Comment in
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Response to: pre-hospital advanced airway management in children: a challenge that training can handle.Scand J Trauma Resusc Emerg Med. 2018 Mar 14;26(1):18. doi: 10.1186/s13049-018-0473-6. Scand J Trauma Resusc Emerg Med. 2018. PMID: 29540193 Free PMC article. No abstract available.
Comment on
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Anaesthetist-provided pre-hospital advanced airway management in children: a descriptive study.Scand J Trauma Resusc Emerg Med. 2015 Aug 27;23:61. doi: 10.1186/s13049-015-0140-0. Scand J Trauma Resusc Emerg Med. 2015. PMID: 26307040 Free PMC article.
References
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- 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
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- 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
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