A stylet use may be beneficial for elective and rescue intubation of prematurely born infants < 30 weeks
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064165%3A_____%2F24%3A10482954" target="_blank" >RIV/00064165:_____/24:10482954 - isvavai.cz</a>
Alternative codes found
RIV/68407700:21460/24:00375543 RIV/00216208:11110/24:10482954
Result on the web
<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=ym9N_wBGaY" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=ym9N_wBGaY</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.5507/bp.2024.015" target="_blank" >10.5507/bp.2024.015</a>
Alternative languages
Result language
angličtina
Original language name
A stylet use may be beneficial for elective and rescue intubation of prematurely born infants < 30 weeks
Original language description
Background. Recent studies have reported that using a stylet does not provide any advantages during intubation within a diverse infant population. Our research focuses on the issue, specifically in premature infants who undergo elective or rescue intubation (EI or RI) in the delivery room (DR). Methods. We conducted a single-center retrospective observational study comparing the number of intubation attempts, the duration of intubation procedure until successful, and the rate of associated desaturations exceeding 20%. We derived outcomes from video recordings and performed statistical analyses. Results. We have analyzed 104 intubation attempts in 70 infants with a mean gestational age and birth weight of 25 +/- 1.9 weeks and 736 +/- 221 grams, respectively; 39 of these attempts involved stylet use, and 65 did not. 75% of infants requiring intubation were less than 26 weeks of gestational age. The use of a stylet increased the rate of successful initial attempts [OR (95% CI) 4.3 (1.3-14.8), P =0.019], reduced the duration of the intubation procedure [median (IQR) seconds: 43 (30-72) vs 140 (62-296), P <0.001], and decreased the occurrences of desaturation exceeding 20% (13% vs 50%, P =0.003). Conclusion. The benefits of using a stylet during rescue and elective intubations of premature infants in the delivery room outweigh the potential harms. Its use may be advantageous in settings where proactive approaches are implemented for periviable infants.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30200 - Clinical medicine
Result continuities
Project
—
Continuities
V - Vyzkumna aktivita podporovana z jinych verejnych zdroju
Others
Publication year
2024
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Biomedical Papers
ISSN
1213-8118
e-ISSN
1804-7521
Volume of the periodical
168
Issue of the periodical within the volume
3
Country of publishing house
CZ - CZECH REPUBLIC
Number of pages
5
Pages from-to
243-247
UT code for WoS article
001236344600001
EID of the result in the Scopus database
2-s2.0-85204510738