A stylet use may be beneficial for elective and rescue intubation of prematurely born infants < 30 weeks

Kód výsledku v 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>

Nalezeny alternativní kódy

RIV/68407700:21460/24:00375543 RIV/00216208:11110/24:10482954

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

A stylet use may be beneficial for elective and rescue intubation of prematurely born infants < 30 weeks

Popis výsledku v původním jazyce

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 &lt;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.

Název v anglickém jazyce

A stylet use may be beneficial for elective and rescue intubation of prematurely born infants < 30 weeks

Popis výsledku anglicky

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 &lt;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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30200 - Clinical medicine

Projekt

—

Návaznosti

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Rok uplatnění

2024

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Biomedical Papers

ISSN

1213-8118

e-ISSN

1804-7521

Svazek periodika

168

Číslo periodika v rámci svazku

3

Stát vydavatele periodika

CZ - Česká republika

Počet stran výsledku

5

Strana od-do

243-247

Kód UT WoS článku

001236344600001

EID výsledku v databázi Scopus

2-s2.0-85204510738