Publications by authors named "Jenn D'Mello"
Background: Decisions about who should perform tracheal intubation in academic settings must balance the needs of trainees to develop competency in pediatric intubation with patient safety. Airway protocols during the COVID-19 pandemic may have reduced opportunities for trainees, representing an opportunity to examine the impact of shifting laryngoscopy responsibilities away from trainees.
Methods: This observational study combined data from 11 pediatric emergency departments in North America participating in either the National Emergency Airway Registry for Children (NEAR4KIDS) or a national pediatric emergency medicine airway education collaborative.
Article Synopsis
- - The study aimed to investigate how video-assisted laryngoscopy affects first-attempt success rates and negative airway outcomes during pediatric intubations.
- - Researchers analyzed data from over 1,400 intubation cases across 11 sites, finding that video-assisted laryngoscopy significantly improved the chances of successful first attempts and reduced severe complications like hypoxia.
- - Results indicated substantial variability in the use of video-assisted laryngoscopy across different sites, with higher usage linked to better outcomes, emphasizing its importance in pediatric emergency medicine.
Background: Tracheal intubation (TI) practice across pediatric emergency departments (EDs) has not been comprehensively reported. We aim to describe TI practice and outcomes in pediatric EDs in contrast to those in intensive are units (ICUs) and use the data to identify quality improvement targets.
Methods: Consecutive TI encounters from pediatric EDs and ICUs in the National Emergency Airway Registry for Children (NEAR4KIDS) database from 2015 to 2018 were analyzed for patient, provider, and practice characteristics and outcomes: adverse TI-associated events (TIAEs), oxygen desaturation (SpO < 80%), and procedural success.