Publications by authors named "P M Wildenhain"
Background And Objectives: Neonatal endotracheal tube (ETT) size recommendations are based on limited evidence. We sought to determine data-driven weight-based ETT sizes for infants undergoing tracheal intubation and to compare these with Neonatal Resuscitation Program (NRP) recommendations.
Methods: Retrospective multicenter cohort study from an international airway registry.
Factors that impact second attempt success for neonatal intubation following first attempt failure: a report from the National Emergency Airway Registry for Neonates.
Arch Dis Child Fetal Neonatal Ed
October 2024
Article Synopsis
- The study aimed to identify factors linked to successful second attempts at neonatal tracheal intubation and the risk of complications after a failed first attempt.
- Conducted in 18 academic NICUs using a large data set, it analyzed cases where neonates needed two or more intubation attempts from October 2014 to December 2021.
- Results showed that success rates for second attempts improved significantly when changes were made to the intubator, stylet use, or endotracheal tube size, with specific changes reducing the chances of severe desaturation.
Introduction: Nearly half of neonatal intubations are complicated by severe desaturation (≥20% decline in pulse oximetry saturation (SpO)). Apnoeic oxygenation prevents or delays desaturation during intubation in adults and older children. Emerging data show mixed results for apnoeic oxygenation using high-flow nasal cannula (NC) during neonatal intubation.
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