Objectives: To assess the success rate and main reasons for failure of intubation performed by medical trainees to suction meconium below the vocal cords in non-vigorous infants delivered at ≥36 week gestation.
Design: We conducted a prospective cohort study involving 54 residents and nine neonatology fellows in a Canadian level 3 neonatal intensive care unit. Endotracheal intubation to suction meconium was performed using a videolaryngoscope, the video screen being covered during the procedure. All videos were reviewed by two experts blinded to the procedure and to the identity of the trainee.
Results: Sixteen videos were available to review between July 2014 and March 2016. Intubation success rate assessed by the reviewers was 6%, compared with 21% as assessed by the trainees. The most common reasons for intubation failure were an improper view of the glottis (87%) and meconium or secretions obscuring the view (67%). 36 % of the time, the trainees identified different reasons for intubation failure than the reviewers.
Conclusion: Success rate of neonatal intubation to suction meconium was much lower than the success rate reported on infants without meconium. Teaching should be geared towards the most common reasons for intubation failure, possibly using video-based teaching.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1136/archdischild-2017-313916 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Factors associated with the admission of moderate to late preterm and term neonates within 72 hours of birth at Dedza and Mangochi District Hospitals, Malawi: a matched case-control study.
BMC Pediatr
December 2024
Newborn and Adolescent Health Unit, UNICEF Head Quarters, New York, NY, 10017, USA.
Article Synopsis
- The study aimed to examine the demographic, maternal, and perinatal factors linked to hospitalizations of moderately to late preterm and term neonates within 72 hours of birth in Malawi's Dedza and Mangochi districts.
- Various factors were analyzed using a case-control method, comparing sick neonates admitted to intensive care with healthy ones, with data collected through case files and caregiver interviews.
- Results indicated that certain practices, like using tetracycline eye ointment and proper umbilical cord care, reduced hospitalization odds, while factors such as low birth weight and poor Apgar scores significantly increased hospitalization risks.
Colonic atresia and Hirschsprung's disease in a neonate: A case report.
Int J Surg Case Rep
October 2024
Department of Surgery, University of Kansas Medical Center, Kansas City, KS 66103, USA.
Article Synopsis
- Colonic atresia, a rare intestinal condition in newborns, can coexist with other disorders like Hirschsprung's disease, presenting challenges for diagnosis and treatment.!* -
- A case involving a 2-day-old girl revealed colonic atresia linked to suspected intra-uterine complications due to maternal substance abuse, leading to multiple surgical interventions and a diagnosis of Hirschsprung's disease.!* -
- The case highlights the importance of thorough evaluation and timely interventions in managing neonates with intestinal problems, emphasizing the need for rectal biopsies when Hirschsprung's disease is suspected.!*
The Diagnostic Pathway of Hirschsprung's Disease in Paediatric Patients: A Single-Centre Experience.
Children (Basel)
August 2024
Department of Paediatric Surgery, Chelsea and Westminster Hospital, 369 Fulham Road, London SW10 9NH, UK.
Background: The presenting symptoms of patients with Hirschsprung's disease (HD) are a failure to pass meconium, abdominal distension, and bilious vomiting. The gold standard diagnosis is a rectal biopsy to confirm aganglionosis. The aim of our study was to describe the diagnostic pathway of Hirschsprung's disease at our institution and document the indication for a rectal biopsy.
View Article and Find Full Text PDFManagement of Spontaneous Vaginal Delivery.
Am Fam Physician
June 2024
Penn Medicine Lancaster General Health Family Medicine Residency Program, Lancaster, Pennsylvania.
Pregnancy dating is determined by the patient's last menstrual period or an ultrasound measurement. A full-term pregnancy is considered 37 weeks' gestation or more. Spontaneous labor begins when regular painful uterine contractions result in a cervical change.
View Article and Find Full Text PDFClear amniotic fluid aspiration syndrome: A novel description of an old entity.
PLoS One
June 2024
Service de Néonatologie, Centre Hospitalier Universitaire Sud Réunion, Saint-Pierre Cedex, La Réunion.
Background: Clear amniotic fluid aspiration syndrome (CAF-AS) is a very rare event occurring in 0.25% of our term clear amniotic fluids deliveries. The study's aims were: 1.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!