01 January 2002
Protocol for Rapid Sequence Intubation in Pediatric Patients - a Four-Year Study
Eduardo Marvez-Valls, James Killeen, Steven J Weiss, Amy A Ernst, Debra HouryMed Sci Monit 2002; 8(4): CR229-234 :: ID: 420876
Abstract
BACKGROUND: To evaluate a protocol for rapid sequence intubation (RSI)for pediatric patients in a Level 1 trauma center. MATERIAL/METHODS: Retrospective review of prospectivelygathered Continuing Quality Improvement (CQI) data at an inner city Level 1 trauma center with an emergencymedicine residency program. Protocols for RSI were established prior to initiating the study. All pediatricintubations at the center from February 1996 to February 2000 were included. Statistical analysis includeddescriptive statistics for categorical data and Chi-square for comparisons between groups. RESULTS: Overthe 4-year study period there were 83 pediatric intubations ranging in age from 18 months to 17 years;mean age 8.6. All had data collected at the time of intubation. There were 20 (24%) females and 62 (76%)males (p<0.001). Reasons for intubation were related to trauma in 71 (86%) and medical reasons in 12 (14%) (p<0.001). Of the trauma intubations 7 (10%) were for gunshot wounds, 39 (55%) were secondary to MVCs, and the remainder (25;35%) were from assaults, falls, and closed head injuries. The non-trauma intubations were for smoke inhalation, overdose, seizure, HIV related complications, eclampsia, and near drowning. Intubations were successful with one attempt in 65 (78%) cases. No surgical airways were necessary. Rocuronium was used in 4 cases. Protocol deviations did not lead to complications.
Conclusions: This protocol based pediatric rapid sequence intubation method worked well in an EM residency program. More intubations were in males and more were necessary due to trauma in
this group.
Keywords: Adolescent, Androstanols, Atropine, Child, Child, Preschool, Clinical Protocols, Diagnosis-Related Groups, Drug Administration Schedule, Emergencies, Emergency Treatment, Etomidate, Forms and Records Control, Hypnotics and Sedatives, Intubation, Intratracheal, Lidocaine, Louisiana, Medical Records, Neuromuscular Nondepolarizing Agents, Succinylcholine, Thiopental, Trauma Centers
Editorial
01 April 2024 : Editorial
Editorial: Forty Years of Waiting for Prevention and Cure of HIV Infection – Ongoing Challenges and Hopes for Vaccine Development and Overcoming Antiretroviral Drug ResistanceDOI: 10.12659/MSM.944600
Med Sci Monit 2024; 30:e944600
In Press
06 Mar 2024 : Clinical Research
Prevalence and Variation of Medical Comorbidities in Oral Surgery Patients: A Retrospective Study at Jazan ...Med Sci Monit In Press; DOI: 10.12659/MSM.943884
08 Mar 2024 : Clinical Research
Evaluation of Foot Structure in Preschool Children Based on Body MassMed Sci Monit In Press; DOI: 10.12659/MSM.943765
15 Apr 2024 : Laboratory Research
The Role of Copper-Induced M2 Macrophage Polarization in Protecting Cartilage Matrix in OsteoarthritisMed Sci Monit In Press; DOI: 10.12659/MSM.943738
07 Mar 2024 : Clinical Research
Knowledge of and Attitudes Toward Clinical Trials: A Questionnaire-Based Study of 179 Male Third- and Fourt...Med Sci Monit In Press; DOI: 10.12659/MSM.943468
Most Viewed Current Articles
17 Jan 2024 : Review article
Vaccination Guidelines for Pregnant Women: Addressing COVID-19 and the Omicron VariantDOI :10.12659/MSM.942799
Med Sci Monit 2024; 30:e942799
14 Dec 2022 : Clinical Research
Prevalence and Variability of Allergen-Specific Immunoglobulin E in Patients with Elevated Tryptase LevelsDOI :10.12659/MSM.937990
Med Sci Monit 2022; 28:e937990
16 May 2023 : Clinical Research
Electrophysiological Testing for an Auditory Processing Disorder and Reading Performance in 54 School Stude...DOI :10.12659/MSM.940387
Med Sci Monit 2023; 29:e940387
01 Jan 2022 : Editorial
Editorial: Current Status of Oral Antiviral Drug Treatments for SARS-CoV-2 Infection in Non-Hospitalized Pa...DOI :10.12659/MSM.935952
Med Sci Monit 2022; 28:e935952