Neonatology
Conditions
Keywords
Resuscitation, Extremely premature infant, Intubation, Stylet
Brief summary
Contrary to recent findings suggesting that stylets offer no advantage in general infant intubations, this study focuses on their potential benefits for premature infants undergoing elective or rescue intubation in the delivery room. The goal is to compare the safety and efficiency of intubations with or without a stylet.
Detailed description
Recent studies have found that using a stylet does not offer any benefits during intubation across a diverse infant population. The research, however, specifically targets extremely and very premature infants undergoing elective or rescue intubation in the delivery room. A single-center retrospective observational study was conducted to compare the number of intubation attempts, the duration of intubation until successful, and the rate of associated desaturations exceeding 20%. The outcomes were determined through video recordings and statistical analysis.
Interventions
The cohort of premature infants was intubated with stylet.
Sponsors
Study design
Eligibility
Inclusion criteria
* intubation in the delivery room
Exclusion criteria
* both method used, video record not available
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The primary outcome was defined as successful initial intubation attempt. | immediately after procedure | Successful placement of the endotracheal tube on the first intubation attempt, followed by an increase in heart rate and blood oxygen saturation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Secondary outcomes was defined as the duration of intubation courses until successful placement of the endotracheal tube. | immediately after procedure | The duration from the first insertion of the laryngoscope blade to the successful placement of the endotracheal tube, followed by an increase in heart rate and blood oxygen saturation, measured in seconds. |