Impact of Intubator’s Training Level on First-Pass Success of Endotracheal Intubation in Acute Care Settings: A Four-Center Retrospective Study
(1) Background: First-pass success (FPS) of endotracheal intubation is more challenging in children than in adults. We aimed to identify factors associated with FPS of intubation in acute care settings. (2) Methods: We analyzed data of children aged <10 years who underwent intubation within ≤24 h...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-06-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/9/7/960 |
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| author | Jung-Heon Kim Jae-Yun Jung Joong-Wan Park Se-Uk Lee Meong-Hi Son Jeong-Yong Lee |
| author_facet | Jung-Heon Kim Jae-Yun Jung Joong-Wan Park Se-Uk Lee Meong-Hi Son Jeong-Yong Lee |
| author_sort | Jung-Heon Kim |
| collection | DOAJ |
| description | (1) Background: First-pass success (FPS) of endotracheal intubation is more challenging in children than in adults. We aimed to identify factors associated with FPS of intubation in acute care settings. (2) Methods: We analyzed data of children aged <10 years who underwent intubation within ≤24 h of arrival at four Korean emergency departments (2016–2019). Variables were compared according to FPS. A logistic regression was performed to quantify the association of factors with FPS. An experienced intubator was defined as a senior resident or a specialist. (3) Results: Of 280 children, 169 (60.4%) had FPS. The children with FPS were older (median age, 23.0 vs. 11.0 months; <i>p</i> = 0.018), were less frequently in their infancy (36.1% vs. 50.5%; <i>p</i> = 0.017), and were less likely to have respiratory compromise (41.4% vs. 55.0%; <i>p</i> = 0.030). The children with FPS tended to be more often intubated by experienced intubators than those without FPS (87.0% vs. 78.4%; <i>p</i> = 0.057). Desaturation was rarer in those with FPS. Factors associated with FPS were experienced intubators (aOR, 1.93; 95% CI, 1.01–3.67) and children’s age ≥12 months (1.84; 1.13–3.02). (4) Conclusion: FPS of intubation can be facilitated by deploying or developing clinically competent intubators, particularly for infants, in acute care settings. |
| first_indexed | 2024-03-09T03:34:43Z |
| format | Article |
| id | doaj.art-8ffd7b8c16f2463d9391c65258ea701e |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-09T03:34:43Z |
| publishDate | 2022-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-8ffd7b8c16f2463d9391c65258ea701e2023-12-03T14:50:51ZengMDPI AGChildren2227-90672022-06-019796010.3390/children9070960Impact of Intubator’s Training Level on First-Pass Success of Endotracheal Intubation in Acute Care Settings: A Four-Center Retrospective StudyJung-Heon Kim0Jae-Yun Jung1Joong-Wan Park2Se-Uk Lee3Meong-Hi Son4Jeong-Yong Lee5Department of Emergency Medicine, Ajou University School of Medicine, Suwon 16499, KoreaDepartment of Emergency Medicine, Seoul National University Hospital, Seoul 03080, KoreaDepartment of Emergency Medicine, Seoul National University Hospital, Seoul 03080, KoreaDepartment of Emergency Medicine, Samsung Medical Center, Seoul 06351, KoreaDepartment of Pediatrics, Samsung Medical Center, Seoul 06351, KoreaDepartment of Pediatrics, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05505, Korea(1) Background: First-pass success (FPS) of endotracheal intubation is more challenging in children than in adults. We aimed to identify factors associated with FPS of intubation in acute care settings. (2) Methods: We analyzed data of children aged <10 years who underwent intubation within ≤24 h of arrival at four Korean emergency departments (2016–2019). Variables were compared according to FPS. A logistic regression was performed to quantify the association of factors with FPS. An experienced intubator was defined as a senior resident or a specialist. (3) Results: Of 280 children, 169 (60.4%) had FPS. The children with FPS were older (median age, 23.0 vs. 11.0 months; <i>p</i> = 0.018), were less frequently in their infancy (36.1% vs. 50.5%; <i>p</i> = 0.017), and were less likely to have respiratory compromise (41.4% vs. 55.0%; <i>p</i> = 0.030). The children with FPS tended to be more often intubated by experienced intubators than those without FPS (87.0% vs. 78.4%; <i>p</i> = 0.057). Desaturation was rarer in those with FPS. Factors associated with FPS were experienced intubators (aOR, 1.93; 95% CI, 1.01–3.67) and children’s age ≥12 months (1.84; 1.13–3.02). (4) Conclusion: FPS of intubation can be facilitated by deploying or developing clinically competent intubators, particularly for infants, in acute care settings.https://www.mdpi.com/2227-9067/9/7/960critical careclinical competencehypoxiaintubationrisk factors |
| spellingShingle | Jung-Heon Kim Jae-Yun Jung Joong-Wan Park Se-Uk Lee Meong-Hi Son Jeong-Yong Lee Impact of Intubator’s Training Level on First-Pass Success of Endotracheal Intubation in Acute Care Settings: A Four-Center Retrospective Study Children critical care clinical competence hypoxia intubation risk factors |
| title | Impact of Intubator’s Training Level on First-Pass Success of Endotracheal Intubation in Acute Care Settings: A Four-Center Retrospective Study |
| title_full | Impact of Intubator’s Training Level on First-Pass Success of Endotracheal Intubation in Acute Care Settings: A Four-Center Retrospective Study |
| title_fullStr | Impact of Intubator’s Training Level on First-Pass Success of Endotracheal Intubation in Acute Care Settings: A Four-Center Retrospective Study |
| title_full_unstemmed | Impact of Intubator’s Training Level on First-Pass Success of Endotracheal Intubation in Acute Care Settings: A Four-Center Retrospective Study |
| title_short | Impact of Intubator’s Training Level on First-Pass Success of Endotracheal Intubation in Acute Care Settings: A Four-Center Retrospective Study |
| title_sort | impact of intubator s training level on first pass success of endotracheal intubation in acute care settings a four center retrospective study |
| topic | critical care clinical competence hypoxia intubation risk factors |
| url | https://www.mdpi.com/2227-9067/9/7/960 |
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