Eur J Trauma Emerg Surg (2017) 43:797–804 DOI 10.1007/s00068-016-0758-2 ORIGINAL ARTICLE Radiological evaluation of tube depth and complications of prehospital endotracheal intubation in pediatric trauma: a descriptive study 1 1 1 T. Simons · T. Söderlund · L. Handolin Received: 11 September 2016 / Accepted: 29 December 2016 / Published online: 27 January 2017 © Springer-Verlag Berlin Heidelberg 2017 Abstract without concurrent evidence of chest injury. “Near miss” Purpose Pediatric prehospital endotracheal intubation intubations accounted for 7/9 and 9/25 in children <8 years (PHETI) is a difficult and rarely performed procedure that and ≥8 years old, respectively, totaling 16/34, with two of remains the gold standard for prehospital airway manage- these leading to late displacements. ment when ventilation and/or anesthesia is required, but Conclusions Pediatric endotracheal tube intubation car- high complications rates, including malposition continue to ries a high rate of tube malposition and left lung atelecta- concern. We reviewed the experience in our institution of sis in our experience of pediatric trauma patients, with less pediatric intubations with particular emphasis on the posi- than a third of ETTs placed in a safe position. tion of the endotracheal tube (ETT) tip within the trachea and related complications. Keywords Pediatric intubation · Pediatric prehospital Method Intubated pediatric patients presenting directly
European Journal of Trauma and Emergency Surgery – Springer Journals
Published: Jan 27, 2017
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