The 30-second rule: the effects of prolonged intubation attempts on oxygen saturation and heart rate in preterm infants in the delivery room

Wozniak, Madeline; Arnell, Kathy; Brown, Melissa K; Gonzales, Sarah R.; Lazarus, Danielle; Rich, Wade; Katheria, Anup

doi:10.23736/s0026-4946.16.04469-8

Cited by 11 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In particular, the width and length of the blade are various, which subsequently affect the view angle. The viewing angle of the blade can affect the visualization of the airway [48]. Therefore, the generalizability of our findings to other video laryngoscopes may be limited.…”

Section: Discussionmentioning

confidence: 91%

See 1 more Smart Citation

Influence of Curved Video Laryngoscope Blade Sizes and Patient Heights on Video Laryngoscopic Views: A Randomized Controlled Trial

Kim,

Cheon,

Kim

et al. 2024

JPM

View full text Add to dashboard Cite

This study aimed to compare the video laryngoscope views facilitated by curved blades 3 and 4 with an exploration of the relationship between these views and patient height. Conducted as a randomized controlled trial, this study enrolled adults scheduled for surgery under general anesthesia. Intubation procedures were recorded, and the percentage of glottic opening was measured before tube insertion. Multivariate analysis validated the impact of various factors, including blade size and patient height, on the percentage of glottic opening scores. A total of 192 patients were included. The median percentage of glottic opening scores for curved blades 3 and 4 were 100 and 83, respectively (p < 0.001). The unstandardized coefficient indicated a significant negative impact of blade 4 on the percentage of glottic opening scores (−13, p < 0.001). In the locally estimated scatterplot smoothing analysis, blade 3 exhibited a steady rise in glottic opening scores with increasing height, whereas blade 4 showed a peak followed by a decline around 185 cm. The unstandardized coefficient of height showed no significant association (0, p = 0.819). The study observed superior laryngoscopic views with blade 3 compared to blade 4. However, no significant association was found between laryngoscopic views and patient height.

show abstract

Section: Discussionmentioning

confidence: 91%

“…Reduction in oxygenation and ventilation: A longer intubation time may reduce effective oxygenation and ventilation, which is crucial in critically ill patients [48].…”

Section: Discussionmentioning

confidence: 99%

Influence of Curved Video Laryngoscope Blade Sizes and Patient Heights on Video Laryngoscopic Views: A Randomized Controlled Trial

Kim,

Cheon,

Kim

et al. 2024

JPM

View full text Add to dashboard Cite

show abstract

“…Performing endotracheal intubation in rescue mode can be more challenging and stressful for the practitioner, especially when dealing with small and fragile infants. Adhering to the strict "30-second rule" is particularly difficult during rescue intubation in extremely premature infants, where rapid and safe execution is crucial 4 . Factors that may influence the outcome include the appropriate size of the blade, the experience level of the medical professional, the elasticity of the endotracheal tube (ETT), and the technique used.…”

Section: Introductionmentioning

confidence: 99%

A stylet use may be beneficial for elective and rescue intubation of prematurely born infants < 30 weeks

Dunajova,

Lamberska,

An Nguyen

et al. 2024

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

View full text Add to dashboard Cite

Background. Recent studies have reported that using a stylet does not provide any advantages during intubation within a diverse infant population. Our research focuses on the issue, specifically in premature infants who undergo elective or rescue intubation (EI or RI) in the delivery room (DR). Methods. We conducted a single-center retrospective observational study comparing the number of intubation attempts, the duration of intubation procedure until successful, and the rate of associated desaturations exceeding 20%. We derived outcomes from video recordings and performed statistical analyses. Results. We have analyzed 104 intubation attempts in 70 infants with a mean gestational age and birth weight of 25±1.9 weeks and 736±221 grams, respectively; 39 of these attempts involved stylet use, and 65 did not. 75% of infants requiring intubation were less than 26 weeks of gestational age. The use of a stylet increased the rate of successful initial attempts [OR (95% CI) 4.3 (1.3-14.8), P=0.019], reduced the duration of the intubation procedure [median (IQR) seconds: 43 (30-72) vs 140 (62-296), P<0.001], and decreased the occurrences of desaturation exceeding 20% (13% vs 50%, P=0.003). Conclusion. The benefits of using a stylet during rescue and elective intubations of premature infants in the delivery room outweigh the potential harms. Its use may be advantageous in settings where proactive approaches are implemented for periviable infants.

show abstract

Newborn resuscitation timelines: Accurately capturing treatment in the delivery room

Pike,

Kolstad,

Eilevstjønn

et al. 2024

Resuscitation

View full text Add to dashboard Cite

The 30-second rule: the effects of prolonged intubation attempts on oxygen saturation and heart rate in preterm infants in the delivery room

Cited by 11 publications

References 0 publications

Influence of Curved Video Laryngoscope Blade Sizes and Patient Heights on Video Laryngoscopic Views: A Randomized Controlled Trial

Influence of Curved Video Laryngoscope Blade Sizes and Patient Heights on Video Laryngoscopic Views: A Randomized Controlled Trial

A stylet use may be beneficial for elective and rescue intubation of prematurely born infants < 30 weeks

Newborn resuscitation timelines: Accurately capturing treatment in the delivery room

Contact Info

Product

Resources

About

The 30-second rule: the effects of prolonged intubation attempts on oxygen saturation and heart rate in preterm infants in the delivery room

Cited by 11 publications

References 0 publications

Influence of Curved Video Laryngoscope Blade Sizes and Patient Heights on Video Laryngoscopic Views: A Randomized Controlled Trial

Influence of Curved Video Laryngoscope Blade Sizes and Patient Heights on Video Laryngoscopic Views: A Randomized Controlled Trial

A stylet use may be beneficial for elective and rescue intubation of prematurely born infants &lt; 30 weeks

Newborn resuscitation timelines: Accurately capturing treatment in the delivery room

Contact Info

Product

Resources

About

A stylet use may be beneficial for elective and rescue intubation of prematurely born infants < 30 weeks