Meta-Analysis of Failure of Prehospital Endotracheal Intubation in Pediatric Patients
المؤلفون المشاركون
Rodríguez, Jhon Jairo
Higuita-Gutiérrez, Luis Felipe
Carrillo Garcia, Edwar Arturo
Castaño Betancur, Esneider
Luna Londoño, Mauricio
Restrepo Vargas, Sara
المصدر
Emergency Medicine International
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-05-02
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Prehospital care is essential for airway preservation in pediatric patients who require early endotracheal intubation to improve oxygenation and prevent aspiration.
However, high frequencies of failure of endotracheal intubation have been reported for this age group.
We aimed to analyze the frequency of failure of endotracheal intubation in pediatric patients within a prehospital context and compare it with adult patients.
Thus, a systematic revision of literature with a meta-analysis was performed using a study search and selection strategy ensuring extensiveness, sensitivity, and reproducibility.
Meta-analyses were performed for odds ratio, DerSimonian and Laird’s Q test was used to assess heterogeneity, and Egger and Begg’s test was used to assess publication bias.
Overall, 17 papers and 8772 patients were included, and the main cause of prehospital care was assessed to be trauma.
Failed endotracheal intubation frequency was 0.4%–52.6% in pediatric patients.
The most frequent complication was with esophageal intubation.
Forest plot suggests that risk of failure during intubation of pediatric patients is 3.54 fold higher than that observed for adults.
It was concluded that airway management in pediatric patients within a prehospital context is a challenge for prehospital care providers because it entails clear physiological and anatomical differences and a low frequency of exposure to this kind of events as opposed to adults.
These differences support a widely higher risk of failure of intubation, suggesting the necessity of consistently trained prehospital care providers to ensure proficiency in technique as well as availability of the required equipment.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Rodríguez, Jhon Jairo& Higuita-Gutiérrez, Luis Felipe& Carrillo Garcia, Edwar Arturo& Castaño Betancur, Esneider& Luna Londoño, Mauricio& Restrepo Vargas, Sara. 2020. Meta-Analysis of Failure of Prehospital Endotracheal Intubation in Pediatric Patients. Emergency Medicine International،Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1159087
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Rodríguez, Jhon Jairo…[et al.]. Meta-Analysis of Failure of Prehospital Endotracheal Intubation in Pediatric Patients. Emergency Medicine International No. 2020 (2020), pp.1-8.
https://search.emarefa.net/detail/BIM-1159087
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Rodríguez, Jhon Jairo& Higuita-Gutiérrez, Luis Felipe& Carrillo Garcia, Edwar Arturo& Castaño Betancur, Esneider& Luna Londoño, Mauricio& Restrepo Vargas, Sara. Meta-Analysis of Failure of Prehospital Endotracheal Intubation in Pediatric Patients. Emergency Medicine International. 2020. Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1159087
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1159087
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر