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Abstract P-028: EMERGENCY INTUBATIONS IN UNDER 1 YEAR OLDS REFERRED TO NORTH WALES AND NORTH WEST PAEDIATRIC TRANSPORT SERVICE (NWTS)

Garbarino, J.1; Mullen, G.2; Pritchard, L.3

Pediatric Critical Care Medicine: June 2018 - Volume 19 - Issue 6S - p 56-57
doi: 10.1097/01.pcc.0000537485.32529.c5
Poster Abstracts
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1Royal Manchester Childrens Hospital, NWTS and Paediatric Anaesthesia, Manchester, United Kingdom

2Alder Hey Children’s Hospital, NWTS and Paediatric Anaesthesia, Liverpool, United Kingdom

3Royal Manchester Childrens Hospital, NWTS and Paediatric Intensive Care Unit, Manchester, United Kingdom

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Aims & Objectives:

The NWTS team give advice and transfer critically ill children from District General or adult only hospitals to Paediatric Intensive Care Units. Intubating babies is a procedure associated with anxiety, as a result we find that intubation can be delayed awaiting arrival of the NWTS team. This can be detrimental to patient care.

Aims: To assess the procedure and any associated complications when intubating under 1 year olds in DGH/adult only hospitals. The information collected was to help guide advice and training to personnel who need to intubate babies in this setting.

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Methods

Retrospective audit of 100 patients <1year old who were intubated in DGH’s/adult only hospitals. These were consecutive patients and information was obtained retrospectively from clinical case notes. The information collected included patient demographics, grade and specialty of intubating clinician, drugs and equipment used, grade of laryngoscopy, number of attempts at intubation, whether CXR prompted tube re-positioning and any complications during the procedure.

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Results

Please see attached results table

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Conclusions

The results provide reassurance that critically ill children under 1 year are intubated safely and successfully in DGH’s/adult only hospitals. Intubation therefore should not be delayed awaiting the NWTS team. The data guides a recipe card for successful intubation in an under 1 year old. Alongside teaching and training this simple tool should help reassure clinicians.

Copyright © 2017 by the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies