Effect of Out-of-Hospital Pediatric Endotracheal Intubation on Survival and Neurological Outcome

Authors:
  • RLRoger J. Lewis
    Roger J. Lewis
  • BHBruce E. Haynes
    Bruce E. Haynes
  • CGCarol S. Gunter
    Carol S. Gunter
  • SGSuzanne M. Goodrich
    Suzanne M. Goodrich
  • PPPamela D. Poore
    Pamela D. Poore
  • MMMaureen D. McCollough
    Maureen D. McCollough
  • DHDeborah P. Henderson
    Deborah P. Henderson
  • FPFranklin D. Pratt
    Franklin D. Pratt
  • JSJames S. Seidel
    James S. Seidel

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Abstract
Although bag-valve-mask ventilation (BVM) and endotracheal intubation (ETI) are both widely used in the out-of-hospital setting in caring for critically ill or injured children, there has been no controlled study comparing the outcomes of pediatric or adult patients treated with these 2 procedures. In 1 out-of-hospital study, BVM did compare favorably to non-ETI advanced airway management techniques (pharyngeal tracheal lumen, laryngeal mask, and esophageal tracheal combination esophageal-tracheal tube) among adults and children, as measured by PO2 and PCO2 values on arrival in the emergency department (ED), frequency of vomiting, and patient outcome.1

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