Risk factors for inadequate sedation after endotracheal intubation in the pediatric emergency department
Berg et al. reported three risk factors for inadequate sedation: the use of a long-acting paralytic, lower systolic blood pressure, and admission to the pediatric intensive care unit [9]. Standardization, in particular with a procedural checklist, has been reported to improve the safety of RSI [10-1...
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| Published in | The American journal of emergency medicine Vol. 56; pp. 15 - 20 |
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| Main Authors | , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Elsevier Inc
01.06.2022
Elsevier Limited |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0735-6757 1532-8171 1532-8171 |
| DOI | 10.1016/j.ajem.2022.03.002 |
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| Abstract | Berg et al. reported three risk factors for inadequate sedation: the use of a long-acting paralytic, lower systolic blood pressure, and admission to the pediatric intensive care unit [9]. Standardization, in particular with a procedural checklist, has been reported to improve the safety of RSI [10-13]. Since 2012, our academic PED utilized a standardized, checklist-based protocol for RSI and modified RSI performed in the department. The study protocol was reviewed by our Institutional Review Board prior to commencement and was determined exempt. SAS (Version 9.4) was used to conduct the analysis.3 Results 3.1 Enrollment and study subjects During the 5-year study period, we identified 385 eligible patient encounters. |
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| AbstractList | Berg et al. reported three risk factors for inadequate sedation: the use of a long-acting paralytic, lower systolic blood pressure, and admission to the pediatric intensive care unit [9]. Standardization, in particular with a procedural checklist, has been reported to improve the safety of RSI [10-13]. Since 2012, our academic PED utilized a standardized, checklist-based protocol for RSI and modified RSI performed in the department. The study protocol was reviewed by our Institutional Review Board prior to commencement and was determined exempt. SAS (Version 9.4) was used to conduct the analysis.3 Results 3.1 Enrollment and study subjects During the 5-year study period, we identified 385 eligible patient encounters. |
| Author | Zhang, Yin Kerrey, Benjamin T. Edmunds, Katherine J. Boyd, Stephanie Caruso, Michelle Byczkowski, Terri Frey, Mary Timm, Nathan |
| Author_xml | – sequence: 1 givenname: Katherine J. surname: Edmunds fullname: Edmunds, Katherine J. email: Katherine.Edmunds@cchmc.org organization: Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave MLC 2008 Cincinnati, OH 45229; Department of Pediatrics, University of Cincinnati College of Medicine, 3230 Eden Ave, Cincinnati, OH 45267, United States of America – sequence: 2 givenname: Terri surname: Byczkowski fullname: Byczkowski, Terri email: Terri.Byczkowski@cchmc.org organization: Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave MLC 2008, Cincinnati, OH 45229, United States of America – sequence: 3 givenname: Mary surname: Frey fullname: Frey, Mary email: Mary.Frey@cchmc.org organization: Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave MLC 2008, Cincinnati, OH 45229, United States of America – sequence: 4 givenname: Stephanie surname: Boyd fullname: Boyd, Stephanie email: Stephanie.Boyd@cchmc.org organization: Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave MLC 2008, Cincinnati, OH 45229, United States of America – sequence: 5 givenname: Michelle surname: Caruso fullname: Caruso, Michelle email: Michelle.Caruso@cchmc.org organization: Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave MLC 2008, Cincinnati, OH 45229, United States of America – sequence: 6 givenname: Yin surname: Zhang fullname: Zhang, Yin email: Yin.Zhang@cchmc.org organization: Division of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave MLC 2008, Cincinnati, OH 45229, United States of America – sequence: 7 givenname: Benjamin T. surname: Kerrey fullname: Kerrey, Benjamin T. email: Benjamin.Kerrey@cchmc.org organization: Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave MLC 2008 Cincinnati, OH 45229; Department of Pediatrics, University of Cincinnati College of Medicine, 3230 Eden Ave, Cincinnati, OH 45267, United States of America – sequence: 8 givenname: Nathan surname: Timm fullname: Timm, Nathan email: Nathan.Timm@cchmc.org organization: Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave MLC 2008 Cincinnati, OH 45229; Department of Pediatrics, University of Cincinnati College of Medicine, 3230 Eden Ave, Cincinnati, OH 45267, United States of America |
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| SubjectTerms | Anesthesia Benzodiazepines Blood pressure Check lists Child Data collection Drug administration Drug dosages Emergency Emergency medical care Emergency Service, Hospital Etomidate Fentanyl Humans Intensive care Intubation Intubation, Intratracheal - adverse effects Ketamine Length of stay Midazolam Patients Pediatrics Risk Factors Sedatives Standardization |
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| Title | Risk factors for inadequate sedation after endotracheal intubation in the pediatric emergency department |
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