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Endotracheal intuba...
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Dempsey, TinaKarolinska Inst, Dept Global Publ Hlth, S-17177 Solna, Sweden.;Karolinska Univ Hosp, Astrid Lindgren Childrens Hosp, S-17176 Solna, Sweden.
(author)
Endotracheal intubation performance at a large obstetric hospital delivery room, Hanoi, Vietnam
- Article/chapterEnglish2022
Publisher, publication year, extent ...
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Elsevier,2022
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electronicrdacarrier
Numbers
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LIBRIS-ID:oai:DiVA.org:uu-495902
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-495902URI
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https://doi.org/10.1016/j.resplu.2022.100338DOI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:236482918URI
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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Introduction: Intrapartum-related events account for nearly 700,000 neonatal deaths globally yearly. Endotracheal intubation is a cornerstone in preventing many of these deaths, but it is a difficult skill to acquire. Previous studies have described intubation performances in high-income coun-tries, but data from low-and middle-income countries are lacking. We aimed to assess the performance of delivery room intubation in a lower middle -income country.Methods: This prospective observational study was conducted at the Phu San Hanoi Hospital, Vietnam, from September 2020 to January 2021. Video cameras were positioned above the resuscitation tables and data were extracted using adopted software (NeoTapAS). All neonates requiring positive pressure ventilation were included. Our main variables of interest were time to first intubation attempt, first intubation attempt duration, and successful first intubation attempt.Results: 18,107 neonates were born during the five months. Of these, 75 (0.4%) received positive pressure ventilation, and 36 (0.2%) required endotracheal intubation of whom 24 were captured on video. The median time to the first intubation attempt was 252 seconds (range 91-771 sec-onds), the median first attempt duration was 49 seconds (range 10-105 seconds), and the first attempt success rate was 75%.Conclusion: Incidences of positive pressure ventilation and endotracheal intubation were low in comparison to global estimates. Three out of four intubations were successful at the first attempt and the procedural duration was often longer than recommended. Future studies should focus on how to achieve and maintain intubation skills and could include considering alternative devices for airway management at birth.
Subject headings and genre
Added entries (persons, corporate bodies, meetings, titles ...)
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Nguyen, Huong ThuPhu San Hanoi Hosp, Neonatal Dept, Hanoi 100000, Vietnam.
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Nguyen, Huong LienPhu San Hanoi Hosp, Neonatal Dept, Hanoi 100000, Vietnam.
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Bui, Xuan AnhPhu San Hanoi Hosp, Dept Informat Technol, Hanoi 100000, Vietnam.
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Pham, Phuong Thi ThuPhu San Hanoi Hosp, Neonatal Dept, Hanoi 100000, Vietnam.
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Nguyen, Toan K.Phu San Hanoi Hosp, Dept Gynecol Oncol, Hanoi 100000, Vietnam.;Phu San Hanoi Hosp, Dept Int Collaborat, Hanoi 100000, Vietnam.
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Hellden, DanielKarolinska Institutet
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Cavallin, Francesco
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Trevisanuto, DanieleUniv Hosp Padova, Dept Womans & Childs Hlth, I-35128 Padua, Italy.
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Hook, Susanna MyrnertsKarolinska Institutet
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Blennow, MatsKarolinska Institutet
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Olson, LinusKarolinska Institutet,Uppsala universitet,Institutionen för medicinsk biokemi och mikrobiologi,Karolinska Inst, Dept Global Publ Hlth, S-17177 Solna, Sweden.;Karolinska Inst, Dept Womens & Childrens Hlth, S-17177 Solna, Sweden
(author)
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Vu, HienPhu San Hanoi Hosp, Dept Int Collaborat, Hanoi 100000, Vietnam.;Phu San Hanoi Hosp, Intens Care Unit, Hanoi 100000, Vietnam.;Phu San Hanoi Hosp, Poison Control Dept, Hanoi 100000, Vietnam.;Phu San Hanoi Hosp, Social Work Dept, Hanoi 100000, Vietnam.;Univ Med & Pharm, Hanoi 100000, Vietnam.
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Nguyen, Anh DuyUniv Med & Pharm, Hanoi 100000, Vietnam.;Phu San Hanoi Hosp, Board Directors, Hanoi 100000, Vietnam.
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Alfven, TobiasKarolinska Institutet
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Pejovic, NicolasKarolinska Institutet
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Karolinska Inst, Dept Global Publ Hlth, S-17177 Solna, Sweden.;Karolinska Univ Hosp, Astrid Lindgren Childrens Hosp, S-17176 Solna, Sweden.Phu San Hanoi Hosp, Neonatal Dept, Hanoi 100000, Vietnam.
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In:Resuscitation Plus: Elsevier122666-5204
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Dempsey, Tina
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Nguyen, Huong Th ...
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Hellden, Daniel
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