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J Pediatr Intensive Care 2016; 05(01): 028-031
DOI: 10.1055/s-0035-1568149
Original Article
Georg Thieme Verlag KG Stuttgart · New York

Apneic Oxygenation during Rapid Sequence Intubation in Critically Ill Children

Todd Mortimer
1   Section of Pediatric Intensive Care, Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, Manitoba, Canada
,
Jeff Burzynski
1   Section of Pediatric Intensive Care, Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, Manitoba, Canada
,
Murray Kesselman
1   Section of Pediatric Intensive Care, Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, Manitoba, Canada
,
Jeff Vallance
2   Faculty of Health Disciplines, Athabasca University, Athabasca, Alberta, Canada
,
Gregory Hansen
1   Section of Pediatric Intensive Care, Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, Manitoba, Canada
› Author Affiliations
Further Information

Publication History

24 June 2015

17 October 2015

Publication Date:
18 November 2015 (online)

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Abstract

This prospective case series documented hypoxemia and potential complications associated with apneic oxygenation in critically ill pediatric patients during rapid sequence intubation. Forty-four patients received apneic oxygenation via nasal cannula at rates of 5, 10, and 15 L/min for ages <4, 4 to 12, and 12 to 18 years, respectively. Pre- and postintubation attempt mean Spo 2 were 98.9 ± 2.95 and 90.7 ± 1.95%, respectively. Postintubation Spo 2 < 80% were significantly less with one intubation attempt, compared with multiple attempts (p < 0.001). No serious complications were noted. Apneic oxygenation was well tolerated in critically ill children.

Keywords

apneic oxygenation - hypoxemia - airway management
 

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