Megan M Gray1, Rachel A Umoren2, Spencer Harris2,3, Thomas P Strandjord2, Taylor Sawyer2. 1. Neonatal Education and Simulation-based Training (NEST) Program, Division of Neonatology, Department of Pediatrics, University of Washington School of Medicine and Seattle Children's Hospital, Seattle, USA. graym1@uw.edu. 2. Neonatal Education and Simulation-based Training (NEST) Program, Division of Neonatology, Department of Pediatrics, University of Washington School of Medicine and Seattle Children's Hospital, Seattle, USA. 3. University of Washington School of Medicine, Seattle, USA.
Abstract
OBJECTIVE: To examine the use and perceived safety of stylets for neonatal intubation in a cohort of providers in the United States. STUDY DESIGN: A cross-sectional survey was sent to members of the American Academy of Pediatrics Section on Neonatal-Perinatal Medicine. RESULT: A total of 640 responses were received. 57% reported using a stylet 'every time' or 'almost every time' they intubated. The preferred stylet bend was a smooth bend of <30 degrees. 71% of respondents believed that stylets were safe. Reported complications from stylet use included tube dislodgement during stylet removal (32%), airway injury with bleeding (9%), and tracheal perforation (2%). CONCLUSION: Stylet use was common. There was fair consistency on preference for stylet bend and position. Stylet use was believed to be safe, but complications were observed by many respondents. Additional studies are needed to examine the risks and benefits of stylet use during neonatal intubation.
OBJECTIVE: To examine the use and perceived safety of stylets for neonatal intubation in a cohort of providers in the United States. STUDY DESIGN: A cross-sectional survey was sent to members of the American Academy of Pediatrics Section on Neonatal-Perinatal Medicine. RESULT: A total of 640 responses were received. 57% reported using a stylet 'every time' or 'almost every time' they intubated. The preferred stylet bend was a smooth bend of <30 degrees. 71% of respondents believed that stylets were safe. Reported complications from stylet use included tube dislodgement during stylet removal (32%), airway injury with bleeding (9%), and tracheal perforation (2%). CONCLUSION: Stylet use was common. There was fair consistency on preference for stylet bend and position. Stylet use was believed to be safe, but complications were observed by many respondents. Additional studies are needed to examine the risks and benefits of stylet use during neonatal intubation.
Authors: Megan M Gray; Jennifer A Rumpel; Brianna K Brei; Jeanne Alexandra Krick; Taylor Sawyer; Kristen Glass; Stephen DeMeo; James Barry; Anne Ades; Natalie Napolitano; Lindsay Johnston; Ahmed Moussa; Phillip Jung; Bin Huey Quek; Ayman Abou Mehrem; Jeanne Zenge; Justine Shults; Vinay Nadkarni; Jae Kim; Neetu Singh; Alicia Tisnic; Elizabeth Foglia; Akira Nishisaki Journal: Neonatology Date: 2021-05-04 Impact factor: 4.035