RT Journal Article
SR Electronic
A1 Dunajova, Klara
A1 Lamberska, Tereza
A1 An Nguyen, Truong
A1 Kubica, Adam
A1 Kudrna, Petr
A1 Plavka, Richard
T1 A stylet use may be beneficial for elective and rescue intubation of prematurely born infants < 30 weeks
JF Biomedical papers
YR 2024
VO 168
IS 3
SP 243
OP 247
DO 10.5507/bp.2024.015
UL https://biomed.papers.upol.cz/artkey/bio-202403-0008.php
AB Background. Recent studies have reported that using a stylet does not provide any advantages during intubation within a diverse infant population. Our research focuses on the issue, specifically in premature infants who undergo elective or rescue intubation (EI or RI) in the delivery room (DR). Methods. We conducted a single-center retrospective observational study comparing the number of intubation attempts, the duration of intubation procedure until successful, and the rate of associated desaturations exceeding 20%. We derived outcomes from video recordings and performed statistical analyses. Results. We have analyzed 104 intubation attempts in 70 infants with a mean gestational age and birth weight of 25±1.9 weeks and 736±221 grams, respectively; 39 of these attempts involved stylet use, and 65 did not. 75% of infants requiring intubation were less than 26 weeks of gestational age. The use of a stylet increased the rate of successful initial attempts [OR (95% CI) 4.3 (1.3-14.8), P=0.019], reduced the duration of the intubation procedure [median (IQR) seconds: 43 (30-72) vs 140 (62-296), P<0.001], and decreased the occurrences of desaturation exceeding 20% (13% vs 50%, P=0.003). Conclusion. The benefits of using a stylet during rescue and elective intubations of premature infants in the delivery room outweigh the potential harms. Its use may be advantageous in settings where proactive approaches are implemented for periviable infants.