Source:http://linkedlifedata.com/resource/pubmed/id/11172563
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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
1
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| pubmed:dateCreated |
2001-2-9
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| pubmed:abstractText |
Controversy exists regarding the efficacy of prehospital assisted ventilation by endotracheal intubation (ETI) versus bag-valve-mask (BVM) in serious pediatric head injury. The National Pediatric Trauma Registry (NPTR-3) data set was analyzed to examine this question. NPTR-3 (n = 31,464) was queried regarding the demographics, injury mechanism, injury severity, prehospital interventions, transport mode, mortality rate, injury complications, procedure and equipment failure or complications, and functional outcome of seriously head-injured patients (n = 578) with comparable injury mechanisms and injury severity who received endotracheal intubation (ETI) (n = 479; 83%) versus those who received BVM (n = 99; 17%). Mortality rate was virtually identical between the 2 groups (ETI = 48%, BVM = 48%), although children receiving ETI were significantly older (P < .01), more often transported by helicopter (P < .01), and more often received intravenous fluid in the field (P < .05). However, injury complications affecting nearly every body system or organ (except kidney, gut, and skin) occurred less often in children receiving ETI (ETI = 58%, BVM = 71%, P < .05). Procedure and equipment failure or complications, and functional outcome, were similar between the 2 groups. Prehospital endotracheal intubation appears to offer no demonstrable survival or functional advantage when compared with prehospital bag-valve-mask for prehospital assisted ventilation in serious pediatric head injury. Injury complications appear to occur somewhat less often among patients intubated in the field.
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| pubmed:language |
eng
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| pubmed:journal | |
| pubmed:citationSubset |
IM
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| pubmed:status |
MEDLINE
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| pubmed:month |
Feb
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| pubmed:issn |
1055-8586
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| pubmed:author | |
| pubmed:issnType |
Print
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| pubmed:volume |
10
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| pubmed:owner |
NLM
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| pubmed:authorsComplete |
Y
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| pubmed:pagination |
3-6
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| pubmed:dateRevised |
2004-11-17
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| pubmed:meshHeading |
pubmed-meshheading:11172563-Adolescent,
pubmed-meshheading:11172563-Child,
pubmed-meshheading:11172563-Child, Preschool,
pubmed-meshheading:11172563-Craniocerebral Trauma,
pubmed-meshheading:11172563-Emergency Medical Services,
pubmed-meshheading:11172563-Equipment Failure,
pubmed-meshheading:11172563-Female,
pubmed-meshheading:11172563-Humans,
pubmed-meshheading:11172563-Infant,
pubmed-meshheading:11172563-Injury Severity Score,
pubmed-meshheading:11172563-Intubation, Intratracheal,
pubmed-meshheading:11172563-Male,
pubmed-meshheading:11172563-Registries,
pubmed-meshheading:11172563-Treatment Outcome
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| pubmed:year |
2001
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| pubmed:articleTitle |
Prehospital endotracheal intubation for severe head injury in children: a reappraisal.
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| pubmed:affiliation |
Division of Pediatric Surgery, Columbia University College of Physicians & Surgeons, Harlem Hospital Center, 506 Lenox Ave, 10037 New York, NY, USA.
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| pubmed:publicationType |
Journal Article
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