Comparison of Unplanned Extubations Associated with Orotracheal versus Nasotracheal Intubation in Infants.
Abstarcts: Objective: To evaluate the association between orotracheal versus nasotracheal intubation route and unplanned extubation (UE) risk among infants. Study design: This retrospective cohort study included all tracheal intubation (TI) events among infants admitted to a level IV NICU from 2022...
| Publicado en: | Journal of Perinatology Vol. 46; no. 8; pp. 1528 - 1535 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Aug2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=196157244&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 196157244 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 07438346 DZF jtl: Journal of Perinatology issn: 07438346 maglogo: Y pubinfo: dt: Aug2026 vid: 46 iid: 8 pid: 2579 pub: Springer Nature place: Dordrecht, <Blank> artinfo: ui: 196157244 196157244 196157244 10.1038/s41372-026-02615-y 196157244 ppf: 1528 ppct: 7 formats: tig: atl: Comparison of Unplanned Extubations Associated with Orotracheal versus Nasotracheal Intubation in Infants. aug: au: Chitamanni, Pavani Hays, Thomas Vargas, Diana Patterson, Takeya Lush, Gloria Lyford, Alex Sahni, Rakesh Kim, Faith affil: https://ror.org/01esghr10 Division of Neonatology, Department of Pediatrics, Columbia University Irving Medical Center, 10032, New York, NY, USA sug: subj: Intubation, Intratracheal Methods Extubation, Traumatic Risk Factors Risk Assessment Infant, Hospitalized Intensive Care Units, Neonatal New York Human Infant Male Female Descriptive Statistics Inpatients Retrospective Design Record Review Prospective Studies Kaplan-Meier Estimator Infant: 1-23 months Male Female ab: Abstarcts: Objective: To evaluate the association between orotracheal versus nasotracheal intubation route and unplanned extubation (UE) risk among infants. Study design: This retrospective cohort study included all tracheal intubation (TI) events among infants admitted to a level IV NICU from 2022 to 2024. Kaplan-Meier survival analysis was used to assess UE risk by TI route. Result: There were 1160 TI events and 23 UEs during the study period. The UE rate was three times lower in the nasotracheal intubation group compared to orotracheal (0.01 vs. 0.03 per 100 ventilator days). UE risk was significantly higher in orotracheally intubated infants (p = 0.03) with no differences when stratified by sex, gestational age, or birth weight. Conclusion: Nasotracheal intubation was associated with lower UE risk in infants in a unit that predominantly performs nasotracheal intubation. Prospective randomized studies are needed to further investigate if TI route may contribute to fewer UEs in this population. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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