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To evaluate success rates and adverse effects of pediatric rapid sequence intubation (RSI), researchers reviewed video recordings and medical records for 114 children (median age, 2.4 years) who underwent RSI at an academic tertiary pediatric emergency department during 1 year. RSI was performed under the supervision of pediatric emergency medicine and anesthesiology attending physicians. An intubation attempt was defined as insertion of the laryngoscope blade, irrespective of endotracheal tube use.
Most patients (78%) underwent RSI for medical reasons. Intubation was performed via direct laryngoscopy in all but one child, who was intubated with video-assisted laryngoscopy. Intubation was successful on the first attempt in 52% of children, t…