Use of a Stylet Does Not Improve Neonatal Intubation Success

First-attempt success rates of emergent neonatal intubation by trainees were similar with and without use of a stylet.

In a randomized trial, investigators compared success rates of first-attempt neonatal emergency intubation (defined as in the delivery room or within 24 hours after birth) with and without use of the Satin Slip intubation stylet. Intubation was performed by pediatric residents and fellows at an Australian tertiary prenatal center. No premedication was used in the delivery room, whereas premedication with morphine or fentanyl, atropine, and suxamethonium was used in the neonatal intensive care unit (NICU).

A total of 302 attempts were made in 232 infants (median gestational age, 29 weeks), with 146 intubations performed in the delivery room and 156 in the NICU. First-attempt success rates were similar between the stylet and no-stylet groups (…

Reviewing Author

Katherine Bakes, MD

Disclosures

RoyaltiesEmergency Medicine Secrets (Elsevier)

Grant/Research SupportDepartment of Justice

Editorial BoardsEmergency Medicine Secrets (Elsevier); Rosen’s Emergency Medicine (Elsevier)

Katherine Bakes, MD

Disclosures

RoyaltiesEmergency Medicine Secrets (Elsevier)

Grant/Research SupportDepartment of Justice

Editorial BoardsEmergency Medicine Secrets (Elsevier); Rosen’s Emergency Medicine (Elsevier)