Does Tracheal Intubation Improve In-Hospital Cardiac Arrest Outcomes for Children?

Observational data support poorer survival outcomes with intubation in this setting.

For cardiopulmonary resuscitation (CPR) in hospitalized children, respiratory support is emphasized, as the predominant cause of cardiac arrest is respiratory failure. In the current observational study, researchers compared survival and neurological outcomes in 1555 children who were intubated and 739 who were not intubated during CPR lasting at least 10 minutes. The mean age of participants was 7 months.

The median time to successful tracheal intubation was 5 minutes after beginning chest compressions. Fifty-one percent of the cohort survived to discharge. Tracheal intubation during CPR was associated with decreased likelihood of survival to discharge in both unadjusted and adjusted analyses. In adjusted analyses, return of spontaneous cir…

Reviewing Author

F. Bruder Stapleton, MD

Disclosures

Consultant/Advisory BoardCareer Physician

Editorial BoardsUpToDate

Leadership Positions in Professional SocietiesAmerican Society of Pediatric Nephrology Foundation (Chair)

F. Bruder Stapleton, MD

Disclosures

Consultant/Advisory BoardCareer Physician

Editorial BoardsUpToDate

Leadership Positions in Professional SocietiesAmerican Society of Pediatric Nephrology Foundation (Chair)

Does Tracheal Intubation Improve In-Hospital Cardiac Arrest Outcomes for Children?

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Reviewing Author