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首页> 外文期刊>Pediatric critical care medicine: a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies >Relationship Between Adverse Tracheal Intubation Associated Events and PICU Outcomes*
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Relationship Between Adverse Tracheal Intubation Associated Events and PICU Outcomes*

机译：不良气管插管之间的关系相关事件和PICU结果*

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摘要

Tracheal intubation (TI) is one of the most common procedures in the PICU and can lead to severe hypoxemia and other life-threatening complications. Adverse TI associated events (TIAEs) and hypoxemia below 80% during TI occur in approximately 15% and 13% of TIs, respectively. Compared with healthy patients undergoing TI (e.g., during anesthesia for elective surgery), critically ill patients are at a much higher risk for, adverse events during TI. Adverse TIAEs may lead to increased morbidity and mortality in critically ill children and have been used as quality improvement (QI) and patient safety indicators. Previous studies have demonstrated that airway events might be associated with ICU outcomes such as length of stay in critically ill children. Extubation failure in infants after cardiac surgery is associated with a significantly longer ICU stay. Children experiencing an unplanned extubation during their PICU course have increased length of stay in both the PICU and the hospital. What remains unclear is whether factors around the time of intubation itself contribute to these clinical outcomes: length of PICU stay or mechanical ventilation (MV), and mortality in the critically ill children.
机译：气管插管（TI）是PICU中最常见的程序之一，可导致严重的低氧血症和其他危及生命的并发症。在TI期间，在TI期间的80％以下的不良TI相关事件（TIAE）和低氧血症分别发生在约15％和13％。与接受Ti的健康患者相比（例如，在出麻醉期间的选择性手术期间），危重患者在TI期间具有更高的风险，不良事件。不利的典型可能导致危重儿童的发病率和死亡率增加，并被用作质量改进（QI）和患者安全指标。以前的研究表明，气道事件可能与ICU结果相关，如批判性儿童的逗留时间。心脏手术后婴儿的拔管失败与ICU保持明显更长的ICU。在PICU课程中遇到意外拔管的儿童在PICU和医院的逗留时间增加了。难以清楚的是，在插管时的因素是否本身有助于这些临床结果：PICU留下的长度或机械通气（MV），以及批评性儿童的死亡率。

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