Incidence and Risk Factors of Immediate Serious Complications from Endotracheal Intubation in Pediatric Patients

Abstract

Incidence and Risk Factors of Immediate Serious Complications from Endotracheal Intubation in Pediatric Patients

Manutham            Manavathongchai         MD

Daranee               Issaranimitkul               MD

Payon                   Boonyarittipong            MD

Department of Pediatrics, BMA Medical College and Vajira Hospital

Objectives: To determine the incidence and risk factors of immediate serious complications from endotracheal intubation in pediatric patients.

Study design: Descriptive study.

Subjects: A total of 77 pediatric patients who had endotracheal intubation at BMA Medical College and Vajira Hospital during February 2007 and August 2008 were recruited.

Methods: Data from medical records of the enrolled subjects were collected and analyzed.

Main outcome measures: Serious complications from endotracheal intubation such as cardiac arrest, shock and severe hypoxemia.

Results: Age of the patients ranged from 1 day to 15 years (median 5 days). Incidence of immediate serious complications from endotracheal intubation was 45.5%. PRISM III score more than or equal to 6 was the significant risk factor for immediate serious complications from endotracheal intubation with odds ratio of 2.9 (95% confidence interval: 1.1-7.4). Factor tended to be associated with immediate serious complications but without statistical significance was multiple intubations.

Conclusion: The incidence of immediate serious complications from endotracheal intubation was 45.5%. PRISM III score more than or equal to 6 was the significant risk factor for immediate serious complications from endotracheal intubation in pediatric patients.

Vajira Med J 2009 ; 53 : 17 - 24