Author/Editor		Vidmar, Ivan; Derganc, Metka
Title		Razlike v vrednotenju kliničnih indikacij za intubacijo v pediatriji
Translated title		Differences between criteria applied to determine the need for intubation in newborns, infants, children
Type		članek
Source		In: Bručan A, Gričar M, editors. Urgentna medicina: izbrana poglavja 6. Zbornik 7. mednarodni simpozij o urgentni medicini; 2000 jun 14-17; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Publication year		2000
Volume		str. 101-8
Language		slo
Abstract		Background: The physician's decision to intubate a newborn, an infant or a child (patient) is most frequently based on signs and symptoms. Objective: To determine the point at which physicians decide that intubation is mandatory in the same group of patients, based on signs and symptoms. Setting: Multidisciplinary paediatric intensive care unit at a university medical centre (referral centre), with its own medical transport service from other paediatric and neonatal wards in Slovenia. Participants and methods: 159 patients were referred to our centre between 1 January and 31 December 1999. Such patients are usually examined by a primary care physician and by a second physician before transport. We selected patients who had not been intubated by the primary care physician but who were then subsequently intubated by a second physician. The results were reviewed to establish whether different criteria had been applied by the physicians to decide on the need for intubation. Results: 94/159 (59%) of patients were intubated during transport. Of these 94, 78 (83%) were intubated by the primary care physician and 16 (17%) by the paediatrician from the transport team after the primary care physician had decided it was not necessary. There were clear differences in the criteria applied in the latter 16 patients to decide on the need for intubation. Conclusion: Our data demonstrate that the criteria applied by different physicians to determine the need for intubation in critically ill newborns and infants can differ widely.
Descriptors		INTUBATION, INTRATRACHEAL AIRWAY OBSTRUCTION PATIENT SELECTION INFANT, NEWBORN INFANT CHILD MIDAZOLAM DIAZEPAM KETAMINE LARYNGEAL MASKS TRACHEOTOMY RESPIRATORY DISTRESS SYNDROME INTRACRANIAL PRESSURE SHOCK TRACHEA TREATMENT OUTCOME