Safety of primary nasotracheal intubation in the pediatric intensive care unit (PICU).
Laurence Ducharme-CrevierJamie Furlong-DillardPhilipp JungFabrizio ChiusoloMatthew P MaloneShashikanth AmbatiSimon J ParsonsConrad KrawiecAwni Al-SubuLee A PolikoffNatalie NapolitanoKeiko M TarquinioAsha ShenoiAndrea TalukdarPalen P MalloryJohn S GiulianoRyan K BreuerKrista KierysSerena P KellyMakoto MotomuraRon C SandersAshley FreemanYuki NagaiLily B Glater-WeltJoseph WilsonMervin LoiMichelle Adu-DarkoJustine ShultsVinay NadkarniGuillaume EmeriaudAkira Nishisakinull nullPublished in: Intensive care medicine. Paediatric and neonatal (2024)
In this large international prospective cohort study, the risk of severe peri-intubation complications was not significantly higher. Nasal TI is used in a minority of TI in PICUs, with substantial differences in patient, provider, and practice compared to oral TI.A prospective multicenter trial may be warranted to address the potential selection bias and to confirm the safety of nasal TI.