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Experience of endotracheal intubation and supraglottic airway insertion by consultant paediatricians in non-tertiary neonatal units: a Scotland-wide survey
  1. Gemma Edwards1,
  2. Philine Van Der Heide2,
  3. Joyce E O'Shea1
  1. 1 Neonatology, Royal Hospital for Children, Glasgow, UK
  2. 2 Paediatrics and Neonatology, Raigmore Hospital, Inverness, UK
  1. Correspondence to Dr Gemma Edwards, Royal Hospital for Children, Glasgow, UK; gemma.edwards6{at}nhs.scot

https://doi.org/10.1136/archdischild-2024-327257

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    Background

    Current expectation is that all paediatric consultants caring for newborns are competent intubators. However, many, especially in smaller units, may intubate infrequently. Success rates are known to be low for all tiers of clinicians, particularly in the emergency setting, and multiple attempts are frequent.1 Supraglottic airways (SGAs) are an alternative to intubation that are easier to use. We surveyed consultant paediatricians working in non-tertiary centres to quantify their experiences of neonatal intubation and SGAs.

    Results

    Two online surveys were conducted in all non-tertiary Scottish neonatal units, assessing intubation and SGA insertion frequency, confidence and perspectives. All nine unit lead consultants and 89% (62/70) of all consultants responded. 57% reported feeling confident/very confident at neonatal …

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    Footnotes

    • X @_g_edwards, @oshea_jem

    • Contributors GE, PVDH and JEO jointly contributed to study design, survey development, analysis of results and writing of the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; internally peer reviewed.