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Safety of tracheal intubation in the presence of cardiac disease in paediatric ICUs.

  • Gradidge, Eleanor A1
  • Bakar, Adnan2
  • Tellez, David1
  • Ruppe, Michael3
  • Tallent, Sarah4
  • Bird, Geoffrey5
  • Lavin, Natasha6
  • Lee, Anthony7
  • Nadkarni, Vinay8
  • Adu-Darko, Michelle9
  • Bain, Jesse10
  • Biagas, Katherine11
  • Branca, Aline1
  • Breuer, Ryan K12
  • Brown, Calvin13
  • Bysani, Kris14
  • Emeriaud, Guillaume15
  • Gangadharan, Sandeep2
  • Giuliano, John S16
  • Howell, Joy D17
  • And 24 more
  • 1 1Division of Pediatric Critical Care,Phoenix Children's Hospital,Phoenix,AZ,USA.
  • 2 2Pediatric Cardiology,Cohen Children's Medical Center,Northwell Health System,Hofstra School of Medicine,New Hyde Park,NY,USA.
  • 3 3Department of Pediatrics,Division of Critical Care Medicine,University of Louisville School of Medicine,Norton Children's Hospital,Louisville,KY,USA.
  • 4 4Division of Pediatric Critical Care Medicine,Duke University Hospital,Durham,NC,USA.
  • 5 5Division of Cardiac Critical Care Medicine,The Children's Hospital of Philadelphia,Philadelphia,PA,USA.
  • 6 6Respiratory Care Department,The Children's Hospital of Philadelphia,Philadelphia,PA,USA.
  • 7 7Department of Pediatrics,Ohio State University College of Medicine,Nationwide Children's Hospital,Columbus,OH,USA.
  • 8 8Department of Anesthesiology and Critical Care Medicine,The Children's Hospital of Philadelphia,Philadelphia,PA,USA.
  • 9 9Department of Pediatrics,Division of Pediatric Critical Care,University of Virginia Children's Hospital,Charlottesville,VA,USA.
  • 10 10Department of Pediatrics,Division of Critical Care Medicine,Children's Hospital of Richmond at VCU,Richmond,VA,USA.
  • 11 11Division of Pediatric Critical Care Medicine,New York Presbyterian Hospital,Columbia University Medical Center,New York,NY,USA.
  • 12 12Division of Critical Care,UBMD Pediatrics,Women and Children's Hospital of Buffalo,University at Buffalo,Buffalo,NY,USA.
  • 13 13Department of Emergency Medicine,Harvard Medical School,Brigham and Women's Hospital,Boston,MA,USA.
  • 14 14Pediatric Acute Care Associates of North Texas PLLC,Medical City Children's Hospital,Dallas,TX,USA.
  • 15 15Department of Pediatrics,CHU Sainte Justine,Université de Montréal,Montreal,QC,Canada. , (Canada)
  • 16 16Department of Pediatrics,Division of Critical Care Medicine,Yale University School of Medicine,New Haven,CT,USA.
  • 17 17Department of Pediatrics,Weill Cornell Medical College,New York,NY,USA.
  • 18 18Division of Pediatrics Critical Care Medicine,Department of Pediatrics and Public Health Science,Penn State Hershey Children's Hospital,Hershey,PA,USA.
  • 19 19KK Women's and Children's Hospital, Singapore,Singapore. , (Singapore)
  • 20 20Department of Pediatrics,Division of Critical Care Medicine,New York Medical College,Maria Fareri Children's Hospital,Valhalla,NY,USA.
  • 21 21Nicklaus Children's Hospital,Miami Children's Health System,Miami,FL,USA.
  • 22 22Department of Pediatric Critical Care,Children's Hospital at Montefiore,Albert Einstein College of Medicine,Bronx,NY,USA.
  • 23 23Department of Pediatrics,Section of Pediatric Critical Care Medicine,Dartmouth-Hitchcock Medical Center,Lebanon,NH,USA. , (Lebanon)
  • 24 24Paediatric Intensive Care Unit,Starship Children's Hospital,Auckland,New Zealand. , (New Zealand)
  • 25 25Children's Respiratory and Critical Care Specialist,Children's Hospitals and Clinics of Minnesota,Minneapolis,MN,USA.
  • 26 26Department of Pediatrics,Stony Brook Children's Hospital,Stony Brook,NY,USA.
  • 27 27Department of Critical Care,Alberta Children's Hospital,Calgary,AB,Canada. , (Canada)
  • 28 28Division of Pediatric Critical Care Medicine,The Warren Alpert School of Medicine at Brown University,Providence,RI,USA.
  • 29 29Department of Pediatric Emergency and Critical Care Medicine,Tokyo Metropolitan Children's Medical Center,Tokyo,Japan. , (Japan)
  • 30 30Section of Pediatric Critical Care,Department of Pediatrics,University of Arkansas College of Medicine,Little Rock,AR,USA.
  • 31 31Department of Pediatrics,Division of Pediatric Critical Care,Kentucky Children's Hospital,University of Kentucky College of Medicine,Lexington,KY,USA.
  • 32 32University of Pittsburgh School of Medicine,Pittsburgh,PA,USA.
  • 33 33Pediatric Intensive Care Unit,BC Children's Hospital,Vancouver,BC,Canada. , (Canada)
  • 34 34Department of Pediatrics,Division of Pediatric Critical Care Medicine,Emory University School of Medicine,Atlanta,GA,USA.
  • 35 35Pediatric Critical Care,University of Vermont College of Medicine,Burlington,VT,USA.
  • 36 36Department of Critical Care,Children's Healthcare of Atlanta at Scottish Rite,Atlanta,GA,USA.
Published Article
Cardiology in the Young
Cambridge University Press
Publication Date
Apr 25, 2018
DOI: 10.1017/S1047951118000495
PMID: 29690950


The overall incidence of adverse tracheal-intubation-associated events in cardiac patients was not different from that in non-cardiac patients. However, the presence of a cardiac diagnosis was associated with a higher occurrence of both tracheal-intubation-associated cardiac arrest and oxygen desaturation.

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