Implementation of apneic oxygenation in PICU was feasible, and was associated with significant reduction in moderate and severe oxygen desaturation.

Use of apneic oxygenation should be considered when intubating critically ill children.

All patients less than 18 years old who underwent primary tracheal intubation from August 1, 2014, to September 30, 2018.

Total of 1,373 tracheal intubations (661 preimplementation and 712 postimplementation) took place during study period.

Within 2 months, apneic oxygenation use reached to predefined adherence threshold (> 80% of primary tracheal intubations) after implementation and sustained at greater than 70% level throughout the postimplementation.

Read More