Pediatric anesthesia & critical care
Early extubations in children intubated prior to arrival in Paediatric Burn ICU: A single center retrospective study over 1520 admissions
Authors' conclusion
Intubation before admission to a burn intensive care unit was less frequent in children. The paediatric rate of PUNI, however, was close to findings reported in adults: approximately one-third of intubated children were extubated within 2 days.
Study context
- Population
- Children (age 0–17) admitted to a paediatric burn ICU over an 8-year period56 arrived intubated
- Participants
- 1,520 children
- Exposure
- Potentially unnecessary intubation vs potentially necessary intubation
- PUNIn = 20
- Outcome
- Extubation within the first two days among patients arriving intubated (PUNI rate)
- Follow-up
- 2 days
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
PUNI rate among children arriving intubated
PUNI
36%
20
Observational data: associations, not effects.
Further findings
%TBSA burned
P = 0.002
Arrival intubated among admitted children
- Arrived intubated
- 56 (4%)
Factors independently associated with PNI (multivariate)
- %TBSA burned, OR per additional per cent
- 1.12 [1.09-1.15]
- Flame burns, OR
- 4.43 [1.64-11.6]
- Facial burns, OR
- 12.28 [3.41-67.4]
- Score developed to predict PNI
Intubation after admission
- Children intubated after admission
- Seven (<0.5%)
Original publication
Early extubations in children intubated prior to arrival in Paediatric Burn ICU: A single center retrospective study over 1520 admissions. Anaesth Crit Care Pain Med. Published 21 February 2025. doi:10.
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