Pediatric anesthesia & critical care
Effect of prehospital respiratory interventions on pediatric drowning outcomes
Authors' conclusion
In pediatric patients in OHCA following drowning, endotracheal intubation was not associated with significantly different odds of favorable neurological outcome or survival at hospital discharge compared to BVM. No differences in outcomes also occurred in non-OHCA patients based on provision of prehospital supplemental oxygen.
Study context
- Population
- Children 0–18 years old presenting post-drowning to one of 32 pediatric EDs, 2010–2017Out-of-hospital cardiac arrest (OHCA): 213 (7%)
- Participants
- 3,188 children
- Exposure
- Endotracheal intubation vs bag-valve mask (BVM) in OHCA patients; supplemental oxygen vs room air in non-OHCA patients
- Outcome
- Survival or favorable neurological outcome (Cerebral Performance Category)
- Follow-up
- Hospital discharge
Methodological detailssub-analysis, multicentre
- Sub-analysis
- Multicentre
Main finding
As reported in the abstract
Favorable neurological outcome and survival (OHCA patients)
Intubation vs BVMAdjusted odds ratio (95% CI)
Favorable neurological outcome
0.6(0.1–3.5)
Survival
2.0(0.6–7.2)
Observational data: associations, not effects.
Original publication
Effect of prehospital respiratory interventions on pediatric drowning outcomes. Resuscitation. Published 10 March 2026. doi:10.
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