Cardiothoracic & vascular anesthesia
Outcomes of Nasotracheal Versus Orotracheal Intubation in Neonates After Cardiopulmonary Bypass Surgery: A Retrospective Cross‐Sectional Analysis
Authors' conclusion
NI was not associated with improved exclusive oral feeding at discharge for neonatal cardiac surgical patients and may be associated with an increased risk of pressure injury in this single center, retrospective, cross-sectional study.
Study context
- Population
- Neonates intubated in the operating room undergoing CPB surgery, 2018 to 2020
- Participants
- 179 neonates
- Exposure
- Nasal vs oral intubation
- Oral intubation (OI)n = 89reference
- Nasal intubation (NI)n = 90
- Outcome
- Unplanned extubation and oral feeding at discharge
Methodological detailssingle center
- Single center
Main finding
As reported in the abstract
Unplanned extubation; exclusively oral feeding at ICU transfer or hospital discharge
- No difference between NI and OI
Observational data: associations, not effects.
Secondary outcomes
Hospital LOS, duration of intubation, complications during induction
- No difference
Sedation administration
- Similar between the groups
Safety
| Outcome | OR (95% CI) | P value | |
|---|---|---|---|
| Skin breakdown related to the ETT | 0.12 (0.01–0.65) | P = 0.045 | |
| 0.050.21520Odds ratio (log scale) |
- Skin breakdown related to the endotracheal tube (ETT) — Share of breakdown occurring in the NI group
- 89%
Original publication
Outcomes of Nasotracheal Versus Orotracheal Intubation in Neonates After Cardiopulmonary Bypass Surgery: A Retrospective Cross‐Sectional Analysis. Paediatr Anaesth. Published 9 July 2025. doi:10.
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