SGEM#487: Tell Me How I’m Supposed to Breathe with No Air? Nasal High Flow or Standard Care for Pediatric Intubation

• 2025

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• Dennis Ren; Spyridon Karageorgos; Shane George

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About

The podcast discusses a recent study that looked at whether nasal high-flow (NHF) oxygen during intubation lowers the risk of low oxygen levels and improves first-attempt success compared to standard care. It included children with respiratory failure in emergency and ICU settings. The goal was to see if NHF makes intubation safer and more effective in these situations. Using nasal high-flow oxygen during emergency intubation in children did not clearly reduce low oxygen events or improve first-attempt success, though some analyses showed fewer oxygen drops, and more research is needed to understand how best to use it.

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Tags

Focus Areas: Everyday Emergency; Infectious Disease; Trauma

Audience: Physicians

Emergency Management Stage: Response

Keywords: Child; Intensive Care Units; Intubation; Oxygen; Respiratory Insufficiency; Pediatric Emergency Medicine

Institutions: Skeptics' Guide To Emergency Medicine (SGEM)

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