Neonatal Digital Intubation – Four Brief Interesting YouTube Videos With A Caveat

The article on which these videos are based is Neonatal laryngoscope intubation and the digital method: a randomized controlled trial. [PubMed Abstract]
Moura JH, da Silva GA. J Pediatr. 2006 Jun;148(6):840-1.

Unfortunately, the above article is not open access so I could not review the data.

And my quick search of PubMed and Google scholar did not reveal any citations of this article nor could I find relevant related articles. 

So, a general pediatrician or family physician [at perhaps a critical access hospital] considering this technique [neonatal digital intubation] would first want to discuss it with his referral neonatologist.

The first post [below] was Published on Oct 27, 2013 by Jose Moira:
Neonatal Intubation (digital method) within the golden minute for meconium aspiration. The digital intubation time was 8-9 seconds. The baby recovered well. Despite being recommended in neonatal resuscitation programs, there is inadequate data for the efficacy of tracheal intubation in the depressed newborn.

The second video [below] was published on Sep 1, 2012 by Jose Moira.
Neonatal Digital Intubation [Part 1]. First day of life, 1795g, nasal ventilation on 70% of O2, saturating 84%.
The plan: Digital intubation with no sedation, surfactant and extubation (InSurE) trying to avoid mechanical ventilation.
The technique once learned becomes the choice of some professionals.

The third video [below] was published on Sep 9, 2012 by Jose
Second day of life, 1795g, second InSurE administration in 15s (first one in 6s). Nasal ventilation. Room air in the 7th day.

The fourth video [below] was published on Mar 30, 2014 by Jose Moira.
Neonatal first year fellow digital intubating for InSurE. The baby remained inside the incubator.


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