[Endotracheal intubation in prehospital treatmen of children with craniocerebral injuries].
BACKGROUND
Intubation and airway control of injured children is of vital importance, but despite its advantages is associated with meny risks when is performed outside the hospital and by the untrained physicians. Aim of this study was to determine the importance for the survival of the children with craniocerebral injuries, and also for final outcome of treatment.


METHODS
This study is a clinical, partly prospective, partly retrospective that includes 60 patients (two groups with 30 patients) with isolated craniocerebral injures, aged up to 17 years, and with GCS under 8, that did not require surgical treatment. The first group included patients that were endotracheal intubated, and the other group included patients that were not intubated.


RESULTS
Theree was no statistically difference between groups regarding the sex, age and GCS. Regarding the endotracheal intubation there was a statistically significant difference, in the first group 86,7% of the patients were intubated during the prehospital treatment, while 16,7% of the patients from group II were intubated. A greater percentage of patients from group I underwent controlled (66,7%) or assisted (20%) mode of ventilation, and 13,3% of patients were on spontaneus breathing.


CONCLUSIONS
Endotracheal intubation should be performed by an experienced physician with an adequate equipment.
Stanić-Canji
D
D
Institut za zdravstvenu zastitu dece i omladine, Novi Sad.
Popović
N
N
Drasković
B
B
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D006259:Craniocerebral Trauma / Q000628:therapy*; D004632:Emergency Medical Services; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal; D008297:Male