Certified Pediatric Emergency Nurse (CPEN) Practice Exam

In what time frame should an intubation attempt be completed?

1. 10-15 seconds

2. 20-30 seconds

3. 30-40 seconds

4. 1 minute

The correct answer is: 20-30 seconds

When performing intubation, especially in a pediatric setting, timing is crucial because prolonged attempts can lead to complications such as hypoxia. The appropriate time frame for completing an intubation attempt is typically between 20 to 30 seconds. This duration allows the healthcare provider enough time to visualize the airway adequately, introduce the endotracheal tube correctly, and secure the airway while minimizing the risk of hypoxia to the patient. Exceeding this time frame can risk the patient's oxygen saturation dropping dangerously low, which is particularly critical in pediatric patients whose physiological reserves are less than those of adults. Therefore, a focus on performing the procedure quickly, yet cautiously, is essential for patient safety while ensuring that the practitioner is effectively securing the airway. The other time frames, either shorter or longer, do not align with the standard practices for safe intubation procedures. Shorter attempts may not provide sufficient time for a successful intubation, increasing the risk of multiple attempts and related complications. Conversely, prolonged attempts can lead to significant risks of hypoxia and other secondary issues, particularly in a pediatric population.