Tu-be or Not Tu-be? Is routine endotracheal intubation necessary for successful bedside reduction and primary closure of gastroschisis?

This propensity-matched study challenges routine intubation for bedside gastroschisis closure, finding no significant difference in primary repair success rates while intubated patients required 3 additional ventilator days. The evidence supports attempting primary closure without intubation in stable neonates, potentially reducing mechanical ventilation exposure.