Prospective observational study of emergent endotracheal intubation practice in the intensive care unit and emergency department of an Australian regional tertiary hospital.
Emerg Med Australas
; 26(4): 368-75, 2014 Aug.
Article
en En
| MEDLINE
| ID: mdl-24935181
OBJECTIVE: The present study aimed to describe the characteristics and outcomes of intubation occurring in the ICU and ED of an Australian tertiary teaching hospital. METHODS: This was a prospective observational study of intubation practice across the Geelong Hospital over a 6 month period from 1 August 2012 to 31 January 2013. Data were entered by the intubating team through an online data collection form. RESULTS: There were 119 patients intubated and 134 attempts at intubation in the ED and ICU over a 6 month period. The first-pass success rate was 104/119 (87.4%), and all but a single patient was intubated by the second attempt. Propofol, fentanyl, midazolam and suxamethonium were the most common drugs used in rapid sequence induction. AEs were reported in 44/134 (32.8%) of intubation attempts, with transient hypoxia and hypotension being the most common. A significant adverse outcome, namely aspiration pneumonitis, occurred in one patient. There were no peri-intubation deaths. CONCLUSION: The majority of airways are managed by ICU and ED consultants and trainees, with success rates and AE rates comparable with other published studies.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Servicio de Urgencia en Hospital
/
Manejo de la Vía Aérea
/
Unidades de Cuidados Intensivos
/
Intubación Intratraqueal
Tipo de estudio:
Observational_studies
Límite:
Adult
/
Aged
/
Female
/
Humans
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Male
/
Middle aged
País/Región como asunto:
Oceania
Idioma:
En
Revista:
Emerg Med Australas
Asunto de la revista:
MEDICINA DE EMERGENCIA
Año:
2014
Tipo del documento:
Article
País de afiliación:
Australia
Pais de publicación:
Australia