STUDY OBJECTIVE: To determine the frequency of complications and outcomes of urgent intubations in general hospital units. DESIGN: Prospective, observational, cohort study. SETTING: University-affiliated hospital. PATIENTS: 150 patients who underwent tracheal intubation in the general care units. INTERVENTIONS: A standardized data collection form was used prospectively to record events at the time of intubation. Patient outcomes were extracted from the medical record. MEASUREMENTS AND MAIN RESULTS: The complication rate was 27%. The most common complications were multiple attempts (9% required>2 intubations) and esophageal intubation (9%). The complication rate for elective intubation (22%) was similar to the complication rate for emergent intubations (27%). Of patients intubated in the general care units, 52% survived and 33% of these were discharged. There was no significant difference (P=0.46) in survival between the patients intubated electively (59%) and emergently (50%). There was no significant difference (P=0.63) in survival between patients with (48%) and without complications (54%). CONCLUSIONS: Endotracheal intubation in general hospital units carries a high rate of complications, and patients who are intubated in general hospital units have a high mortality.
STUDY OBJECTIVE: To determine the frequency of complications and outcomes of urgent intubations in general hospital units. DESIGN: Prospective, observational, cohort study. SETTING: University-affiliated hospital. PATIENTS: 150 patients who underwent tracheal intubation in the general care units. INTERVENTIONS: A standardized data collection form was used prospectively to record events at the time of intubation. Patient outcomes were extracted from the medical record. MEASUREMENTS AND MAIN RESULTS: The complication rate was 27%. The most common complications were multiple attempts (9% required>2 intubations) and esophageal intubation (9%). The complication rate for elective intubation (22%) was similar to the complication rate for emergent intubations (27%). Of patients intubated in the general care units, 52% survived and 33% of these were discharged. There was no significant difference (P=0.46) in survival between the patients intubated electively (59%) and emergently (50%). There was no significant difference (P=0.63) in survival between patients with (48%) and without complications (54%). CONCLUSIONS: Endotracheal intubation in general hospital units carries a high rate of complications, and patients who are intubated in general hospital units have a high mortality.
Authors: Donald E G Griesdale; T Laine Bosma; Tobias Kurth; George Isac; Dean R Chittock Journal: Intensive Care Med Date: 2008-07-05 Impact factor: 17.440
Authors: Jarrod M Mosier; John C Sakles; Uwe Stolz; Cameron D Hypes; Harsharon Chopra; Josh Malo; John W Bloom Journal: Ann Am Thorac Soc Date: 2015-05
Authors: Martin Viola; Robert Tyler Braun; Elizabeth A Luth; Cynthia X Pan; Lindsay Lief; James Gang; Zara Adamou; Philip Dodd; Holly G Prigerson Journal: J Palliat Med Date: 2022-04-18 Impact factor: 2.947
Authors: Nishkantha Arulkumaran; Charles S McLaren; Kailash Arulkumaran; Barbara J Philips; Maurizio Cecconi Journal: J Intensive Care Soc Date: 2018-01-17
Authors: Lynette J Mark; Kurt R Herzer; Renee Cover; Vinciya Pandian; Nasir I Bhatti; Lauren C Berkow; Elliott R Haut; Alexander T Hillel; Christina R Miller; David J Feller-Kopman; Adam J Schiavi; Yanjun J Xie; Christine Lim; Christine Holzmueller; Mueen Ahmad; Pradeep Thomas; Paul W Flint; Marek A Mirski Journal: Anesth Analg Date: 2015-07 Impact factor: 6.627