BACKGROUND: Hypoxemia may occur during rapid sequence intubation (RSI). This study establishes the incidence of this adverse event in patients intubated by physicians in a helicopter emergency service in Norway. METHODS: This was a prospective, observational study of all RSIs performed by helicopter emergency service physicians during a 12-month period. Hypoxemia was defined as a decrease in Spo(2) values to below 90% or a decrease of more than 10% if the initial Spo(2) was less than 90%. RESULTS: A total of 122 prehospital intubations were performed during the study period. Spo(2) data were available for 101 (82.8%) patients. Hypoxemia was present in 11 (10.9%) patients. CONCLUSIONS: Prehospital, RSI-related hypoxemia rates in this study are lower than reported rates in similar studies and are comparable with in-hospital rates. Prehospital RSI may accordingly be considered a safe procedure when performed by experienced physicians with appropriate field training.
BACKGROUND:Hypoxemia may occur during rapid sequence intubation (RSI). This study establishes the incidence of this adverse event in patients intubated by physicians in a helicopter emergency service in Norway. METHODS: This was a prospective, observational study of all RSIs performed by helicopter emergency service physicians during a 12-month period. Hypoxemia was defined as a decrease in Spo(2) values to below 90% or a decrease of more than 10% if the initial Spo(2) was less than 90%. RESULTS: A total of 122 prehospital intubations were performed during the study period. Spo(2) data were available for 101 (82.8%) patients. Hypoxemia was present in 11 (10.9%) patients. CONCLUSIONS: Prehospital, RSI-related hypoxemia rates in this study are lower than reported rates in similar studies and are comparable with in-hospital rates. Prehospital RSI may accordingly be considered a safe procedure when performed by experienced physicians with appropriate field training.
Authors: Stephen J M Sollid; Hans Morten Lossius; Anders R Nakstad; Terje Aven; Eldar Søreide Journal: Scand J Trauma Resusc Emerg Med Date: 2010-04-21 Impact factor: 2.953
Authors: C Schoeneberg; M Schilling; B Hussmann; D Schmitz; S Lendemans; S Ruchholtz Journal: Eur J Trauma Emerg Surg Date: 2016-04-12 Impact factor: 3.693
Authors: Stephen J M Sollid; Per P Bredmose; Anders R Nakstad; Mårten Sandberg Journal: Scand J Trauma Resusc Emerg Med Date: 2015-06-11 Impact factor: 2.953
Authors: Geir Arne Sunde; Jon-Kenneth Heltne; David Lockey; Brian Burns; Mårten Sandberg; Knut Fredriksen; Karl Ove Hufthammer; Akos Soti; Richard Lyon; Helena Jäntti; Antti Kämäräinen; Bjørn Ole Reid; Tom Silfvast; Falko Harm; Stephen J M Sollid Journal: Scand J Trauma Resusc Emerg Med Date: 2015-08-07 Impact factor: 2.953