STUDY OBJECTIVE: To determine whether continuous pulse oximetry improves the recognition and management of hypoxemia during emergency endotracheal intubation. DESIGN: A prospective, serial 14-month study. SETTING: Emergency department, Level I trauma center. TYPE OF PARTICIPANTS: All adult patients requiring emergency intubation for whom data collection would not compromise patient care. INTERVENTIONS: All samples were obtained from a finger site at a five-second sampling interval and stored in computer memory. Patients were intubated by the nasotracheal or orotracheal route. MEASUREMENTS AND MAIN RESULTS: One hundred ninety-one consecutive adult patients qualified for the study and 211 intubation attempts were analyzed. Hypoxemia (O2 saturation, less than 90%) occurred during an intubation attempt in 30 of 111 nonmonitored versus 15 of 100 monitored attempts (P < .05), and the duration of severe hypoxemia (O2 saturation, less than 85%) was significantly greater for nonmonitored attempts (P < .05). CONCLUSION: Continuous pulse oximetry monitoring reduces the frequency and duration of hypoxemia associated with emergency intubation attempts.
STUDY OBJECTIVE: To determine whether continuous pulse oximetry improves the recognition and management of hypoxemia during emergency endotracheal intubation. DESIGN: A prospective, serial 14-month study. SETTING: Emergency department, Level I trauma center. TYPE OF PARTICIPANTS: All adult patients requiring emergency intubation for whom data collection would not compromise patient care. INTERVENTIONS: All samples were obtained from a finger site at a five-second sampling interval and stored in computer memory. Patients were intubated by the nasotracheal or orotracheal route. MEASUREMENTS AND MAIN RESULTS: One hundred ninety-one consecutive adult patients qualified for the study and 211 intubation attempts were analyzed. Hypoxemia (O2 saturation, less than 90%) occurred during an intubation attempt in 30 of 111 nonmonitored versus 15 of 100 monitored attempts (P < .05), and the duration of severe hypoxemia (O2 saturation, less than 85%) was significantly greater for nonmonitored attempts (P < .05). CONCLUSION: Continuous pulse oximetry monitoring reduces the frequency and duration of hypoxemia associated with emergency intubation attempts.
Authors: Tom Pedersen; Amanda Nicholson; Karen Hovhannisyan; Ann Merete Møller; Andrew F Smith; Sharon R Lewis Journal: Cochrane Database Syst Rev Date: 2014-03-17
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Authors: Rahul Shah; Douglas A Streat; Marc Auerbach; Veronika Shabanova; Melissa L Langhan Journal: J Patient Saf Date: 2022-01-01 Impact factor: 2.844