In:
Journal of the Intensive Care Society, SAGE Publications, Vol. 19, No. 3 ( 2018-08), p. 180-187
Abstract:
We evaluated intensive care medicine trainees’ practice of emergency intubations in the United Kingdom. Methods Retrospective analysis of 881 in-hospital emergency intubations over a three-year period using an online trainee logbook. Results Emergency intubations out-of-hours were less frequent than in-hours, both on weekdays and weekends. Complications occurred in 9% of cases, with no association with time of day/day of week (p = 0.860). Complications were associated with higher Cormack and Lehane grades (p=0.004) and number of intubation attempts (p 〈 0.001), but not American Society of Anesthesiologist grade. Capnography usage was ≥99% in all locations except in wards (85%; p = 0.001). Ward patients were the oldest (p 〈 0.001), had higher American Society of Anesthesiologist grades (p 〈 0.001) and lowest Glasgow Coma Scale (p 〈 0.001). Conclusions Complications of intubations are associated with higher Cormack and Lehane grades and number of attempts, but not time of day/day of week. The uptake of capnography is reassuring, although there is scope for improvement on the ward.
Type of Medium:
Online Resource
ISSN:
1751-1437
DOI:
10.1177/1751143717749686
Language:
English
Publisher:
SAGE Publications
Publication Date:
2018
detail.hit.zdb_id:
2701626-2
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