Difficult Airway Characteristics Associated with First-Attempt Failure at Intubation Using Video Laryngoscopy in the Intensive Care Unit
| Autor: | Harsharon Chopra, John C. Sakles, Cameron Hypes, Josh Malo, Raj Joshi, Jeremy Greenberg, Linda Snyder, John W. Bloom, Jarrod Mosier |
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| Rok vydání: | 2017 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty medicine.diagnostic_test business.industry medicine.medical_treatment Laryngoscopy 030208 emergency & critical care medicine Lung injury Tracheal tube Intensive care unit law.invention 03 medical and health sciences 0302 clinical medicine 030228 respiratory system Video laryngoscopy law medicine Intubation Observational study Intensive care medicine business Difficult airway |
| Zdroj: | Annals of the American Thoracic Society. 14:368-375 |
| ISSN: | 2325-6621 2329-6933 |
| DOI: | 10.1513/annalsats.201606-472oc |
| Popis: | Rationale: Video laryngoscopy has overcome the need to align the anatomic axes to obtain a view of the glottic opening to place a tracheal tube. However, despite this advantage, a large number of attempts are unsuccessful. There are no existing data on anatomic characteristics in critically ill patients associated with a failed first attempt at laryngoscopy when using video laryngoscopy.Objectives: To identify characteristics associated with first-attempt failure at intubation when using video laryngoscopy in the intensive care unit (ICU).Methods: This is an observational study of 906 consecutive patients intubated in the ICU with a video laryngoscope between January 2012 and January 2016 in a single-center academic medical ICU. After each intubation, the operator completed a data collection form, which included information on difficult airway characteristics, device used, and outcome of each attempt. Multivariable regression models were constructed to determine the difficult airway characteristics associ... |
| Databáze: | OpenAIRE |
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