| Přispěvatelé: |
Russotto, V, Lascarrou, J, Tassistro, E, Parotto, M, Antolini, L, Bauer, P, Szułdrzyński, K, Camporota, L, Putensen, C, Pelosi, P, Sorbello, M, Higgs, A, Greif, R, Grasselli, G, Valsecchi, M, Fumagalli, R, Foti, G, Caironi, P, Bellani, G, Laffey, J, Myatra, S |
| Popis: |
BACKGROUND Tracheal intubation is a high-risk procedure in the critically ill, with increased intubation failure rates and a high risk of other adverse events. Videolaryngoscopy might improve intubation outcomes in this population, but evidence remains conflicting, and its impact on adverse event rates is debated. METHODS This is a subanalysis of a large international prospective cohort of critically ill patients (INTUBE Study) performed from 1 October 2018 to 31 July 2019 and involving 197 sites from 29 countries across five continents. Our primary aim was to determine the first-pass intubation success rates of videolaryngoscopy. Secondary aims were characterising (a) videolaryngoscopy use in the critically ill patient population and (b) the incidence of severe adverse effects compared with direct laryngoscopy. RESULTS Of 2916 patients, videolaryngoscopy was used in 500 patients (17.2%) and direct laryngoscopy in 2416 (82.8%). First-pass intubation success was higher with videolaryngoscopy compared with direct laryngoscopy (84% vs 79%, P=0.02). Patients undergoing videolaryngoscopy had a higher frequency of difficult airway predictors (60% vs 40%, P |
