Factors associated with the occurrence of cardiac arrest after emergency tracheal intubation in the emergency department
| Autor: | Jae Chol Yoon, Chang Hwan Sohn, Byuk Sung Ko, Myoung Kwan Kwak, Kyoung Soo Lim, Lars W. Andersen, Won Young Kim, Michael W. Donnino |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male Critical Care and Emergency Medicine medicine.medical_treatment Critical Care Team Organization Cardiology lcsh:Medicine Surgical and Invasive Medical Procedures Risk Factors medicine Intubation Intratracheal Medicine and Health Sciences Cardiac Arrest Intubation Humans lcsh:Science Aged Retrospective Studies Aged 80 and over Multidisciplinary business.industry Incidence Tracheal intubation lcsh:R Retrospective cohort study Emergency department Middle Aged medicine.disease Heart Arrest Blood pressure Anesthesia Case-Control Studies Pulseless electrical activity Airway management lcsh:Q Female Emergencies Complication business Emergency Service Hospital Research Article |
| Zdroj: | PLoS ONE PLoS ONE, Vol 9, Iss 11, p e112779 (2014) Kim, W Y, Kwak, M K, Ko, B S, Yoon, J C, Sohn, C H, Lim, K S, Wiuff Andersen, L & Donnino, M W 2014, ' Factors associated with the occurrence of cardiac arrest after emergency tracheal intubation in the emergency department ', PLOS ONE, vol. 9, no. 11, pp. e112779 . https://doi.org/10.1371/journal.pone.0112779 |
| ISSN: | 1932-6203 |
| DOI: | 10.1371/journal.pone.0112779 |
| Popis: | OBJECTIVES: Emergency tracheal intubation has achieved high success and low complication rates in the emergency department (ED). The objective of this study was to evaluate the incidence of post-intubation CA and determine the clinical factors associated with this complication.METHODS: A matched case-control study with a case to control ratio of 1:3 was conducted at an urban tertiary care center between January 2007 and December 2011. Critically ill adult patients requiring emergency airway management in the ED were included. The primary endpoint was post-intubation CA, defined as CA within 10 minutes after tracheal intubation. Clinical variables were compared between patients with post-intubation CA and patients without CA who were individually matched based on age, sex, and pre-existing comorbidities.RESULTS: Of 2,403 patients who underwent emergency tracheal intubation, 41 patients (1.7%) had a post-intubation CA within 10 minutes of the procedure. The most common initial rhythm was pulseless electrical activity (78.1%). Patients experiencing CA had higher in-hospital mortality than patients without CA (61.0% vs. 30.1%; pCONCLUSION: Early post-intubation CA occurred with an approximate 2% frequency in the ED. Systolic hypotension before intubation is associated with this complication, which has potentially significant implications for clinicians at the time of intubation. |
| Databáze: | OpenAIRE |
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