Preoxygenation for tracheal intubation in critically ill patients: One technique does not fit all
| Autor: | Ottavia Pallanch, Alberto Zangrillo, Marina Pieri, Luca Cabrini |
|---|---|
| Přispěvatelé: | Cabrini, L., Pallanch, O., Pieri, M., Zangrillo, A. |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Pulmonary and Respiratory Medicine
education.field_of_study business.industry Critically ill medicine.medical_treatment Population Tracheal intubation Intensive care unit Hypoxemia law.invention Editorial Commentary law Anesthesia medicine Intubation In patient Respiratory system medicine.symptom education business |
| Popis: | Tracheal intubation is a common procedure in critically ill patients (1). Despite its frequent occurrence, tracheal intubation in this setting remains a risky procedure (2,3), mainly due to the combination of two synergistic and negative factors: the unique respiratory and hemodynamic instability of critically ill patients, and the high incidence of difficult airway in this population (4). Intubation-related life-threatening hypoxemia, hypotension, arrythmia, cardiac arrest and death are frequently reported (2,3). Recently, a multicenter retrospective trial on tracheal intubation in Intensive Care Unit (ICU) observed a 2.7% rate of cardiac arrest (strongly predicted by hypoxemia prior to intubation and lack of preoxygenation), with a high 28-day mortality in patients who had experienced an intubation-related cardiac arrest (5). |
| Databáze: | OpenAIRE |
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