A prospective study of tracheal intubation in an academic emergency department in Malaysia

Autor: Shahridan Mohd Fathil, Ahmad Khaldun Ismail, Azhana Hassan, Zuraidah Che'Man, Zulkernain Ahmad, Siti Nidzwani Mohamad Mahdi
Rok vydání: 2010
Předmět:
Zdroj: International Journal of Emergency Medicine
ISSN: 1865-1380
1865-1372
Popis: Background Airway management is an important part of the management of the critically ill and injured patients in the Emergency Department (ED). Numerous studies from developed countries have demonstrated the competency of emergency doctors in intubation. To date there have been no published data on intubations performed in EDs in Malaysia. Methods Data on intubations from 7 August 2007 till 28 August 2008 were prospectively collected. Results There were 228 intubations included in the study period. Cardiopulmonary arrest was the main indication for intubation (35.5%). The other indications were head injury (18.4%), respiratory failure (15.4%), polytrauma (9.6%) and cerebrovascular accident (7.0%). All of the 228 patients were successfully intubated. Rapid sequence intubation (RSI) was the most frequent method (49.6%) of intubation. A total of 223 (97.8%) intubations were done by ED personnel. In 79.8% of the cases, intubations were successfully performed on the first attempt. Midazolam was the most common induction agent used (97 patients), while suxamethonium was the muscle relaxant of choice (109 patients). There were 34 patients (14.9%) with 38 reported immediate complications. The most common complication was oesophageal intubation. Conclusion Emergency Department UKMMC personnel have a high competency level in intubation with an acceptable complication rate. RSI was the most common method for intubation.
Databáze: OpenAIRE
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