| Autor: |
Scott K, Dietrich, Mark A, Mixon, Ryan J, Rogoszewski, Stephanie D, Delgado, Vanessa E, Knapp, Michael, Floren, Julie A, Dunn |
| Rok vydání: |
2018 |
| Předmět: |
|
| Zdroj: |
The American surgeon. 84(9) |
| ISSN: |
1555-9823 |
| Popis: |
Present guidelines for emergency intubation in traumatically injured patients recommend rapid sequence intubation (RSI) as the preferred method of airway management but specific pharmacologic agents for RSI remain controversial. To evaluate hemodynamic differences between propofol and other induction agents when used for RSI in trauma patients. Single-center, retrospective review of trauma patients intubated in the emergency department. Patients were divided in two groups based on induction agent, propofol or nonpropofol. The primary outcome was incidence of hypotension within 30 minutes of intubation. Secondary outcomes included hospital length of stay and inhospital mortality. The study protocol was approved by the Institutional Review Board. Of the 744 patients identified, 83 were analyzed, 43 in the propofol group and 40 in the nonpropofol group. Groups were similar at baseline in terms of pre-RSI hemodynamics, injury mechanism, initial Glasgow Coma Score, and Injury Severity Score. On univariate analysis, although not statistically significant, postintubation hypotension was more common in patients who received propofol compared with those who did not, 39.5 per cent |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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