Tracheal intubation in the critically ill: a multi-centre national study of practice and complications
Tracheal intubation in the critically ill: a multi-centre national study of practice and complications
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DOI：
10.1093/bja/aer504
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发表时间：
2012-05-01
影响因子：
9.8
通讯作者：
Ray, D. C.
中科院分区：
文献类型：
--
作者：
Simpson, G. D.;Ross, M. J.;Ray, D. C.
背景 多达 40 名危重患者可能会出现与气管插管相关的并发症。由于重症监护病房 (ICU) 和国家之间的紧急气道管理实践有所不同，因此并发症发生率也可能有所不同。我们对苏格兰重症监护医生进行的气管插管进行了一项前瞻性、观察性研究，以确定实践、并发症和培训。方法 在 4 个月的时间里，我们收集了苏格兰各地重症监护医生进行的气管插管数据，除了那些接受择期手术的患者和入院前进行的插管。我们使用标准化数据表来收集有关预引产身体状态和器官支持、进行插管的医生、使用的技术和药物以及注意到的并发症的信息。 结果分析了 794 次插管的数据。 70% 发生在 ICU，18% 发生在急诊科。首次插管成功率为91，没有患者需要尝试插管超过3次，1例患者需要进行气管切开术。严重低氧血症 (Sp(o2)
Background Complications associated with tracheal intubation may occur in up to 40 of critically ill patients. Since practice in emergency airway management varies between intensive care units (ICUs) and countries, complication rates may also differ. We undertook a prospective, observational study of tracheal intubation performed by critical care doctors in Scotland to identify practice, complications, and training.Methods For 4 months, we collected data on any intubation performed by doctors working in critical care throughout Scotland except those in patients having elective surgery and those carried out before admission to hospital. We used a standardized data form to collect information on pre-induction physical state and organ support, the doctor carrying out the intubation, the techniques and drugs used, and complications noted.Results Data from 794 intubations were analysed. Seventy per cent occurred in ICU and 18 occurred in emergency departments. The first-time intubation success rate was 91, no patient required more than three attempts at intubation, and one patient required surgical tracheostomy. Severe hypoxaemia (Sp(o2)