Journals / Ahi Evran Tıp Dergisi / 2019 / Volume: 3 Issue: 3

Emergency Endotracheal Intubation and Factors Affecting Success Rate

Acil Endotrakeal Entübasyon ve Başarı Oranını Etkileyen Faktörler

Fatma Çelik(KIRŞEHİR AHİ EVRAN ÜNİVERSİTESİ TIP FAKÜLTESİ)0000-0003-0192-0151
Pages
—
Publication Date
2019-12-03
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Factors to be evaluated include; critical value for life of emergency endotracheal intubation in non-operating room settings, qualifications of intubation team, emergency patient and airway evaluation, preparation, position, preoxygenation and peroxygenation, avoidance of desaturation, safe apnea time, emergency endotracheal intubation methods and equipment.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:ABSTRACT Emergency endotracheal intubation is a life-saving intervention that must be intervened without necessarily providing ideal conditions and is the gold standard for emergency airway management.
📊
Key Findings & Data:It is inevitable that the success rates of emergency endotracheal intubation performed under unfavorable conditions outside the operating room are low.
💡
Conclusion & Impact:Factors to be evaluated include; critical value for life of emergency endotracheal intubation in non-operating room settings, qualifications of intubation team, emergency patient and airway evaluation, preparation, position, preoxygenation and peroxygenation, avoidance of desaturation, safe apnea time, emergency endotracheal intubation methods and equipment.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Airway management · emergency intubation · endotracheal intubation

Abstract

ABSTRACT Emergency endotracheal intubation is a life-saving intervention that must be intervened without necessarily providing ideal conditions and is the gold standard for emergency airway management. It is inevitable that the success rates of emergency endotracheal intubation performed under unfavorable conditions outside the operating room are low. Some factors associated with the success of emergency endotracheal intubation can be predicted and modified to improve outcome. In this article; the importance of achieving successful emergency endotracheal intubation in the first attempt and systematic use of the factors affecting the success rate will be reviewed in the light of current literature. Factors to be evaluated include; critical value for life of emergency endotracheal intubation in non-operating room settings, qualifications of intubation team, emergency patient and airway evaluation, preparation, position, preoxygenation and peroxygenation, avoidance of desaturation, safe apnea time, emergency endotracheal intubation methods and equipment.

Özet

ÖZ Acil endotrakeal entübasyon, zorunlu olarak ideal koşullar sağlanamadan, müdahale edilmesi gereken hayat kurtarıcı bir girişimdir ve acil havayolu yönetimi için altın standarttır. Ameliyathane dışında elverişsiz koşullar altında yapılan acil endotrakeal entübasyon başarı oranlarının düşük olması kaçınılmazdır. Acil endotrakeal entübasyon başarısı ile ilişkili bazı faktörler tahmin edilebilir ve sonucu iyileştirmek için değiştirilebilir. Bu makalede; başarılı acil endotrakeal entübasyonu ilk girişimde sağlayabilmenin önemi ve başarı oranını etkileyen faktörlerin sistematik kullanımı güncel literatürler ışığında gözden geçirilecektir. Değerlendirme yapılacak faktörler arasında; ameliyathane dışı ortamlarda acil endotrakeal entübasyon yapılmasının yaşam için kritik değeri, entübasyon ekibinin nitelikleri, acil hasta ve havayolu değerlendirme, hazırlık, pozisyon, preoksijenizasyon ve peroksijenizasyon, desatürasyondan kaçınma, güvenli apne zamanı, acil endotrakeal entübasyon yöntemleri ve ekipman yer almaktadır.

🔖

Cite This Article

Çelik, F. (2019). Emergency Endotracheal Intubation and Factors Affecting Success Rate. Ahi Evran Tıp Dergisi, Volume: 3 Issue: 3. https://ajindex.com/articles/1442033

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Pavlov I, Medrano S, Weingart S. Apneic oxygenation reduces the incidence of hypoxemia during emergency intubation: A systematic review and meta-analysis. Am J Emerg Med. 2017;35(8):1184-1189.
  2. Brindley PG, Beed M, Law JA, et al. Airway management outside the operating room: how to better prepare. Can J Anaesth. 2017;64(5):530-539.
  3. Soar J, Nolan JP, Bottiger BW, et al. European Resuscitation Council Guidelines for Resuscitation 2015: Section 3. Adult advanced life support. Resuscitation. 2015;95:100-147.
  4. Mechlin MW, Hurford WE. Emergency tracheal intubation: techniques and outcomes. Respir Care. 2014;59(6):881-892.
  5. Mort TC. Emergency tracheal intubation: complications associated with repeated laryngoscopic attempts. Anesth Analg. 2004;99(2):607-613.
  6. Cook TM, Woodall N, Harper J, Benger J, Fourth National Audit P. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 2: intensive care and emergency departments. Br J Anaesth. 2011;106(5):632-642.
  7. Carın A, Hagberg CAA. Airway Management in the Adult. In: Miller RD, ed. Miller's Anesthesia. Vol 2. 8th ed. 2015:1647-1683. Available from: Erişim tarihi: 27 Mart 2019 https://anesthesia.tw/quizbank/lib/exe/fetch.php/reference:miller8e:chapter_55_1647-1683.e5.pdf
  8. Klosiewicz T, Zalewski R, Dabrowska A, Maciejewski A. Emergency intubation in prehospital care. Am J Emerg Med. 2017;35(11):1775-1776.
  9. Higgs A, McGrath BA, Goddard C, et al. Guidelines for the management of tracheal intubation in critically ill adults. Br J Anaesth. 2018;120(2):323-352. Frerk C, Mitchell VS, McNarry AF, et al. Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults. Br J Anaesth. 2015;115(6):827-848.
  10. Driver BE, Reardon R.F. Roberts and Hedges’ Clinical Procedures in Emergency Medicine and Acute Care. In: Roberts JR, ed. Tracheal Intubation. 7th ed. 2018:62-110.
  11. Ramkumar V, Umesh G, Philip, F.A. Preoxygenation with 20º head-up tilt provides longer duration of non-hypoxic apnea than conventional preoxygenation in non-obese healthy adults. Journol of Anesthesia. 2011;25(2):189-194.
  12. Weingart SD, Levitan RM. Preoxygenation and prevention of desaturation during emergency airway management. Ann Emerg Med. 2012;59(3):165-175 e161.
  13. Khandelwal N, Khorsand S, Mitchell SH, Joffe AM. Head-Elevated Patient Positioning Decreases Complications of Emergent Tracheal Intubation in the Ward and Intensive Care Unit. Anesth Analg. 2016;122(4):1101-1107.
  14. Lee BJ, Kang JM, Kim DO. Laryngeal exposure during laryngoscopy is better in the 25 degrees back-up position than in the supine position. Br J Anaesth. 2007;99(4):581-586.
  15. Ramkumar V, Umesh G, Philip, F.A. Preoxygenation with 20º head-up tilt provides longer duration of non-hypoxic apnea than conventional preoxygenation in non-obese healthy adults. Journol of Anesthesia. 2011;25(2):189-194.