ArticleEmergency medicine international2018
Expert-Performed Endotracheal Intubation-Related Complications in Trauma Patients: Incidence, Possible Risk Factors, and Outcomes in the Prehospital Setting and Emergency Department.
Article in Emergency medicine international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
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The trial behind it
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Who cites it
17 citing papers in PubMed, 35 citations in OpenAlex.
- Predictive Factors for First-Pass Intubation Failure in Trauma Patients.International journal of general medicine · 2024Article
- Analysis of the primary utilization of videolaryngoscopy in prehospital emergency care in Germany.Die Anaesthesiologie · 2023Article
- Risk factors and outcomes of unrecognised endobronchial intubation in major trauma patients.Emergency medicine journal : EMJ · 2022Article
- Understanding the Cognitive Demands, Skills, and Assessment Approaches for Endotracheal Intubation: Cognitive Task Analysis.JMIR perioperative medicine · 2022Article
- Tracheal intubation practices and adverse events in trauma victims on arrival to trauma triage: A single centre prospective observational study.Indian journal of anaesthesia · 2022Article
- Canadian Airway Focus Group updated consensus-based recommendations for management of the difficult airway: part 1. Difficult airway management encountered in an unconscious patient.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2021Article
- Post-intubation subglottic stenosis: aetiology at the cellular and molecular level.European respiratory review : an official journal of the European Respiratory Society · 2021Review
- Article
- The Efficacy of Using Video Laryngoscopy on Tracheal Intubation by Novice Physicians.Iranian journal of otorhinolaryngology · 2021Article
- Article
- Lower maximum forces on oral structures when using gum-elastic bougie than when using endotracheal tube and stylet during both direct and indirect laryngoscopy by novices: a crossover study using a high-fidelity simulator.BMC emergency medicine · 2020Article
- Advancing emergency airway management practice and research.Acute medicine & surgery · 2019Review
- Demographics of Pediatric OHCA Survivors With Postdischarge Diseases: A National Population-Based Follow-Up Study.Frontiers in pediatrics · 2019Article
- Impact of the academic calendar cycle on survival outcome of injured patients: a retrospective cohort study at a community emergency department in Japan.Journal of intensive care · 2019Article
- Optimizing Rapid Sequence Intubation for Medical and Trauma Patients in the Pediatric Emergency Department.Pediatric quality & safetyArticle
- Development of a Consensus-Based Checklist for Physician-Performed Prehospital Endotracheal Intubation in Japan: A Two-Round Delphi Study.Acute medicine & surgeryArticle
- Incidence and predisposing factors associated with peri-intubation cardiac arrest: A systematic review and meta-analysis.Turkish journal of emergency medicineArticle
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The aim of this study was to determine complication rates and possible risk factors of expert-performed endotracheal intubation (ETI) in patients with trauma, in both the prehospital setting and the emergency department. We also investigated how the occurrence of ETI-related complications affected the survival of trauma patients. This single-center retrospective observational study included all injured patients who underwent anesthesiologist-performed ETI from 2007 to 2017. ETI-related complications were defined as hypoxemia, unrecognized esophageal intubation, regurgitation, cardiac arrest, ETI failure rescued by emergency surgical airway, dental trauma, cuff leak, and mainstem bronchus intubation. Of the 537 patients included, 23.5% experienced at least one complication. Multivariable logistic regression analysis revealed that low Glasgow Coma Scale Score (adjusted odds ratio [AOR], 0.93; 95% confidence interval [CI], 0.88-0.98), elevated heart rate (AOR, 1.01; 95% CI, 1.00-1.02), and three or more ETI attempts (AOR, 15.71; 95% CI, 3.37-73.2) were independent predictors of ETI-related complications. We also found that ETI-related complications decreased the likelihood of survival of trauma patients (AOR, 0.60; 95% CI, 0.38-0.95), independently of age, male sex, Injury Severity Score, Glasgow Coma Scale Score, and off-hours presentation. Our results suggest that airway management in trauma patients carries a very high risk; this finding has implications for the practice of airway management in injured patients.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.