ArticleThe western journal of emergency medicine2021
Emergency Tracheal Intubation in Patients with COVID-19: A Single-center, Retrospective Cohort Study.
Article in The western journal of emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Video versus Direct Laryngoscopy for Tracheal Intubation of Critically Ill Adults.The New England journal of medicine · 2023Trial
- Observational
- Airways management in SARS-COV-2 acute respiratory failure: A prospective observational multi-center study.Medicina intensiva · 2023Article
- [Orotracheal intubation in the COVID patient; a practice not exempt from risk].Medicina intensiva · 2023Article
- Predicting intubation risk among COVID-19 hospitalized patients using artificial neural networks.Journal of education and health promotion · 2023Article
- Trends in endotracheal intubation for patients with COVID-19 by emergency physicians.Global health & medicine · 2022Article
- Predicting the Need for Intubation among COVID-19 Patients Using Machine Learning Algorithms: A Single-Center Study.Medical journal of the Islamic Republic of Iran · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe objective of this study was to compare airway management technique, performance, and peri-intubation complications during the novel coronavirus pandemic (COVID-19) using a single-center cohort of patients requiring emergent intubation.
methodsWe retrospectively collected data on non-operating room (OR) intubations from February 1-April 23, 2020. All patients undergoing emergency intubation outside the OR were eligible for inclusion. Data were entered using an airway procedure note integrated within the electronic health record. Variables included level of training and specialty of the laryngoscopist, the patient's indication for intubation, methods of intubation, induction and paralytic agents, grade of view, use of video laryngoscopy, number of attempts, and adverse events. We performed a descriptive analysis comparing intubations with an available positive COVID-19 test result with cases that had either a negative or unavailable test result.
resultsWe obtained 406 independent procedure notes filed between February 1-April 23, 2020, and of these, 123 cases had a positive COVID-19 test result. Residents performed fewer tracheal intubations in COVID-19 cases when compared to nurse anesthetists (26.0% vs 37.4%). Video laryngoscopy was used significantly more in COVID-19 cases (91.1% vs 56.8%). No difference in first-pass success was observed between COVID-19 positive cases and controls (89.4% vs. 89.0%, p = 1.0). An increased rate of oxygen desaturation was observed in COVID-19 cases (20.3% vs. 9.9%) while there was no difference in the rate of other recorded complications and first-pass success. DISCUSSION: An average twofold increase in the rate of tracheal intubation was observed after March 24, 2020, corresponding with an influx of COVID-19 positive cases. We observed adherence to society guidelines regarding performance of tracheal intubation by an expert laryngoscopist and the use of video laryngoscopy.
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