Pre-hospital advanced airway management by experienced anaesthesiologists: a prospective descriptive study
Introduction We report data from the first Utstein-style study of physician-provided pre-hospital advanced airway management. Materials and methods Anaesthesiologists from eight pre-hospital critical care teams in the Central Denmark Region (a mixed rural and urban region with 1.27 million inhabitan...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Rognås, Leif [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2013 |
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| Schlagwörter: |
Prehospital emergency care (MeSH) Emergency medical services (MeSH) Helicopter emergency medical service Endotracheal intubation (MeSH) |
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| Anmerkung: |
© Rognås et al.; licensee BioMed Central Ltd. 2013 |
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| Übergeordnetes Werk: |
Enthalten in: Scandinavian journal of trauma, resuscitation and emergency medicine - London : BioMed Central, 2008, 21(2013), 1 vom: 25. Juli |
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| Übergeordnetes Werk: |
volume:21 ; year:2013 ; number:1 ; day:25 ; month:07 |
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| DOI / URN: |
10.1186/1757-7241-21-58 |
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| Katalog-ID: |
SPR029679893 |
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| 245 | 1 | 0 | |a Pre-hospital advanced airway management by experienced anaesthesiologists: a prospective descriptive study |
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| 520 | |a Introduction We report data from the first Utstein-style study of physician-provided pre-hospital advanced airway management. Materials and methods Anaesthesiologists from eight pre-hospital critical care teams in the Central Denmark Region (a mixed rural and urban region with 1.27 million inhabitants) prospectively registered data according to the template for reporting data from pre-hospital advanced airway management. Data collection took place from February $ 1^{st} $ 2011 to October $ 31^{st} $ 2012. Included were patients of all ages on whom pre-hospital advanced airway management was performed. The objective was to estimate the incidences of failed and difficult pre-hospital endotracheal intubation, and complications related to pre-hospital advanced airway management. Results The overall incidence of successful pre-hospital endotracheal intubation among 636 intubation attempts was 99.7%, even though 22.4% of pre-hospital endotracheal intubations required more than one intubation attempt. The overall incidence of complications related to pre-hospital advanced airway management was 7.9%. Following rapid sequence intubation, the incidence of first pass success was 85.8%, the overall incidence of complications was 22.0%, the incidence of hypotension 7.3% and that of hypoxia 5.3%. Multiple endotracheal intubation attempts were associated with an increased overall incidence of complications. No airway management related deaths occurred. Discussion The overall incidence of successful pre-hospital endotracheal intubations compares to those found in other physician-staffed pre-hospital systems. The incidence of pre-hospital endotracheal intubations requiring more than one attempt is higher than suspected. The incidence of hypotension or hypoxia after pre-hospital rapid sequence intubation compares to those found in UK emergency departments. Conclusion Pre-hospital advanced airway management including pre-hospital endotracheal intubation performed by experienced anaesthesiologists is associated with high success rates and relatively low incidences of complications. An increased first pass success rate following pre-hospital endotracheal intubation may further reduce the incidence of complications and enhance patient safety in our system. | ||
| 650 | 4 | |a Pre-hospital |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Out-of-hospital |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Prehospital emergency care (MeSH) |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Emergency medical services (MeSH) |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Helicopter emergency medical service |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Critical care (MeSH) |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Airway management (MeSH) |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Endotracheal intubation (MeSH) |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Difficult endotracheal intubation |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Complications (MeSH) |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Patient safety |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Hansen, Troels Martin |4 aut | |
| 700 | 1 | |a Kirkegaard, Hans |4 aut | |
| 700 | 1 | |a Tønnesen, Else |4 aut | |
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10.1186/1757-7241-21-58 doi (DE-627)SPR029679893 (SPR)1757-7241-21-58-e DE-627 ger DE-627 rakwb eng Rognås, Leif verfasserin aut Pre-hospital advanced airway management by experienced anaesthesiologists: a prospective descriptive study 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Rognås et al.; licensee BioMed Central Ltd. 2013 Introduction We report data from the first Utstein-style study of physician-provided pre-hospital advanced airway management. Materials and methods Anaesthesiologists from eight pre-hospital critical care teams in the Central Denmark Region (a mixed rural and urban region with 1.27 million inhabitants) prospectively registered data according to the template for reporting data from pre-hospital advanced airway management. Data collection took place from February $ 1^{st} $ 2011 to October $ 31^{st} $ 2012. Included were patients of all ages on whom pre-hospital advanced airway management was performed. The objective was to estimate the incidences of failed and difficult pre-hospital endotracheal intubation, and complications related to pre-hospital advanced airway management. Results The overall incidence of successful pre-hospital endotracheal intubation among 636 intubation attempts was 99.7%, even though 22.4% of pre-hospital endotracheal intubations required more than one intubation attempt. The overall incidence of complications related to pre-hospital advanced airway management was 7.9%. Following rapid sequence intubation, the incidence of first pass success was 85.8%, the overall incidence of complications was 22.0%, the incidence of hypotension 7.3% and that of hypoxia 5.3%. Multiple endotracheal intubation attempts were associated with an increased overall incidence of complications. No airway management related deaths occurred. Discussion The overall incidence of successful pre-hospital endotracheal intubations compares to those found in other physician-staffed pre-hospital systems. The incidence of pre-hospital endotracheal intubations requiring more than one attempt is higher than suspected. The incidence of hypotension or hypoxia after pre-hospital rapid sequence intubation compares to those found in UK emergency departments. Conclusion Pre-hospital advanced airway management including pre-hospital endotracheal intubation performed by experienced anaesthesiologists is associated with high success rates and relatively low incidences of complications. An increased first pass success rate following pre-hospital endotracheal intubation may further reduce the incidence of complications and enhance patient safety in our system. Pre-hospital (dpeaa)DE-He213 Out-of-hospital (dpeaa)DE-He213 Prehospital emergency care (MeSH) (dpeaa)DE-He213 Emergency medical services (MeSH) (dpeaa)DE-He213 Helicopter emergency medical service (dpeaa)DE-He213 Critical care (MeSH) (dpeaa)DE-He213 Airway management (MeSH) (dpeaa)DE-He213 Endotracheal intubation (MeSH) (dpeaa)DE-He213 Difficult endotracheal intubation (dpeaa)DE-He213 Complications (MeSH) (dpeaa)DE-He213 Patient safety (dpeaa)DE-He213 Hansen, Troels Martin aut Kirkegaard, Hans aut Tønnesen, Else aut Enthalten in Scandinavian journal of trauma, resuscitation and emergency medicine London : BioMed Central, 2008 21(2013), 1 vom: 25. Juli (DE-627)582019125 (DE-600)2455990-8 1757-7241 nnns volume:21 year:2013 number:1 day:25 month:07 https://dx.doi.org/10.1186/1757-7241-21-58 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 21 2013 1 25 07 |
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10.1186/1757-7241-21-58 doi (DE-627)SPR029679893 (SPR)1757-7241-21-58-e DE-627 ger DE-627 rakwb eng Rognås, Leif verfasserin aut Pre-hospital advanced airway management by experienced anaesthesiologists: a prospective descriptive study 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Rognås et al.; licensee BioMed Central Ltd. 2013 Introduction We report data from the first Utstein-style study of physician-provided pre-hospital advanced airway management. Materials and methods Anaesthesiologists from eight pre-hospital critical care teams in the Central Denmark Region (a mixed rural and urban region with 1.27 million inhabitants) prospectively registered data according to the template for reporting data from pre-hospital advanced airway management. Data collection took place from February $ 1^{st} $ 2011 to October $ 31^{st} $ 2012. Included were patients of all ages on whom pre-hospital advanced airway management was performed. The objective was to estimate the incidences of failed and difficult pre-hospital endotracheal intubation, and complications related to pre-hospital advanced airway management. Results The overall incidence of successful pre-hospital endotracheal intubation among 636 intubation attempts was 99.7%, even though 22.4% of pre-hospital endotracheal intubations required more than one intubation attempt. The overall incidence of complications related to pre-hospital advanced airway management was 7.9%. Following rapid sequence intubation, the incidence of first pass success was 85.8%, the overall incidence of complications was 22.0%, the incidence of hypotension 7.3% and that of hypoxia 5.3%. Multiple endotracheal intubation attempts were associated with an increased overall incidence of complications. No airway management related deaths occurred. Discussion The overall incidence of successful pre-hospital endotracheal intubations compares to those found in other physician-staffed pre-hospital systems. The incidence of pre-hospital endotracheal intubations requiring more than one attempt is higher than suspected. The incidence of hypotension or hypoxia after pre-hospital rapid sequence intubation compares to those found in UK emergency departments. Conclusion Pre-hospital advanced airway management including pre-hospital endotracheal intubation performed by experienced anaesthesiologists is associated with high success rates and relatively low incidences of complications. An increased first pass success rate following pre-hospital endotracheal intubation may further reduce the incidence of complications and enhance patient safety in our system. Pre-hospital (dpeaa)DE-He213 Out-of-hospital (dpeaa)DE-He213 Prehospital emergency care (MeSH) (dpeaa)DE-He213 Emergency medical services (MeSH) (dpeaa)DE-He213 Helicopter emergency medical service (dpeaa)DE-He213 Critical care (MeSH) (dpeaa)DE-He213 Airway management (MeSH) (dpeaa)DE-He213 Endotracheal intubation (MeSH) (dpeaa)DE-He213 Difficult endotracheal intubation (dpeaa)DE-He213 Complications (MeSH) (dpeaa)DE-He213 Patient safety (dpeaa)DE-He213 Hansen, Troels Martin aut Kirkegaard, Hans aut Tønnesen, Else aut Enthalten in Scandinavian journal of trauma, resuscitation and emergency medicine London : BioMed Central, 2008 21(2013), 1 vom: 25. Juli (DE-627)582019125 (DE-600)2455990-8 1757-7241 nnns volume:21 year:2013 number:1 day:25 month:07 https://dx.doi.org/10.1186/1757-7241-21-58 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 21 2013 1 25 07 |
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10.1186/1757-7241-21-58 doi (DE-627)SPR029679893 (SPR)1757-7241-21-58-e DE-627 ger DE-627 rakwb eng Rognås, Leif verfasserin aut Pre-hospital advanced airway management by experienced anaesthesiologists: a prospective descriptive study 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Rognås et al.; licensee BioMed Central Ltd. 2013 Introduction We report data from the first Utstein-style study of physician-provided pre-hospital advanced airway management. Materials and methods Anaesthesiologists from eight pre-hospital critical care teams in the Central Denmark Region (a mixed rural and urban region with 1.27 million inhabitants) prospectively registered data according to the template for reporting data from pre-hospital advanced airway management. Data collection took place from February $ 1^{st} $ 2011 to October $ 31^{st} $ 2012. Included were patients of all ages on whom pre-hospital advanced airway management was performed. The objective was to estimate the incidences of failed and difficult pre-hospital endotracheal intubation, and complications related to pre-hospital advanced airway management. Results The overall incidence of successful pre-hospital endotracheal intubation among 636 intubation attempts was 99.7%, even though 22.4% of pre-hospital endotracheal intubations required more than one intubation attempt. The overall incidence of complications related to pre-hospital advanced airway management was 7.9%. Following rapid sequence intubation, the incidence of first pass success was 85.8%, the overall incidence of complications was 22.0%, the incidence of hypotension 7.3% and that of hypoxia 5.3%. Multiple endotracheal intubation attempts were associated with an increased overall incidence of complications. No airway management related deaths occurred. Discussion The overall incidence of successful pre-hospital endotracheal intubations compares to those found in other physician-staffed pre-hospital systems. The incidence of pre-hospital endotracheal intubations requiring more than one attempt is higher than suspected. The incidence of hypotension or hypoxia after pre-hospital rapid sequence intubation compares to those found in UK emergency departments. Conclusion Pre-hospital advanced airway management including pre-hospital endotracheal intubation performed by experienced anaesthesiologists is associated with high success rates and relatively low incidences of complications. An increased first pass success rate following pre-hospital endotracheal intubation may further reduce the incidence of complications and enhance patient safety in our system. Pre-hospital (dpeaa)DE-He213 Out-of-hospital (dpeaa)DE-He213 Prehospital emergency care (MeSH) (dpeaa)DE-He213 Emergency medical services (MeSH) (dpeaa)DE-He213 Helicopter emergency medical service (dpeaa)DE-He213 Critical care (MeSH) (dpeaa)DE-He213 Airway management (MeSH) (dpeaa)DE-He213 Endotracheal intubation (MeSH) (dpeaa)DE-He213 Difficult endotracheal intubation (dpeaa)DE-He213 Complications (MeSH) (dpeaa)DE-He213 Patient safety (dpeaa)DE-He213 Hansen, Troels Martin aut Kirkegaard, Hans aut Tønnesen, Else aut Enthalten in Scandinavian journal of trauma, resuscitation and emergency medicine London : BioMed Central, 2008 21(2013), 1 vom: 25. Juli (DE-627)582019125 (DE-600)2455990-8 1757-7241 nnns volume:21 year:2013 number:1 day:25 month:07 https://dx.doi.org/10.1186/1757-7241-21-58 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 21 2013 1 25 07 |
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10.1186/1757-7241-21-58 doi (DE-627)SPR029679893 (SPR)1757-7241-21-58-e DE-627 ger DE-627 rakwb eng Rognås, Leif verfasserin aut Pre-hospital advanced airway management by experienced anaesthesiologists: a prospective descriptive study 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Rognås et al.; licensee BioMed Central Ltd. 2013 Introduction We report data from the first Utstein-style study of physician-provided pre-hospital advanced airway management. Materials and methods Anaesthesiologists from eight pre-hospital critical care teams in the Central Denmark Region (a mixed rural and urban region with 1.27 million inhabitants) prospectively registered data according to the template for reporting data from pre-hospital advanced airway management. Data collection took place from February $ 1^{st} $ 2011 to October $ 31^{st} $ 2012. Included were patients of all ages on whom pre-hospital advanced airway management was performed. The objective was to estimate the incidences of failed and difficult pre-hospital endotracheal intubation, and complications related to pre-hospital advanced airway management. Results The overall incidence of successful pre-hospital endotracheal intubation among 636 intubation attempts was 99.7%, even though 22.4% of pre-hospital endotracheal intubations required more than one intubation attempt. The overall incidence of complications related to pre-hospital advanced airway management was 7.9%. Following rapid sequence intubation, the incidence of first pass success was 85.8%, the overall incidence of complications was 22.0%, the incidence of hypotension 7.3% and that of hypoxia 5.3%. Multiple endotracheal intubation attempts were associated with an increased overall incidence of complications. No airway management related deaths occurred. Discussion The overall incidence of successful pre-hospital endotracheal intubations compares to those found in other physician-staffed pre-hospital systems. The incidence of pre-hospital endotracheal intubations requiring more than one attempt is higher than suspected. The incidence of hypotension or hypoxia after pre-hospital rapid sequence intubation compares to those found in UK emergency departments. Conclusion Pre-hospital advanced airway management including pre-hospital endotracheal intubation performed by experienced anaesthesiologists is associated with high success rates and relatively low incidences of complications. An increased first pass success rate following pre-hospital endotracheal intubation may further reduce the incidence of complications and enhance patient safety in our system. Pre-hospital (dpeaa)DE-He213 Out-of-hospital (dpeaa)DE-He213 Prehospital emergency care (MeSH) (dpeaa)DE-He213 Emergency medical services (MeSH) (dpeaa)DE-He213 Helicopter emergency medical service (dpeaa)DE-He213 Critical care (MeSH) (dpeaa)DE-He213 Airway management (MeSH) (dpeaa)DE-He213 Endotracheal intubation (MeSH) (dpeaa)DE-He213 Difficult endotracheal intubation (dpeaa)DE-He213 Complications (MeSH) (dpeaa)DE-He213 Patient safety (dpeaa)DE-He213 Hansen, Troels Martin aut Kirkegaard, Hans aut Tønnesen, Else aut Enthalten in Scandinavian journal of trauma, resuscitation and emergency medicine London : BioMed Central, 2008 21(2013), 1 vom: 25. Juli (DE-627)582019125 (DE-600)2455990-8 1757-7241 nnns volume:21 year:2013 number:1 day:25 month:07 https://dx.doi.org/10.1186/1757-7241-21-58 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 21 2013 1 25 07 |
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10.1186/1757-7241-21-58 doi (DE-627)SPR029679893 (SPR)1757-7241-21-58-e DE-627 ger DE-627 rakwb eng Rognås, Leif verfasserin aut Pre-hospital advanced airway management by experienced anaesthesiologists: a prospective descriptive study 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Rognås et al.; licensee BioMed Central Ltd. 2013 Introduction We report data from the first Utstein-style study of physician-provided pre-hospital advanced airway management. Materials and methods Anaesthesiologists from eight pre-hospital critical care teams in the Central Denmark Region (a mixed rural and urban region with 1.27 million inhabitants) prospectively registered data according to the template for reporting data from pre-hospital advanced airway management. Data collection took place from February $ 1^{st} $ 2011 to October $ 31^{st} $ 2012. Included were patients of all ages on whom pre-hospital advanced airway management was performed. The objective was to estimate the incidences of failed and difficult pre-hospital endotracheal intubation, and complications related to pre-hospital advanced airway management. Results The overall incidence of successful pre-hospital endotracheal intubation among 636 intubation attempts was 99.7%, even though 22.4% of pre-hospital endotracheal intubations required more than one intubation attempt. The overall incidence of complications related to pre-hospital advanced airway management was 7.9%. Following rapid sequence intubation, the incidence of first pass success was 85.8%, the overall incidence of complications was 22.0%, the incidence of hypotension 7.3% and that of hypoxia 5.3%. Multiple endotracheal intubation attempts were associated with an increased overall incidence of complications. No airway management related deaths occurred. Discussion The overall incidence of successful pre-hospital endotracheal intubations compares to those found in other physician-staffed pre-hospital systems. The incidence of pre-hospital endotracheal intubations requiring more than one attempt is higher than suspected. The incidence of hypotension or hypoxia after pre-hospital rapid sequence intubation compares to those found in UK emergency departments. Conclusion Pre-hospital advanced airway management including pre-hospital endotracheal intubation performed by experienced anaesthesiologists is associated with high success rates and relatively low incidences of complications. An increased first pass success rate following pre-hospital endotracheal intubation may further reduce the incidence of complications and enhance patient safety in our system. Pre-hospital (dpeaa)DE-He213 Out-of-hospital (dpeaa)DE-He213 Prehospital emergency care (MeSH) (dpeaa)DE-He213 Emergency medical services (MeSH) (dpeaa)DE-He213 Helicopter emergency medical service (dpeaa)DE-He213 Critical care (MeSH) (dpeaa)DE-He213 Airway management (MeSH) (dpeaa)DE-He213 Endotracheal intubation (MeSH) (dpeaa)DE-He213 Difficult endotracheal intubation (dpeaa)DE-He213 Complications (MeSH) (dpeaa)DE-He213 Patient safety (dpeaa)DE-He213 Hansen, Troels Martin aut Kirkegaard, Hans aut Tønnesen, Else aut Enthalten in Scandinavian journal of trauma, resuscitation and emergency medicine London : BioMed Central, 2008 21(2013), 1 vom: 25. Juli (DE-627)582019125 (DE-600)2455990-8 1757-7241 nnns volume:21 year:2013 number:1 day:25 month:07 https://dx.doi.org/10.1186/1757-7241-21-58 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 21 2013 1 25 07 |
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pre-hospital advanced airway management by experienced anaesthesiologists: a prospective descriptive study |
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Pre-hospital advanced airway management by experienced anaesthesiologists: a prospective descriptive study |
| abstract |
Introduction We report data from the first Utstein-style study of physician-provided pre-hospital advanced airway management. Materials and methods Anaesthesiologists from eight pre-hospital critical care teams in the Central Denmark Region (a mixed rural and urban region with 1.27 million inhabitants) prospectively registered data according to the template for reporting data from pre-hospital advanced airway management. Data collection took place from February $ 1^{st} $ 2011 to October $ 31^{st} $ 2012. Included were patients of all ages on whom pre-hospital advanced airway management was performed. The objective was to estimate the incidences of failed and difficult pre-hospital endotracheal intubation, and complications related to pre-hospital advanced airway management. Results The overall incidence of successful pre-hospital endotracheal intubation among 636 intubation attempts was 99.7%, even though 22.4% of pre-hospital endotracheal intubations required more than one intubation attempt. The overall incidence of complications related to pre-hospital advanced airway management was 7.9%. Following rapid sequence intubation, the incidence of first pass success was 85.8%, the overall incidence of complications was 22.0%, the incidence of hypotension 7.3% and that of hypoxia 5.3%. Multiple endotracheal intubation attempts were associated with an increased overall incidence of complications. No airway management related deaths occurred. Discussion The overall incidence of successful pre-hospital endotracheal intubations compares to those found in other physician-staffed pre-hospital systems. The incidence of pre-hospital endotracheal intubations requiring more than one attempt is higher than suspected. The incidence of hypotension or hypoxia after pre-hospital rapid sequence intubation compares to those found in UK emergency departments. Conclusion Pre-hospital advanced airway management including pre-hospital endotracheal intubation performed by experienced anaesthesiologists is associated with high success rates and relatively low incidences of complications. An increased first pass success rate following pre-hospital endotracheal intubation may further reduce the incidence of complications and enhance patient safety in our system. © Rognås et al.; licensee BioMed Central Ltd. 2013 |
| abstractGer |
Introduction We report data from the first Utstein-style study of physician-provided pre-hospital advanced airway management. Materials and methods Anaesthesiologists from eight pre-hospital critical care teams in the Central Denmark Region (a mixed rural and urban region with 1.27 million inhabitants) prospectively registered data according to the template for reporting data from pre-hospital advanced airway management. Data collection took place from February $ 1^{st} $ 2011 to October $ 31^{st} $ 2012. Included were patients of all ages on whom pre-hospital advanced airway management was performed. The objective was to estimate the incidences of failed and difficult pre-hospital endotracheal intubation, and complications related to pre-hospital advanced airway management. Results The overall incidence of successful pre-hospital endotracheal intubation among 636 intubation attempts was 99.7%, even though 22.4% of pre-hospital endotracheal intubations required more than one intubation attempt. The overall incidence of complications related to pre-hospital advanced airway management was 7.9%. Following rapid sequence intubation, the incidence of first pass success was 85.8%, the overall incidence of complications was 22.0%, the incidence of hypotension 7.3% and that of hypoxia 5.3%. Multiple endotracheal intubation attempts were associated with an increased overall incidence of complications. No airway management related deaths occurred. Discussion The overall incidence of successful pre-hospital endotracheal intubations compares to those found in other physician-staffed pre-hospital systems. The incidence of pre-hospital endotracheal intubations requiring more than one attempt is higher than suspected. The incidence of hypotension or hypoxia after pre-hospital rapid sequence intubation compares to those found in UK emergency departments. Conclusion Pre-hospital advanced airway management including pre-hospital endotracheal intubation performed by experienced anaesthesiologists is associated with high success rates and relatively low incidences of complications. An increased first pass success rate following pre-hospital endotracheal intubation may further reduce the incidence of complications and enhance patient safety in our system. © Rognås et al.; licensee BioMed Central Ltd. 2013 |
| abstract_unstemmed |
Introduction We report data from the first Utstein-style study of physician-provided pre-hospital advanced airway management. Materials and methods Anaesthesiologists from eight pre-hospital critical care teams in the Central Denmark Region (a mixed rural and urban region with 1.27 million inhabitants) prospectively registered data according to the template for reporting data from pre-hospital advanced airway management. Data collection took place from February $ 1^{st} $ 2011 to October $ 31^{st} $ 2012. Included were patients of all ages on whom pre-hospital advanced airway management was performed. The objective was to estimate the incidences of failed and difficult pre-hospital endotracheal intubation, and complications related to pre-hospital advanced airway management. Results The overall incidence of successful pre-hospital endotracheal intubation among 636 intubation attempts was 99.7%, even though 22.4% of pre-hospital endotracheal intubations required more than one intubation attempt. The overall incidence of complications related to pre-hospital advanced airway management was 7.9%. Following rapid sequence intubation, the incidence of first pass success was 85.8%, the overall incidence of complications was 22.0%, the incidence of hypotension 7.3% and that of hypoxia 5.3%. Multiple endotracheal intubation attempts were associated with an increased overall incidence of complications. No airway management related deaths occurred. Discussion The overall incidence of successful pre-hospital endotracheal intubations compares to those found in other physician-staffed pre-hospital systems. The incidence of pre-hospital endotracheal intubations requiring more than one attempt is higher than suspected. The incidence of hypotension or hypoxia after pre-hospital rapid sequence intubation compares to those found in UK emergency departments. Conclusion Pre-hospital advanced airway management including pre-hospital endotracheal intubation performed by experienced anaesthesiologists is associated with high success rates and relatively low incidences of complications. An increased first pass success rate following pre-hospital endotracheal intubation may further reduce the incidence of complications and enhance patient safety in our system. © Rognås et al.; licensee BioMed Central Ltd. 2013 |
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