Prospective observational study of emergent endotracheal intubation practice in the intensive care unit and emergency department of an Australian regional tertiary hospital

Abstract

The majority of airways are managed by ICU and ED consultants and trainees, with success rates and AE rates comparable with other published studies.

Postintubation hypotension in intensive care unit patients: A multicenter cohort study

“…intubation, mainstem bronchus intubation, bronchospasm, and aspiration of gastric contents into the respiratory system) and broader life-threatening complications (hypotension, arrhythmia, and cardiac arrest) [6][7][8][9][10][11][12][13][14][25][26][27][30][31][32][33][34][35][36]. In patients requiring ETI, the AEs most commonly reported include tube misplacement or dislodgement, multiple ETI attempts, and failed ETI efforts [17,18,37].…”

“…Evidence from previous studies suggests ETI in ICU patients is associated with high rates of immediate and severe life-threatening complications [30][31][32][33]. To date, most investigations of PIH have focused on the ED patient population [25][26][27].…”

Emergency airway management in Australian and New Zealand emergency departments: A multicentre descriptive study of 3710 emergency intubations

“…[6][7][8][9][10][11] To date, little is known about the practice of RSI across Australian and New Zealand EDs. Although single-centre studies have been published, [12][13][14][15] there have been no reports from a multicentre study within the Australasian context, including rural and regional sites. We present the first multicentre prospective observational study of emergency endotracheal intubation practices in Australia and New Zealand.…”

Ventilator‐assisted preoxygenation: Protocol for combining non‐invasive ventilation and apnoeic oxygenation using a portable ventilator

“…The fourth National Audit Project in the UK showed that one in four major airway complications occurred in the ED; these were more likely to lead to permanent harm or death and such events are probably under‐reported . There is limited Australian data, but two studies have shown a relatively high risk of oxygen desaturation complicating RSI, with one study from a tertiary ED in Sydney showing the incidence of hypoxia at 15.7% and the other based in Geelong at 17.9% …”