835

Harper, Yenal; Waheed, Irfan; Ehsanullah, Bushra; Parmar, Sneha; Nadeem, Rashid; Gazmuri, Raúl J; Nadeem, Amin

doi:10.1097/01.ccm.0000458332.97030.40

Cited by 3 publications

(2 citation statements)

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“…Moreover, video laryngoscopy maintains its effectiveness when used during an emergency [18]. Despite the evidence of positive outcomes for the newer devices, not all providers utilize these modalities, possibly due to inexperience with the newer techniques or evidence suggesting no benefit [19,20]. As an example, a recent study surveying Canadian resuscitation physicians demonstrated that most use direct laryngoscopy as their go-to technique for emergent endotracheal intubations [21].…”

Section: Introductionmentioning

confidence: 99%

Endotracheal Intubation Among the Critically Ill: Protocol for a Multicenter, Observational, Prospective Study

Smischney¹,

Kashyap²,

Seisa³

et al. 2018

JMIR Res Protoc

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BackgroundEndotracheal intubation can occur in up to 60% of critically ill patients. Despite the frequency with which endotracheal intubation occurs, the current practice is largely unknown. This is relevant, as advances in airway equipment (ie, video laryngoscopes) have become more prevalent, leading to possible improvement of care delivered during this process. In addition to new devices, a greater emphasis on airway plans and choices in sedation have evolved, although the influence on patient morbidity and mortality is largely unknown.ObjectiveThis study aims to derive and validate prediction models for immediate airway and hemodynamic complications of intensive care unit intubations.MethodsA multicenter, observational, prospective study of adult critically ill patients admitted to both medical and surgical intensive care units (ICUs) was conducted. Participating ICU sites were located throughout eight health and human services regions of the United States for which endotracheal intubation was needed. A steering committee composed of both anesthesia and pulmonary critical care physicians proposed a core set of data variables. These variables were incorporated into a data collection form to be used within the multiple, participating ICUs across the United States during the time of intubation. The data collection form consisted of two basic components, focusing on airway management and hemodynamic management. The form was generated using RedCap and distributed to the participating centers. Quality checks on the dataset were performed several times with each center, such that they arrived at less than 10% missing values for each data variable; the checks were subsequently entered into a database.ResultsThe study is currently undergoing data analysis. Results are expected in November 2018 with publication to follow thereafter. The study protocol has not yet undergone peer review by a funding body.ConclusionsThe overall goal of this multicenter prospective study is to develop a scoring system for peri-intubation, hemodynamic, and airway-related complications so we can stratify those patients at greatest risk for decompensation as a result of these complications. This will allow critical care physicians to be better prepared in addressing these occurrences and will allow them to improve the quality of care delivered to the critically ill.Trial RegistrationClinicalTrials.gov NCT02508948; https://clinicaltrials.gov/ct2/show/NCT02508948 (Archived by WebCite at http://www.webcitation.org/73Oj6cTFu)International Registered Report Identifier (IRRID)RR1-10.2196/11101

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Section: Introductionmentioning

confidence: 99%

Endotracheal Intubation Among the Critically Ill: Protocol for a Multicenter, Observational, Prospective Study

Smischney¹,

Kashyap²,

Seisa³

et al. 2018

JMIR Res Protoc

View full text Add to dashboard Cite

show abstract

“…Moreover, video laryngoscopy maintains it effectiveness when used emergently [18]. Despite the evidence for the newer devices, not all providers utilize these modalities, possibly due to inexperience with the newer techniques or evidence suggesting no benefit [19][20]. As an example, a recent study surveying Canadian resuscitation physicians demonstrated that most use direct laryngoscopy as their "go-to" device for emergent endotracheal intubations [21].…”

Section: Challenges In Endotracheal Intubationmentioning

confidence: 99%

Endotracheal Intubation Among the Critically Ill: Protocol for a Multicenter, Observational, Prospective Study (Preprint)

Smischney¹,

Kashyap²,

Seisa³

et al. 2018

Preprint

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Survey on the Current State of Endotracheal Intubation Among the Critically Ill

Seisa

Gondhi

Demirci

et al. 2016

J Intensive Care Med

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Although propofol was the induction drug of choice, ketamine was a medication that many preferred to use, possibly relating to the fact that the most common complication postintubation is hypotension. Direct laryngoscopy remains the primary airway device for endotracheal intubation. Finally, although the majority stated they had a difficult airway cart available, most did not have a documented plan in place when encountering a difficult airway or a documented process to review adverse events surrounding intubation.

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835

Cited by 3 publications

References 0 publications

Endotracheal Intubation Among the Critically Ill: Protocol for a Multicenter, Observational, Prospective Study

Endotracheal Intubation Among the Critically Ill: Protocol for a Multicenter, Observational, Prospective Study

Endotracheal Intubation Among the Critically Ill: Protocol for a Multicenter, Observational, Prospective Study (Preprint)

Survey on the Current State of Endotracheal Intubation Among the Critically Ill

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