Cardiac Arrest and Mortality Related to Intubation Procedure in Critically Ill Adult Patients: A Multicenter Cohort Study

Abstract

ICU intubation-related cardiac arrest occurs in one of 40 procedures with high immediate and 28-day mortality. We identified five independent risk factors for cardiac arrest, three of which are modifiable, possibly to decrease intubation-related cardiac arrest prevalence and 28-day ICU mortality.

The Italian coronavirus disease 2019 outbreak: recommendations from clinical practice

“…Invasive ventilation is associated with reduced aerosolisation and is thus safer for staff and other patients. That said, it might also be associated with hypoxia, haemodynamic failure and cardiac arrest [29,30] during tracheal intubation, and a risk of staff exposure to high viral load secretions, given that the very act of tracheal intubation is associated with the greatest risk of exposure to healthcare professionals [31]. Patient triage based on expected prognostic outcomes has become increasingly important.…”

Recomendaciones de «hacer» y «no hacer» en el tratamiento de los pacientes críticos ante la pandemia por coronavirus causante de COVID-19 de los Grupos de Trabajo de la Sociedad Española de Medicina Intensiva, Crítica y Unidades Coronarias (SEMICYUC)

“…Los múltiples intentos de IOT en pacientes con insuficiencia respiratoria pueden contribuir a la aparición de complicaciones graves en estos pacientes, que ya presentan una reserva escasa (57,58). Esto, asociado al uso de ventilación con balón resucitador aumenta el riesgo de transmisión al personal sanitario (59).…”

High-flow nasal cannula therapy as apneic oxygenation during endotracheal intubation in critically ill patients in the intensive care unit: a systematic review and meta-analysis

“…Each year in the United States, approximately 1.5 million patients are estimated to receive endotracheal intubation and the rate of intubation is increasing in the hospital 1 . Hypoxemia, a frequently reported complication of intubation, is considered a predisposing factor for cardiac arrest and death [2][3][4][5] . Therefore, oxygenation during endotracheal intubation plays an important role in prolonging the maintenance of acceptable oxygen saturation levels.…”