Systematische Analyse von Atemwegsregistern in der Notfallmedizin

Girrbach, Felix; Hilbig, Franziska; Michael, M.; Bernhard, Michaël

doi:10.1007/s00101-018-0476-8

Cited by 5 publications

(1 citation statement)

References 74 publications

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“…Due to the fact that in Germany a multi-centre airway registry does not exist, we suggest that this should be initiated in order to analyse the situation countrywide. Studies identified more than eleven emergency airway registries that sometimes widely differed concerning inclusion period, inclusion criteria, definition of complications and application of newer methods of emergency airway management [47]. Comparability of the reported results and first-pass-success rates is only possible to a limited extent.…”

Section: Discussionmentioning

confidence: 99%

Airway Management in the Emergency Department (The OcEAN-Study) - a prospective single centre observational cohort study

Bernhard

Bax

Hartwig

et al. 2019

Scand J Trauma Resusc Emerg Med

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Background Emergency airway management (AM) is a major key for successful resuscitation of critically ill non-traumatic (CINT) patients. Details of the AM of these patients in German emergency departments (ED) are unknown. This observational study describes epidemiology, airway techniques, success rates and complications of AM in CINT ED patients in the resuscitation room (RR). Methods Data was collected prospectively on adult CINT patients admitted to the RR of a single German university ED September 2014 to August 2015. Patient characteristics, out-of-hospital and in-hospital RR AM, complications and success rates were recorded using a self-developed airway registry form. Results During the study period 34,303 patients were admitted to the ED, out of those 21,074 patients for non-trauma emergencies. Suffering from severe acute life-threatening problems, 532 CINT patients were admitted to the RR. 150 (28.2%) CINT patients had received out-of-hospital AM. In 16 of these cases (10.7%) the inserted airway needed to be changed after RR admission (unrecognized oesophageal intubation: n = 2, laryngeal tube exchange: n = 14). 136 (25.6%) CINT patients without out-of-hospital AM received RR AM immediately after admission. The first-pass and overall success rate in the RR were 71 and 100%, respectively, and multiple intubation attempts were necessary in 29%. A lower Cormack/Lehane (C/L) grade was associated with less intubation attempts (C/L1/2 vs. 3/4: 1.2 ± 0.5 vs. 1.8 ± 1.2, p = 0.0002). Complication rate was 43%. Conclusions OcEAN demonstrates the challenges of AM in CINT patients in a German ED RR. We propose a nation-wide ED airway registry to better track outcomes in the future. Electronic supplementary material The online version of this article (10.1186/s13049-019-0599-1) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Airway Management in the Emergency Department (The OcEAN-Study) - a prospective single centre observational cohort study

Bernhard

Bax

Hartwig

et al. 2019

Scand J Trauma Resusc Emerg Med

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Atemwegsmanagement und nichtinvasive Beatmung

Merz,

Hohenstein

2025

FAQ Klinische Akut- Und Notfallmedizin

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Airway registries in primarily adult, emergent endotracheal intubation: a scoping review

Meulendyks

Korpal

Jin

et al. 2023

Scand J Trauma Resusc Emerg Med

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Background Emergency Department (ED) airway registries are formalized methods to collect and document airway practices and outcomes. Airway registries have become increasingly common in EDs globally; yet there is no consensus of airway registry methodology or intended utility. This review builds on previous literature and aims to provide a thorough description of international ED airway registries and discuss how airway registry data is utilized. Methods A search of Medline, Embase, Scopus, Cochrane Libraries, Web of Science, and Google Scholar was performed with no date limitations applied. English language full-text publications and grey literature from centres implementing an ongoing airway registry to monitor intubations performed in mainly adult patients in an ED setting were included. Non-English publications and publications describing airway registries to monitor intubation practices in predominantly paediatric patients or settings outside of the ED were excluded. Study screening for eligibility was performed by two team members individually, with any disagreements resolved by a third team member. Data was charted using a standardized data charting tool created for this review. Results Our review identified 124 eligible studies from 22 airway registries with a global distribution. We found that airway registry data is used for quality assurance, quality improvement, and clinical research regarding intubation practices and contextual factors. This review also demonstrates that there is a great deal of heterogeneity in definitions of first-pass success and adverse events in the peri-intubation period. Conclusions Airway registries are used as a crucial tool to monitor and improve intubation performance and patient care. ED airway registries inform and document the efficacy of quality improvement initiatives to improve intubation performance in EDs globally. Standardized definitions of first-pass success and peri-intubation adverse events, such as hypotension and hypoxia, may allow for airway management performance to be compared on a more equivalent basis and allow for the development of more reliable international benchmarks for first-pass success and rates of adverse events in the future.

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Systematische Analyse von Atemwegsregistern in der Notfallmedizin

Cited by 5 publications

References 74 publications

Airway Management in the Emergency Department (The OcEAN-Study) - a prospective single centre observational cohort study

Airway Management in the Emergency Department (The OcEAN-Study) - a prospective single centre observational cohort study

Atemwegsmanagement und nichtinvasive Beatmung

Airway registries in primarily adult, emergent endotracheal intubation: a scoping review

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