Abstract:
:Forty-three consecutive patients requiring endotracheal intubation in an emergency room were studied prospectively to define the complications associated with intubation and the survival of these patients, and to evaluate emergency room policies. The indications for intubation were acute respiratory failure (ARF) in 22 patients and cardiopulmonary arrest (CPA) in 21 patients. Thirty-eight complications occurred in 24 of the 43 patients. The department or level of training of the intubator did not affect the rate of complications. Furthermore, specific complications did not influence survival. Seventeen patients survived, all in the ARF group. Age less than 40 years and admission PaO2 greater than 40 mm Hg also were associated with increased survival. We conclude that the complication rate of emergency room intubations is high and would not appear to be lowered by limiting intubations to physicians from specific departments or with certain levels of training. The underlying diagnosis and condition on admission to the emergency room appear to be more important factors relating to survival than complications during intubation.
journal_name
Chestjournal_title
Chestauthors
Taryle DA,Chandler JE,Good JT Jr,Potts DE,Sahn SAdoi
10.1378/chest.75.5.541subject
Has Abstractpub_date
1979-05-01 00:00:00pages
541-3issue
5eissn
0012-3692issn
1931-3543pii
S0012-3692(16)39045-6journal_volume
75pub_type
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