Emergency room intubations--complications and survival.

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

Chest

journal_title

Chest

authors

Taryle DA,Chandler JE,Good JT Jr,Potts DE,Sahn SA

doi

10.1378/chest.75.5.541

subject

Has Abstract

pub_date

1979-05-01 00:00:00

pages

541-3

issue

5

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(16)39045-6

journal_volume

75

pub_type

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