Strategies to improve first attempt success at intubation in critically ill patients
AffiliationDivision of Pulmonary, Critical Care, Allergy and Sleep, Department of Medicine, University of Arizona College of Medicine
Department of Emergency Medicine, University of Arizona College of Medicine
MetadataShow full item record
PublisherOXFORD UNIV PRESS
CitationStrategies to improve first attempt success at intubation in critically ill patients 2016, 117 (suppl 1):i60 British Journal of Anaesthesia
JournalBritish Journal of Anaesthesia
Rights© The Author 2016. Published by Oxford University Press on behalf of the British Journal of Anaesthesia. All rights reserved.
Collection InformationThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at email@example.com.
AbstractTracheal intubation in critically ill patients is a high-risk procedure. The risk of complications increases with repeated or prolonged attempts, making expedient first attempt success the goal for airway management in these patients. Patient-related factors often make visualization of the airway and placement of the tracheal tube difficult. Physiologic derangements reduce the patient's tolerance for repeated or prolonged attempts at laryngoscopy and, as a result, hypoxaemia and haemodynamic deterioration are common complications. Operator-related factors such as experience, device selection, and pharmacologic choices affect the odds of a successful intubation on the first attempt. This review will discuss the 'difficult airway' in critically ill patients and highlight recent advances in airway management that have been shown to improve first attempt success and decrease adverse events associated with the intubation of critically ill patients.
NotePublished 24 May 2016; 12 month embargo.
VersionFinal accepted manuscript