• Login
    View Item 
    •   Home
    • UA Faculty Research
    • UA Faculty Publications
    • View Item
    •   Home
    • UA Faculty Research
    • UA Faculty Publications
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of UA Campus RepositoryCommunitiesTitleAuthorsIssue DateSubmit DateSubjectsPublisherJournalThis CollectionTitleAuthorsIssue DateSubmit DateSubjectsPublisherJournal

    My Account

    LoginRegister

    About

    AboutUA Faculty PublicationsUA DissertationsUA Master's ThesesUA Honors ThesesUA PressUA YearbooksUA CatalogsUA Libraries

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Failure to achieve first attempt success at intubation using video laryngoscopy is associated with increased complications

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Thumbnail
    Name:
    FAS_and_complications_paper_fi ...
    Size:
    195.5Kb
    Format:
    PDF
    Description:
    Final Accepted Manuscript
    Download
    Author
    Hypes, Cameron
    Sakles, John
    Joshi, Raj
    Greenberg, Jeremy
    Natt, Bhupinder
    Malo, Josh
    Bloom, John
    Chopra, Harsharon
    Mosier, Jarrod
    Affiliation
    Univ Arizona, Sect Pulm Allergy Crit Care & Sleep, Dept Med
    Univ Arizona, Dept Emergency Med
    Univ Arizona, Coll Med
    Issue Date
    2017-12
    Keywords
    Intubation
    Intratracheal
    Laryngoscopy
    Airway management
    Respiration
    Artificial
    Intensive care units
    
    Metadata
    Show full item record
    Publisher
    SPRINGER-VERLAG ITALIA SRL
    Citation
    Hypes, C., Sakles, J., Joshi, R. et al. Intern Emerg Med (2017) 12: 1235. https://doi.org/10.1007/s11739-016-1549-9
    Journal
    INTERNAL AND EMERGENCY MEDICINE
    Rights
    © SIMI 2016
    Collection Information
    This 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 repository@u.library.arizona.edu.
    Abstract
    The purpose of this investigation was to investigate the association between first attempt success and intubation-related complications in the Intensive Care Unit after the widespread adoption of video laryngoscopy. We further sought to characterize and identify the predictors of complications that occur despite first attempt success. This was a prospective observational study of consecutive intubations performed with video laryngoscopy at an academic medical Intensive Care Unit. Operator, procedural, and complication data were collected. Multivariable logistic regression was used to examine the relationship between the intubation attempts and the occurrence of one or more complications. A total of 905 patients were intubated using a video laryngoscope. First attempt success occurred in 739 (81.7 %), whereas > 1 attempt was needed in 166 (18.3 %). One or more complications occurred in 146 (19.8 %) of those intubated on the first attempt versus 107 (64.5 %, p < 0.001) of those requiring more than one attempt. Logistic regression analysis shows that > 1 attempt is associated with 6.4 (95 % CI 4.4-9.3) times the adjusted odds of at least one complication. Pre-intubation predictors of at least one complication despite first attempt success include vomit or edema in the airway as well as the presence of hypoxemia or hypotension. There are increased odds of complications with even a second attempt at intubation in the Intensive Care Unit. Complications occur frequently despite a successful first attempt, and as such, the goal of airway management should not be simply first attempt success, but instead first attempt success without complications.
    Note
    12 month embargo; published online: 13 October 2016
    ISSN
    1828-0447
    1970-9366
    PubMed ID
    27738960
    DOI
    10.1007/s11739-016-1549-9
    Version
    Final accepted manuscript
    Additional Links
    http://link.springer.com/10.1007/s11739-016-1549-9
    ae974a485f413a2113503eed53cd6c53
    10.1007/s11739-016-1549-9
    Scopus Count
    Collections
    UA Faculty Publications

    entitlement

    Related articles

    • Video Laryngoscopy Improves Odds of First-Attempt Success at Intubation in the Intensive Care Unit. A Propensity-matched Analysis.
    • Authors: Hypes CD, Stolz U, Sakles JC, Joshi RR, Natt B, Malo J, Bloom JW, Mosier JM
    • Issue date: 2016 Mar
    • Difficult Airway Characteristics Associated with First-Attempt Failure at Intubation Using Video Laryngoscopy in the Intensive Care Unit.
    • Authors: Joshi R, Hypes CD, Greenberg J, Snyder L, Malo J, Bloom JW, Chopra H, Sakles JC, Mosier JM
    • Issue date: 2017 Mar
    • Video laryngoscopy improves intubation success and reduces esophageal intubations compared to direct laryngoscopy in the medical intensive care unit.
    • Authors: Mosier JM, Whitmore SP, Bloom JW, Snyder LS, Graham LA, Carr GE, Sakles JC
    • Issue date: 2013 Oct 14
    • Neuromuscular blockade improves first-attempt success for intubation in the intensive care unit. A propensity matched analysis.
    • Authors: Mosier JM, Sakles JC, Stolz U, Hypes CD, Chopra H, Malo J, Bloom JW
    • Issue date: 2015 May
    • Improvement in glottic visualisation by using the C-MAC PM video laryngoscope as a first-line device for out-of-hospital emergency tracheal intubation: An observational study.
    • Authors: Hossfeld B, Frey K, Doerges V, Lampl L, Helm M
    • Issue date: 2015 Jun
    The University of Arizona Libraries | 1510 E. University Blvd. | Tucson, AZ 85721-0055
    Tel 520-621-6442 | repository@u.library.arizona.edu
    DSpace software copyright © 2002-2017  DuraSpace
    Quick Guide | Contact Us | Send Feedback
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.