Show simple item record

dc.contributor.authorHypes, Cameron
dc.contributor.authorSakles, John
dc.contributor.authorJoshi, Raj
dc.contributor.authorGreenberg, Jeremy
dc.contributor.authorNatt, Bhupinder
dc.contributor.authorMalo, Josh
dc.contributor.authorBloom, John
dc.contributor.authorChopra, Harsharon
dc.contributor.authorMosier, Jarrod
dc.date.accessioned2018-07-16T21:31:51Z
dc.date.available2018-07-16T21:31:51Z
dc.date.issued2017-12
dc.identifier.citationHypes, C., Sakles, J., Joshi, R. et al. Intern Emerg Med (2017) 12: 1235. https://doi.org/10.1007/s11739-016-1549-9en_US
dc.identifier.issn1828-0447
dc.identifier.issn1970-9366
dc.identifier.pmid27738960
dc.identifier.doi10.1007/s11739-016-1549-9
dc.identifier.urihttp://hdl.handle.net/10150/628237
dc.description.abstractThe 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.en_US
dc.language.isoenen_US
dc.publisherSPRINGER-VERLAG ITALIA SRLen_US
dc.relation.urlhttp://link.springer.com/10.1007/s11739-016-1549-9en_US
dc.rights© SIMI 2016en_US
dc.subjectIntubationen_US
dc.subjectIntratrachealen_US
dc.subjectLaryngoscopyen_US
dc.subjectAirway managementen_US
dc.subjectRespirationen_US
dc.subjectArtificialen_US
dc.subjectIntensive care unitsen_US
dc.titleFailure to achieve first attempt success at intubation using video laryngoscopy is associated with increased complicationsen_US
dc.typeArticleen_US
dc.contributor.departmentUniv Arizona, Sect Pulm Allergy Crit Care & Sleep, Dept Meden_US
dc.contributor.departmentUniv Arizona, Dept Emergency Meden_US
dc.contributor.departmentUniv Arizona, Coll Meden_US
dc.identifier.journalINTERNAL AND EMERGENCY MEDICINEen_US
dc.description.note12 month embargo; published online: 13 October 2016en_US
dc.description.collectioninformationThis 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.en_US
dc.eprint.versionFinal accepted manuscripten_US
dc.source.journaltitleInternal and Emergency Medicine
dc.source.volume12
dc.source.issue8
dc.source.beginpage1235
dc.source.endpage1243
refterms.dateFOA2017-10-13T00:00:00Z


Files in this item

Thumbnail
Name:
FAS_and_complications_paper_fi ...
Size:
195.5Kb
Format:
PDF
Description:
Final Accepted Manuscript

This item appears in the following Collection(s)

Show simple item record