We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Incidence of transient hypoxia during pre-hospital rapid sequence intubation by anaesthesiologists.
- Authors
HELM, M.; KREMERS, G.; LAMPL, L.; HOSSFELD, B.
- Abstract
Background Pre-hospital tracheal intubation ( TI) is an important but difficult procedure with the potential to produce hypoxaemia. The aim of this study was to determine the incidence of desaturation episodes during out-of-hospital rapid sequence induction ( RSI) and TI by the medical team of a German Helicopter Emergency Medical Service ( HEMS). Methods We performed a prospective study at HEMS ' CHRISTOPH 22'. TI was performed as RSI according to a standard protocol. Desaturation was defined as a reduction in SpO2 below 90% or a reduction of more than 10% from baseline SpO2 when initial values were less than 90%. Results The RSI/ TI manoeuvre was attempted in 150 patients [107 male (71.3%); median age 40 years ( IQR 21-61); overall success rate 100%]. The incidence of desaturation episodes was 13.3% with a median duration of 50 sec. ( IQR 30-92) and a median SpO2 decrease of 24 ± 10%. Upon hospital admission, all patients had SpO2 values ≥ 96%. In the desaturation group the duration of successful TI was significantly longer [median 85 sec. ( IQR 60-119) vs. median 63 sec. ( IQR 48-70); P < 0.01], and the number of patients with a baseline SpO2 ≥ 90% was significantly lower (65.0% vs. 88.5%; P < 0.01). Among patients with difficult to manage airway, those with desaturation were significantly younger, and technical problems were significantly more frequent. Conclusion The incidence of episodes of desaturation during pre-hospital RSI/ TI at HEMS Ulm is relatively low, and the duration of such episodes is short.
- Subjects
GERMANY; HYPOXEMIA; TRACHEA intubation; ANESTHESIOLOGY; EMERGENCY medical services; HOSPITAL admission &; discharge; STANDARDS
- Publication
Acta Anaesthesiologica Scandinavica, 2013, Vol 57, Issue 2, p199
- ISSN
0001-5172
- Publication type
Article
- DOI
10.1111/aas.12032