3,423 Emergency Tracheal Intubations at a University Hospital

Abstract

During emergent nonoperative intubation, specific clinical situations are associated with an increased risk of airway complication and may provide a starting point for allocation of experienced first responders.

Emergency airway management – by whom and how?

“…Emergency airway management outside the operating theatres carries a high risk of difficult intubation, in a recent study 10.3%, and these patients have a high risk of complications 18. This demonstrate the need for particular vigilance in and training for these settings, and provides another argument for using supraglottic approaches for those patients in the hands of non‐anaesthesiologists.…”

Case reports: Iatrogenic bronchial rupture following the use of endotracheal tube introducers

“…5 Reported complication rates during emergency tracheal intubations range from 4.1-28% (esophageal intubation, 1.6-9%; aspiration, 2-4%; and trauma, 0.5-7%), reflecting variations in practice patterns, outcome definitions, and data collection methods. 6 Fig. 1 A 67-yr-old woman with a multinodular goiter who underwent surgery for a total thyroidectomy presents with blood coming out of the endotracheal tube after intubation.…”

S1 guidelines on airway management

“…The risk of significant life-threatening complications, such as severe hypoxia, regurgitation, aspiration, hypotension, bradycardia and cardiac arrest increases with each additional, unsuccessful intubation attempt [76][77][78][79].…”