Complications of intubation in an academic medical-surgical ICU

Shore, Kevin; Walker, SM; Palozzi, L; Lapinsky, S. E.

doi:10.1186/2197-425x-3-s1-a431

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2016

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“…Despite evidence to show that having a senior-level staff clinician presence during the procedure decreased complications, surprisingly, only 80% of the respondents indicated a senior-level staff clinician was present. 36 Studies suggest that the use of a systematic approach or protocol for airway management can reduce intubation complications. [37][38][39] This was recently demonstrated in a prospective trial utilizing an intubation management protocol whereby immediate severe life-threatening complications associated with intubation of ICU patients were reduced.…”

Section: Discussionmentioning

confidence: 99%

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Survey on the Current State of Endotracheal Intubation Among the Critically Ill

Seisa

Gondhi

Demirci

et al. 2016

J Intensive Care Med

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Although propofol was the induction drug of choice, ketamine was a medication that many preferred to use, possibly relating to the fact that the most common complication postintubation is hypotension. Direct laryngoscopy remains the primary airway device for endotracheal intubation. Finally, although the majority stated they had a difficult airway cart available, most did not have a documented plan in place when encountering a difficult airway or a documented process to review adverse events surrounding intubation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%