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Expert-Performed Endotracheal Intubation-Related Complications in Trauma Patients: Incidence, Possible Risk Factors, and Outcomes in the Prehospital Setting and Emergency Department
المؤلفون المشاركون
Ono, Yuko
Shinohara, Kazuaki
Kakamu, Takeyasu
Kikuchi, Hiroaki
Mori, Yusuke
Watanabe, Yui
المصدر
Emergency Medicine International
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-9، 9ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-06-10
دولة النشر
مصر
عدد الصفحات
9
التخصصات الرئيسية
الملخص EN
The aim of this study was to determine complication rates and possible risk factors of expert-performed endotracheal intubation (ETI) in patients with trauma, in both the prehospital setting and the emergency department.
We also investigated how the occurrence of ETI-related complications affected the survival of trauma patients.
This single-center retrospective observational study included all injured patients who underwent anesthesiologist-performed ETI from 2007 to 2017.
ETI-related complications were defined as hypoxemia, unrecognized esophageal intubation, regurgitation, cardiac arrest, ETI failure rescued by emergency surgical airway, dental trauma, cuff leak, and mainstem bronchus intubation.
Of the 537 patients included, 23.5% experienced at least one complication.
Multivariable logistic regression analysis revealed that low Glasgow Coma Scale Score (adjusted odds ratio [AOR], 0.93; 95% confidence interval [CI], 0.88–0.98), elevated heart rate (AOR, 1.01; 95% CI, 1.00–1.02), and three or more ETI attempts (AOR, 15.71; 95% CI, 3.37–73.2) were independent predictors of ETI-related complications.
We also found that ETI-related complications decreased the likelihood of survival of trauma patients (AOR, 0.60; 95% CI, 0.38–0.95), independently of age, male sex, Injury Severity Score, Glasgow Coma Scale Score, and off-hours presentation.
Our results suggest that airway management in trauma patients carries a very high risk; this finding has implications for the practice of airway management in injured patients.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Ono, Yuko& Kakamu, Takeyasu& Kikuchi, Hiroaki& Mori, Yusuke& Watanabe, Yui& Shinohara, Kazuaki. 2018. Expert-Performed Endotracheal Intubation-Related Complications in Trauma Patients: Incidence, Possible Risk Factors, and Outcomes in the Prehospital Setting and Emergency Department. Emergency Medicine International،Vol. 2018, no. 2018, pp.1-9.
https://search.emarefa.net/detail/BIM-1157068
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Ono, Yuko…[et al.]. Expert-Performed Endotracheal Intubation-Related Complications in Trauma Patients: Incidence, Possible Risk Factors, and Outcomes in the Prehospital Setting and Emergency Department. Emergency Medicine International No. 2018 (2018), pp.1-9.
https://search.emarefa.net/detail/BIM-1157068
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Ono, Yuko& Kakamu, Takeyasu& Kikuchi, Hiroaki& Mori, Yusuke& Watanabe, Yui& Shinohara, Kazuaki. Expert-Performed Endotracheal Intubation-Related Complications in Trauma Patients: Incidence, Possible Risk Factors, and Outcomes in the Prehospital Setting and Emergency Department. Emergency Medicine International. 2018. Vol. 2018, no. 2018, pp.1-9.
https://search.emarefa.net/detail/BIM-1157068
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1157068
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر
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