Volume 27, Number 12 (Monthly-Mar 2017)                   J Urmia Univ Med Sci 2017, 27(12): 1082-1087 | Back to browse issues page



DOI: 10.18869/acadpub.umj.27.12.1082

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valizade hasanloei M, hassani E, jahangard S, piran M, alizadeh osalu R. Difficult intubation and outcomes in intubated patients admitted to intensive care unit . J Urmia Univ Med Sci. 2017; 27 (12) :1082-1087
URL: http://umj.umsu.ac.ir/article-1-3516-en.html

associated professor Associate professor, fellowship of cardiac anesthesia , Urmia University of Medical Sciences. (corresponding authors) , Ehassani87@gmail.com
Abstract:   (974 Views)

Background & Aims: Endotracheal intubation is commonly performed in the intensive care unit. Many international guidelines for difficult intubation management are available and the intensivists think that any endotracheal intubation in ICU is potentially difficult with several complications.

Materials & Methods: After obtaining ethical approval, this descriptive and analytical study was conducted from 2014 to 2015 in the Urmia Emam hospital GICU. Demographic characteristic (Age, Sex), underlying diseases, mean of intubation, mechanical ventilation, ICU and hospital length of stay, frequency of difficult intubation, drugs used for intubation, mortality of patients were extracted from the medical information unit and entered to check lists. The data were analyzed with SPSS software ver.20. . P< 0.05 was considered significant.

Results: The mean of variables were as follows: intubation period 14.56±4.71, mechanical ventilation 13.24±5.54, ICU length of stay 18.11±10.16 and hospital 21.04±13.09 days. Frequency of difficult intubation was 9.31%. Mean number of attempts was 1.31 times for intubation and frequency of mortality was 35.17%. The Mean of intubation, mechanical ventilation, ICU and hospital length of stay period between 2 groups (difficult and non difficult intubation) were significantly different (P<0.05), although mortality frequency was not significant.

Conclusion: This study, like previous studies showed that difficult intubation had a negative influence on patients’ outcome in the intensive care unit.

Full-Text [PDF 279 kb]   (400 Downloads)    
Type of Study: Research | Subject: Anesthesia
Received: 2016/07/26 | Accepted: 2016/09/4 | Published: 2017/03/12

References
1. Joffe A, Liew E, Matioc A, Willmann K. Unanticipated difficult intubation in the medical-surgical intensive care unit: its effect on outcome of critically-ill adults. Internet J Anesth 2009; 24(1):1-6. [Google Scholar]
2. Cook TM, Woodall N, Harper J, Benger J; Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 2: intensive care and emergency departments. Br J Anaesth 2011; 1-11. [Google Scholar]
3. McGrath B, O’Donohoe E, Waldmann C. Airway Management in Critical Care–New Guidelines, Old Problems [Internet]. SAGE Publications; 2012 [cited 2017 Mar 1]. Available from: http://inc.sagepub.com/content/13/2/100.full.pdf [Article]
4. Noppens RR, Geimer S, Eisel N, David M, Piepho T. Endotracheal intubation using the C-MAC® video laryngoscope or the Macintosh laryngoscope: a prospective, comparative study in the ICU. Crit Car 2012;16(3):R103. [PubMed]
5. Kritek P. Predicting difficult intubation- easier to say who isn’t at risk. J Watch Jeneral Med 2013; 1-5. [Google Scholar]
6. Hagberg CA, Artime CA. Airway management in the adult. In: Miller RD, Cohen WH, Eriksson LT, Flisher LA, Wiener – Kronish JP, Young WL. Millers anesthesia. 8th ed. Elsevier; 2015. P.1647-83.
7. Heuer JF, Barwing TA, Barwing J, Russo SG, Bleckmann E, QuintelM, et al. Incidence of difficult intubation in intensive care patients: analysis of contributing factors. Anaesthesia and Intensive Care 2012; 40(1):120-7. [PubMed]
8. Lundstrøm LH .Detection of risk factors for difficult tracheal intubation. Danish Med J 2012, 59(4):1-20. [PubMed]
9. Jaber S, AmrAoui J, Lefrant JY, Ari CH C. Clinical practice and risk factors for immediate complications of endotracheal intubation in the intensive care unit: a prospective, multiple-center study. Crit Care Med 2006;34: 2355-61. [PubMed]
10. Rüdiger R, Noppens B. Airway management in the intensive ca re unit. Acta Clin Croat 2012; 51:511-7. [PubMed]
11. Lavery GG, McCloskey BV. The difficult airway in adult critical care. Crit Care Med 2009; 36(7): 2163-73. [Google Scholar]

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