Dataset Information

Emergency airway management in a tertiary trauma centre (AIRMAN): a one-year prospective longitudinal study.

ABSTRACT:

Purpose

Emergency airway management can be associated with a range of complications including long-term neurologic injury and death. We studied the first-pass success rate with emergency airway management in a tertiary care trauma centre. Secondary outcomes were to identify factors associated with first-pass success and factors associated with adverse events peri-intubation.

Methods

We performed a single-centre, prospective, observational study of patients ≥ 17 yr old who were intubated in the emergency department (ED), surgical intensive care unit (SICU), medical intensive care unit (MICU), and inpatient wards at our institution. Ethics approval was obtained from the local research ethics board.

Results

In a seven-month period, there were 416 emergency intubations and a first-pass success rate of 73.1%. The first-pass success rates were 57.5% on the ward, 66.1% in the intensive care units (ICUs) and 84.3% in the ED. Equipment also varied by location; videolaryngoscopy use was 65.1% in the ED and only 10.6% on wards. A multivariate regression model using the least absolute shrinkage and selection algorithm (LASSO) showed that the odds ratios for factors associated with two or more intubation attempts were location (wards, 1.23; MICU, 1.24; SICU, 1.19; reference group, ED), physiologic instability (1.19), an anatomically difficult airway (1.05), hypoxemia (1.98), lack of neuromuscular blocker use (2.28), and intubator inexperience (1.41).

Conclusions

First-pass success rates varied widely between locations within the hospital and were less than those published from similar institutions, except for the ED. We are revamping ICU protocols to improve the first-pass success rate.

SUBMITTER: Hall T

PROVIDER: S-EPMC9857903 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature

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Publications

Emergency airway management in a tertiary trauma centre (AIRMAN): a one-year prospective longitudinal study.

Hall Thomas T Leeies Murdoch M Funk Duane D Hrymak Carmen C Siddiqui Faisal F Black Holly H Webster Kim K Tkach Jenn J Waskin Matt M Dufault Brenden B Kowalski Stephen S

Canadian journal of anaesthesia = Journal canadien d'anesthesie 20230120 3

<h4>Purpose</h4>Emergency airway management can be associated with a range of complications including long-term neurologic injury and death. We studied the first-pass success rate with emergency airway management in a tertiary care trauma centre. Secondary outcomes were to identify factors associated with first-pass success and factors associated with adverse events peri-intubation.<h4>Methods</h4>We performed a single-centre, prospective, observational study of patients ≥ 17 yr old who were int ...[more]

PMID: 36670315

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Dataset Information

Emergency airway management in a tertiary trauma centre (AIRMAN): a one-year prospective longitudinal study.

Purpose

Methods

Results

Conclusions

Publications

Emergency airway management in a tertiary trauma centre (AIRMAN): a one-year prospective longitudinal study.

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