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J Clin Anesth. 2007 Feb;19(1):20-4.

Urgent tracheal intubation in general hospital units: an observational study.

Author information

1
Department of Anesthesia and Critical Care, Massachusetts General Hospital, and Harvard Medical School, Boston, MA 02114, USA.

Abstract

STUDY OBJECTIVE:

To determine the frequency of complications and outcomes of urgent intubations in general hospital units.

DESIGN:

Prospective, observational, cohort study.

SETTING:

University-affiliated hospital.

PATIENTS:

150 patients who underwent tracheal intubation in the general care units.

INTERVENTIONS:

A standardized data collection form was used prospectively to record events at the time of intubation. Patient outcomes were extracted from the medical record.

MEASUREMENTS AND MAIN RESULTS:

The complication rate was 27%. The most common complications were multiple attempts (9% required>2 intubations) and esophageal intubation (9%). The complication rate for elective intubation (22%) was similar to the complication rate for emergent intubations (27%). Of patients intubated in the general care units, 52% survived and 33% of these were discharged. There was no significant difference (P=0.46) in survival between the patients intubated electively (59%) and emergently (50%). There was no significant difference (P=0.63) in survival between patients with (48%) and without complications (54%).

CONCLUSIONS:

Endotracheal intubation in general hospital units carries a high rate of complications, and patients who are intubated in general hospital units have a high mortality.

PMID:
17321922
DOI:
10.1016/j.jclinane.2006.05.018
[Indexed for MEDLINE]

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