Endotracheal intubation in the ICU | Critical Care | Full Text
Dec 1, 2015 · Endotracheal intubation in the ICU is a high-risk procedure, resulting in significant morbidity and mortality. Up to 40% of cases are associated with marked hypoxemia or hypotension. The ICU patient is physiologically very different from the usual patient who undergoes intubation in the operating room, and different intubation techniques should be considered. The common operating room practice ...
How I manage a difficult intubation | Critical Care | Full Text
May 16, 2019 · Metrics. In this article, we review our approach to a difficult intubation in a critically ill adult who is not in cardiac arrest and located in an emergency department (ED) or intensive care unit (ICU). Tracheal intubation may be difficult for either anatomical or physiological reasons. An anatomically difficult intubation (sometimes referred ...
Reintubation in critically ill patients: procedural complications and ...
Dec 1, 2015 · Introduction In critically ill patients, re-intubation is common and may be a high-risk procedure. Anticipating a difficult airway and identifying high-risk patients can allow time for life-saving preparation. Unfortunately, prospective studies have not compared the difficulty or complication rates associated with reintubation in this population. Methods We performed a secondary analysis of a ...
Effect of timing of intubation on clinical outcomes of critically ill ...
Mar 25, 2021 · Background Although several international guidelines recommend early over late intubation of patients with severe coronavirus disease 2019 (COVID-19), this issue is still controversial. We aimed to investigate the effect (if any) of timing of intubation on clinical outcomes of critically ill patients with COVID-19 by carrying out a systematic review and meta-analysis. Methods PubMed and Scopus ...
Early intubation and patient-centered outcomes in septic shock: a ...
Jun 7, 2022 · Purpose Despite the benefits of mechanical ventilation, its use in critically ill patients is associated with complications and had led to the growth of noninvasive techniques. We assessed the effect of early intubation (first 8 h after vasopressor start) in septic shock patients, as compared to non-early intubated subjects (unexposed), regarding in-hospital mortality, intensive care and ...
Prehospital endotracheal intubation: elemental or detrimental ...
Dec 1, 2015 · Endotracheal intubation in the out-of-hospital setting. In the early years of out-of-hospital emergency medical services (EMS) systems, advanced life support personnel were not only trained in the nuances of how to avoid overzealous ventilation and properly place an endotracheal tube in very challenging circumstances, but they were also well-supervised on-scene by expert physicians who ...
Intubation in the ICU: we could improve our practice
Mar 18, 2014 · The main indication for intubation in the ICU is acute respiratory failure [1 – 4]. In these cases, the risk of hypoxemia and cardiovascular collapse during the intubation process (often crucial) is particularly elevated (15 to 50 %) [3]. Respiratory muscle weakness ('ventilatory insufficiency') and gas exchange impairment ('respiratory ...
Impact of time to intubation on mortality and pulmonary sequelae …
Jan 10, 2022 · Question We evaluated whether the time between first respiratory support and intubation of patients receiving invasive mechanical ventilation (IMV) due to COVID-19 was associated with mortality or pulmonary sequelae. Materials and methods Prospective cohort of critical COVID-19 patients on IMV. Patients were classified as early intubation if they were intubated within the first 48 h from the ...
Video versus direct laryngoscopy in critically ill patients: an …
Jan 2, 2024 · Background The utilization of video laryngoscopy (VL) has demonstrated superiority over direct laryngoscopy (DL) for intubation in surgical settings. However, its effectiveness in the intensive care unit and emergency department settings remains uncertain. Methods We systematically searched PubMed, Embase, Cochrane, and ClinicalTrials.gov databases for randomized controlled trials (RCTs ...
Mechanical ventilation in patients with acute ischaemic stroke: …
Dec 2, 2019 · In non-emergency settings, awake intubation is the procedure of choice in case of anticipated difficult airway or ventilation, except for patients with elevated intracranial pressure (ICP). In this case, rapid sequence intubation is preferred, since it limits the elevation of ICP induced by laryngoscopy [ 45 ].