Document Type
Article
Publication Date
12-3-2019
Abstract
BACKGROUND: Emergent airway management outside of the operating room is a high-risk procedure. Limited data exists about the indication and physiologic state of the patient at the time of intubation, the location in which it occurs, or patient outcomes afterward.
METHODS: We retrospectively collected data on all emergent airway management interventions performed outside of the operating room over a 6-month period. Documentation included intubation performance, and intubation related complications and mortality. Additional information including demographics, ASA-classification, comorbidities, hospital-stay, ICU-stay, and 30-day in-hospital mortality was obtained.
RESULTS: 336 intubations were performed in 275 patients during the six-month period. The majority of intubations (n = 196, 58%) occurred in an ICU setting, and the rest 140 (42%) occurred on a normal floor or in a remote location. The mean admission ASA status was 3.6 ± 0.5, age 60 ± 16 years, and BMI 30 ± 9 kg/m2. Chest X-rays performed immediately after intubation showed main stem intubation in 3.3% (n = 9). Two immediate (within 20 min after intubation) intubation related cardiac arrest/mortality events were identified. The 30-day in-hospital mortality was 31.6% (n = 87), the overall in-hospital mortality was 37.1% (n = 102), the mean hospital stay was 22 ± 20 days, and the mean ICU-stay was 14 days (13.9 ± 0.9, CI 12.1-15.8) with a 7.3% ICU-readmission rate.
CONCLUSION: Patients requiring emergent airway management are a high-risk patient population with multiple comorbidities and high ASA scores on admission. Only a small number of intubation-related complications were reported but ICU length of stay was high.
Recommended Citation
Yoon, Uzung; Mojica, Jeffrey; Wiltshire, Matthew; Segna, Kara; Block, Michael; Pantoja, Anthony; Torjman, Marc; and Wolo, Elizabeth, "Emergent airway management outside of the operating room - a retrospective review of patient characteristics, complications and ICU stay." (2019). Department of Anesthesiology Faculty Papers. Paper 57.
https://jdc.jefferson.edu/anfp/57
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
PubMed ID
31795993
Language
English
Comments
This article is the author’s final published version in BMC Anesthesiology, Volume 19, Issue 1, December 2019, Article number 220.
The published version is available at https://doi.org/10.1186/s12871-019-0894-4. Copyright © Yoon et al.
Publication made possible in part by support from the Thomas Jefferson University + Philadelphia University Open Access Fund