Emergent airway management outside of the operating room - a retrospective review of patient characteristics, complications and ICU stay.
Publication/Presentation 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/m
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.
Volume
19
Issue
1
First Page
220
Last Page
220
ISSN
1471-2253
Published In/Presented At
Yoon, U., Mojica, J., Wiltshire, M., Segna, K., Block, M., Pantoja, A., Torjman, M., & Wolo, E. (2019). Emergent airway management outside of the operating room - a retrospective review of patient characteristics, complications and ICU stay. BMC anesthesiology, 19(1), 220. https://doi.org/10.1186/s12871-019-0894-4
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
31795993
Department(s)
Administration and Leadership
Document Type
Article