• Users Online: 1656
  • Print this page
  • Email this page
Year : 2023  |  Volume : 23  |  Issue : 2  |  Page : 82-87

Evaluation of endotracheal intubations in the emergency department of a tertiary care facility

1 Emergency Service, Sorgun State Hospital, Yozgat, Turkey
2 Department of Emergency Medicine, Akdeniz University School of Medicine, Antalya, Turkey
3 Department of Emergency Medicine, Aman Hospital, Doha, Qatar

Correspondence Address:
Erkan Göksu
Department of Emergency Medicine, Akdeniz University School of Medicine, Antalya
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/tjem.tjem_268_22

Rights and Permissions

OBJECTIVE: In this study, we aimed to evaluate the performance of emergency department intubations for 1 year. METHODS: This was a retrospective analysis of prospectively collected data. The collected variables were patient demographics, indication for intubation, preintubation hemodynamics, preoxygenation methods, medications used for premedication, induction and paralysis, type of laryngoscope used, Cormack-Lehane (C-L) grades, number of intubation attempts, and peri-intubation adverse events. RESULTS: A total of 194 patients were included. The median age of the population was 66.5 years (53.75–79); 61.9% of the patients were male. The majority of the patients were intubated due to medical conditions. The main indication for endotracheal intubation was respiratory failure in 38.6% of the patients. Preoxygenation before intubation was performed in 87.2% of the patients. Fifty-eight percent of the population were hemodynamically stable before the intubation. Fentanyl was the agent used for premedication, induction agents of choice were ketamine and midazolam, and rocuronium was the neuromuscular blocking agent. The C-L grades 1 and 2 were detected in 87.6% of the patients. The first-pass success rate was 72.8%. The peri-intubation adverse events were mainly hypotension and desaturation observed in 82 (42%) patients. The patients with higher C-L grades needed more intubation attempts (P < 0.001). Peri-intubation adverse events were associated with the increased number of intubation attempts (P < 0.001). CONCLUSION: This and similar studies or an airway registry on a national level may help improve the quality of service given and delineate the deficiencies of the airway-related procedures in the emergency department.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded104    
    Comments [Add]    

Recommend this journal