• M Badia, N Montserrat, L Serviá, I Baeza, G Bello, J Vilanova, S Rodríguez-Ruiz, and J Trujillano.
• Servicio de Medicina Intensiva, Hospital Universitario Arnau de Vilanova, Lleida, España.
• Med Intensiva. 2015 Jan 1; 39 (1): 26-33.

ObjectiveA study is made to determine the characteristics of endotracheal intubation (ETI) procedures performed in an Intensive Care Unit, and to describe the associated severe complications and related risk factors.DesignA prospective cohort study involving a 2-year period was carried out.SettingThe combined clinical/surgical Intensive Care Unit in a secondary university hospital.PatientsAll ETIs carried out by intensivists were included.InterventionsNone.Main VariablesWe analyzed the data associated with the patient, the procedure and the postoperative complications after intubation. The study of risk factors was performed using multiple logistic regression analysis.ResultsSeventy-six percent of the ETIs were performed immediately. Most of them were carried out by Intensive Care Units residents (60%). A total of 34% of the procedures had severe complications, including respiratory (16%) or hemodynamic (5%) disorders, or both (10%). Three patients died (1%), and 2% of the subjects experienced cardiac arrest. Logistic regression analysis identified the following independent risk factors for complications: age (OR 1.1; 95% CI: 1.1-1.2), systolic blood pressure≤90mmHg (OR 3.0; 95% CI: 1.4-6.4) and SpO2≤90% (OR 4.4; 95% CI: 2.3-8.1) prior to intubation, the presence of secretions (OR 2.2; 95% CI: 1.1-4.6), and the need for more than one ETI attempt (OR 3.5; 95% CI: 1.4-8.7).ConclusionsETI in Intensive Care Unit patients is associated with respiratory and hemodynamic complications. The independent risk factors associated with the development of complications were advanced age, hypotension and previous hypoxemia, the presence of secretions, and the need for more than one ETI attempt.Copyright © 2013 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.

38 keywords...

hide…