• M Taboada, A Calvo, P Doldán, M Ramas, D Torres, M González, A Rodríguez, M Lombardía, Cr Fernandez, A Baluja, P Otero, and J Álvarez.
• Unidad de Cuidados Críticos Postoperatorios, Servicio de Anestesiología y Reanimación, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, España. Electronic address: manutabo@yahoo.es.
• Med Intensiva. 2018 Dec 1; 42 (9): 527-533.

ObjectiveTo compare the complications and the difficulty of orotracheal intubation procedures performed in the Intensive Care Unit during the off-hours period and the on-hours period.DesignA prospective, observational and non-interventional cohort study covering a period of 27 months was carried out. Working days between 8:00 a. m. and 7:59 p. m. were considered «on-hours», while the remaining shifts were regarded as «off-hours».ScopeAn 18-bed surgical in a Intensive Care Unit of a third-level hospital.PatientsAll orotracheal intubation patients admitted to the ICU from January 2015 to March 2017 were included. Patients were stratified into 2groups according to whether intubation was performed on-hours or off-hours.InterventionsNon-interventional study.Variables Of InterestThe reason for intubation, time and day on which intubation was performed, degree of intubation difficulty (number of attempts, Cormack-Lehane laryngoscopic vision, need for accessory material) and complications during intubation.ResultsA total of 252 patients were intubated; of these, 132 were included in the on-hours group and 120 patients in the off-hours group. In the off-hours group we observed a greater percentage of urgent and emergent intubations compared to the on-hours group. However, no differences were found between the 2groups in relation to the other variables studied.ConclusionsDuring the off-hours period, orotracheal intubation was not associated to a greater number of complications or to greater difficulty of the technique in our Unit.Copyright © 2017 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.

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