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Titolo:
An observational survey of emergency department rapid sequence intubation
Autore:
Butler, JM; Clancy, M; Robinson, N; Driscoll, P;
Indirizzi:
Manchester Royal Infirm, Emergency Dept, Manchester M13 9WL, Lancs, England Manchester Royal Infirm Manchester Lancs England M13 9WL , Lancs, England Southampton Gen Hosp, Southampton SO9 4XY, Hants, England Southampton Gen Hosp Southampton Hants England SO9 4XY XY, Hants, England Hope Hosp, Salford M6 8HD, Lancs, England Hope Hosp Salford Lancs EnglandM6 8HD sp, Salford M6 8HD, Lancs, England
Titolo Testata:
EMERGENCY MEDICINE JOURNAL
fascicolo: 5, volume: 18, anno: 2001,
pagine: 343 - 348
SICI:
1472-0205(200109)18:5<343:AOSOED>2.0.ZU;2-R
Fonte:
ISI
Lingua:
ENG
Soggetto:
AIRWAY MANAGEMENT;
Keywords:
rapid sequence intubation; anaesthesia;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
15
Recensione:
Indirizzi per estratti:
Indirizzo: Butler, JM Manchester Royal Infirm, Emergency Dept, Oxford Rd, Manchester M13 9WL, Lancs, England Manchester Royal Infirm Oxford Rd Manchester Lancs England M13 9WL
Citazione:
J.M. Butler et al., "An observational survey of emergency department rapid sequence intubation", EMERG MED J, 18(5), 2001, pp. 343-348

Abstract

Objectives-To study the current practice of rapid sequence intubations (RSIs) in four different emergency medicine training programmes in the UK. Methods-Observational study design involving four regional training programmes (Wessex, North West, Yorkshire, Avon). Data were collected in real time using a previously piloted survey tool. Data were collected by specialistregistrars in emergency medicine over a continuous 28 day period. Data collected included: indications for RSI; key timings of RSI procedures; details of RSI practitioner; complications and outcome of procedure. Results-Data from 60 RSIs were recorded and collected. The majority of decisions to perform RSIs were made by emergency physicians (74% cases). Over 50% of the RSIs occurred after 4 pm. Emergency physicians performed 26% of RSIs although the majority were performed by anaesthetists. Most of the given indications for RSIs were based on an assessment of airway protection. Hypoxia was an uncommon reason for RSI in this study (5%). In two thirds of cases the time taken from the decision being made to perform an RSI, to theachievement of successful intubation, was greater than 20 minutes. No failed intubations were recorded, although six other complications (all minor problems) were recorded. There was no significant difference in the responsetimes between anaesthetists and emergency physicians. Conclusions-This study shows that emergency physicians are currently performing RSIs in emergency departments in the UK. It also suggests improvements could be made to patient care. In particular, standards of care should beagreed for the provision of RSI in the emergency department, including thepersonnel involved and the appropriate training of individuals. RSI activity in emergency departments in the UK should be audited nationally using anagreed audit tool.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 19/09/20 alle ore 14:57:59