ENDOTRACHEAL INTUBATION PROCEDURES

PERFORMED AT ACCIDENT AND EMERGENCY DEPARTMENT AT CIVIL HOSPITAL KARACHI PAKISTAN.

Authors

  • Shua Nasir Ziauddin University of Hospital, Karachi.
  • Lal Shehbaz Ziauddin University of Hospital, Karachi.
  • Hamid Raza Liaquat University of Medical and Health Sciences, Jamshoro
  • Saqib Basar Civil Hospital Karachi.

DOI:

https://doi.org/10.29309/TPMJ/2015.22.11.940

Keywords:

Accident and Emergency department, endotracheal Intubations, Complications of ETT, rapid sequence intubation, crash intubation, tertiary care hospital Karachi

Abstract

Objective: The objective of the study is to study the procedure of endotracheal
intubation; its methods between Rapid sequence intubation and crash intubation its success
rates and the associated short term complications at the accident and emergency department
of a government run hospital in Karachi, Pakistan. Study Design: Case series. Setting: Accident
and Emergency Department of Civil Hospital Karachi. Period: 2010 to 2012. Methods: The
sample size taken is of 260 patients, all of whom must be above the age of 14 years, and
undergo the procedure of emergency endotracheal intubation. Rapid sequence intubation is
analyzed against crash intubation using descriptive type of statistical analysis. The significance
level was p<0.05. Results: From the 260 Endotracheal intubations performed, 45 (17.30%)
had to be discarded on account of incomplete data. The remaining study population was 215
patients (123 males, 92 females) Rapid sequence intubation was the commonest type (n=138,
64.18%). Head and neck injury, pulmonary edema was the common complication. Crash
intubation was the second type (n= 77, 35.8%) Primary attempt success was found to be 97%
(n=134) in rapid sequence intubation and 80% (n = 62) in crash Endotracheal intubations. A
total of 13 complications (6.04 %) were observed. Conclusion: In light of the results obtained
our study shows a satisfactory success rate on using either mentioned types of intubation
procedures that is either RSI or Crash Intubation.

Author Biographies

Shua Nasir, Ziauddin University of Hospital, Karachi.

MD, Resident Emergency Medicine,
Department of Emergency Medicine

Lal Shehbaz, Ziauddin University of Hospital, Karachi.

MBBS, Resident Emergency Medicine,

Department of Emergency Medicine

Hamid Raza, Liaquat University of Medical and Health Sciences, Jamshoro

Assistant Professor Anesthesiology & ICU

Saqib Basar, Civil Hospital Karachi.

MBBS, House officer

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Published

2015-11-10