ENDOTRACHEAL INTUBATION PROCEDURES

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

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.