Management of tracheal intubation in the respiratory intensive care unit by pulmonary physicians

Expert management of tracheal intubation has become fundamental to the routine practice of pulmonary physicians who work in respiratory intensive care units (ICUs). In Italy, tracheal intubation is not included as part of the training in respiratory medicine, and pulmonary physicians are usually dis...

Full description

Saved in:

Bibliographic Details
Published in:	Respiratory care Vol. 52; no. 1; pp. 26 - 30
Main Authors:	VIANELLO, Andrea M. A, ARCARO, Giovanna M. E, BRACCIONI, Fausto S, GALLAN, Federico, GREGGIO, Chiara M, MARANGONI, Anna, ORI, Carlo, MINUZZO, Michele
Format:	Journal Article
Language:	English
Published:	Dallas, TX Daedalus Enterprises 2007 Daedalus Enterprises, Inc
Subjects:	Aged Aged, 80 and over Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Care and treatment Clinical death. Palliative care. Organ gift and preservation Emergency and intensive respiratory care Female Follow-Up Studies Humans Intensive care medicine Intubation Intubation, Intratracheal - methods Intubation, Intratracheal - standards Male Medical sciences Practice Patterns, Physicians Prospective Studies Pulmonary Medicine - manpower Respiratory Care Units Respiratory tract diseases Respiratory Tract Diseases - therapy Trachea Treatment Outcome Italy Intensive care Clinical management tracheal intubation Physician Respiratory intensive care training Intubation respiratory Resuscitation Intensive care unit
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	Expert management of tracheal intubation has become fundamental to the routine practice of pulmonary physicians who work in respiratory intensive care units (ICUs). In Italy, tracheal intubation is not included as part of the training in respiratory medicine, and pulmonary physicians are usually dissuaded from managing intubations. We prospectively studied the intubation success rate in 46 consecutive respiratory ICU patients who required either emergency or urgent intubation, conducted by 3 intubation-trained pulmonary physicians in our respiratory ICU. Intubation success was defined as successful tracheal intubation without any of 7 pre-defined complications. There were 17 emergency intubations and 29 urgent intubations. Intubation was successful in 43 of the 46 intubation attempts. Complications occurred in 3 cases: 2 patients needed to be intubated by an anesthesiologist, and 1 patient received fiberoptic intubation. Pulmonary physicians trained in tracheal intubation can have a high success rate in performing intubation in the respiratory ICU. Collaborative efforts between anesthesiologists and pulmonary physicians are necessary to optimize the training, skill-retention, and back-up for advanced airway management in the respiratory ICU.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0020-1324 1943-3654