Inzidenz und Gründe für einen schwierigen Atemweg auf einer operativen Intensivstation

Incidence and reasons of difficult intubation in intensive care patients

by Elisa Bleckmann
Doctoral thesis
Date of Examination:2013-05-28
Date of issue:2013-05-10
Advisor:Prof. Dr. Michael Quintel
Referee:PD Dr. Bernd Kitze
Referee:Prof. Dr. Martin Oppermann
Persistent Address: http://dx.doi.org/10.53846/goediss-3839

 

 

Files in this item

Name:Doktorarbeit_ediss.pdf
Size:1.73Mb
Format:PDF

The following license files are associated with this item:

Abstract

English

Difficulties in endotracheal intubation increase morbidity and mortality in intensive care patients. We studied the problem in surgical intensive care patients with the aim of risk reduction. Patients intubated in the intensive care unit were evaluated. The intubations were performed or supervised by anaesthetists following the algorithm valid at the time of the study. Overall 198 patients could be included into our study. Thirty percent were rated as easy, 47% as moderately easy and 23% as difficult. Difficult intubations were associated with a higher incidence of anatomic anomalies, difficult bag-mask ventilation and severe oxygen desaturation. Every intubation in the ICU setting should be considered potentially difficult. The existing algorithm should be modified to incorporate the American Society of Anesthesiologists difficult airway algorithm adapted to the needs of the intensive care unit. A training program for alternative methods of airway management for difficult intubations should be established.
Keywords: difficult intubation+intensive care medicine
 
Statistik