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Complications of Endotracheal Intubation in Intensive Care Unit

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Author(s): Kürşat Gündoğan | Ramazan Coşkun | Muhammet Güven | Murat Sungur

Journal: Turkish Journal of Medical and Surgical Intensive Care Medicine
ISSN 1309-1689

Volume: 2;
Issue: 2;
Start page: 39;
Date: 2011;
Original page

Keywords: Endotracheal intubation | complications | intensive care | difficult intubation

ABSTRACT
Aim: We aimed to compare patients who developed complications during endotracheal intubation and who did not develop any complication in the Medical Intensive Care Unit. Material and Methods: We enrolled 39 patients into the study. Patients intubated outside the intensive care unit (emergency service, prior to operation) were excluded. All intubation procedures were performed by residents in internal medicine. Data about the patient and complications were recorded by the same person. Results: At least one complication was seen in 41% of all patients. Life-threatening complications such as severe hypoxemia (12%) and severe cardiovascular collapse (7%) were found. Difficult intubation (23%), aspiration (10%), esophageal intubation (10%), dental injury (10%), and dangerous agitation (3%) were found as moderate complications. Acute respiratory failure was the most common reason for intensive care unit admission (59%) and intubation (74%). Within one hour before intubation, the highest and lowest mean heart rate was higher than those who developed complications. No complications were observed in patients who were intubed at the first attempt. All complications occurred in patients who had two or more trials.Conclusion: Complications of endotracheal intubation is an important problem in intensive care units. Intubation success on the first attempt prevents complications. As the number of endotracheal intubation with the assistance of laryngoscopy increased, it was seen that complications related to the procedure also increased.
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