Does medical emergency team intervention reduce the prevalence of emergency endotracheal intubation complications?

Yonsei Medical Journal
Go-Woon KimSang-Bum Hong

Abstract

Emergency endotracheal intubation (EEI) is a complex process that leads to various complications. Previous studies mainly demonstrated that the Medical Emergency Team (MET) intervention reduced the incidence of cardiac arrest, however, the impact of a MET on airway management has not been investigated in detail. Our purpose was to confirm the impact of a MET on airway management and compare the incidence of complications of EEI before and after MET intervention in a general ward. We performed an observational study and reviewed 318 patients intubated by a MET in a general ward. The patients enrolled during the control (2007) and study (2009) periods were 103 and 215, respectively. Cardiopulmonary resuscitation requiring emergency intubation in a general ward was reduced after MET intervention at the Asan Medical Center (39.8% vs. 19.1%, p<0.001). Pre-intubation and post-intubation oxygen saturation levels were higher after MET intervention (pre-intubation, 80% before vs. 92% after MET, p<0.001; post-intubation, 95% before vs. 99% after MET, p<0.001). The use of vasopressors after intubation decreased as a result of MET intervention (62.1% before vs. 36.7% after MET, p<0.001). Hypotension was also reduced (34% before vs. 8.8% af...Continue Reading

Associated Clinical Trials

References

Jun 1, 1996·Journal of Clinical Anesthesia·J M ChristieR D Cane
Feb 1, 1996·British Journal of Anaesthesia·A D Farmery, P G Roe
Sep 11, 2003·The Medical Journal of Australia·Rinaldo BellomoGeoffrey Gutteridge
Jan 22, 2005·Emergency Medicine Journal : EMJ·M J ReedD W McKeown
Sep 29, 2005·Annals of Emergency Medicine·Mark J SagarinUNKNOWN National Emergency Airway Registry Investigators
Feb 27, 2007·Journal of Clinical Anesthesia·William J BenedettoUlrich Schmidt
Mar 21, 2007·Resuscitation·Daryl JonesRinaldo Bellomo
Aug 23, 2007·Journal of Intensive Care Medicine·Thomas C Mort
Sep 15, 2007·Critical Care Medicine·Michael J DaceyRobert Baute
Feb 6, 2008·Archives of Pediatrics & Adolescent Medicine·Elizabeth A HuntMarlene R Miller
Dec 9, 2008·Emergency Medicine Clinics of North America·Sharon Elizabeth Mace
Oct 6, 2010·Journal of the Royal Army Medical Corps·A G Haldane

❮ Previous
Next ❯

Software Mentioned

Medical Alarm System ( MAS
SPSS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of Intensive Care Medicine
Paul H MayoPeter Doelken
Annales Françaises D'anesthèsie Et De Rèanimation
J P CantineauP Duvaldestin
Zhongguo Zhong xi yi jie he za zhi Zhongguo Zhongxiyi jiehe zazhi = Chinese journal of integrated traditional and Western medicine
P TanW Cai
The International Journal of Eating Disorders
Jean R SimmonsKelly K Hill
© 2021 Meta ULC. All rights reserved