Prevalence and outcomes of endotracheal intubation-related cardiac arrest in the ED

The American Journal of Emergency Medicine
Byuk Sung KoWon Young Kim

Abstract

Emergency endotracheal intubation-related cardiac arrest (CA) is not well documented. This study compares the clinical features and outcomes of intubation-related CA and other causes of inhospital CA. All study patients were consecutive adults (≥18 years) who developed CA in the emergency department between January 2007 and December 2011. Emergent endotracheal intubation-related CA was defined as occurring within 20 minutes after successful intubation. Clinical variables were compared between patients with intubation-related CA and intubation-unrelated CA. The primary outcome was a good neurologic outcome defined as a Cerebral Performance Category score of 1 to 2. The secondary outcome was survival to hospital discharge. Of the 251 patients who developed CA, 41 were excluded due to trauma-related CA or "do-not-resuscitate" protocols, thereby leaving 210 patients. The prevalence of intubation-related CA was 23.3%, and the median duration between successful intubation and CA was 5.0 minutes (interquartile range, 2.0-9.5). Pulseless electrical activity was more commonly noted as the first arrest rhythm in the intubation-related CA group (75.5% vs 59.0%; P = .03) compared with patients with other causes of CA. However, the rates of...Continue Reading

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Citations

Mar 23, 2019·Journal of Anesthesia·Johnnatan MarinAli Pourmand
Oct 18, 2016·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Sing C Tan, Benjamin Sieu-Hon Leong
May 28, 2019·The Western Journal of Emergency Medicine·Andrew H MerelmanReuben J Strayer

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