Abstract
Background: Airway management is an important part of the management of the critically ill and injured patients in the Emergency Department (ED). Numerous studies from developed countries have demonstrated the competency of emergency doctors in intubation. To date there have been no published data on intubations performed in EDs in Malaysia. Methods: Data on intubations from 7 August 2007 till 28 August 2008 were prospectively collected. Results: There were 228 intubations included in the study period. Cardiopulmonary arrest was the main indication for intubation (35.5%). The other indications were head injury (18.4%), respiratory failure (15.4%), polytrauma (9.6%) and cerebrovascular accident (7.0%). All of the 228 patients were successfully intubated. Rapid sequence intubation (RSI) was the most frequent method (49.6%) of intubation. A total of 223 (97.8%) intubations were done by ED personnel. In 79.8% of the cases, intubations were successfully performed on the first attempt. Midazolam was the most common induction agent used (97 patients), while suxamethonium was the muscle relaxant of choice (109 patients). There were 34 patients (14.9%) with 38 reported immediate complications. The most common complication was oesophageal intubation. Conclusion: Emergency Department UKMMC personnel have a high competency level in intubation with an acceptable complication rate. RSI was the most common method for intubation.
| Original language | English |
|---|---|
| Pages (from-to) | 233-237 |
| Number of pages | 5 |
| Journal | International Journal of Emergency Medicine |
| Volume | 3 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - Dec 2010 |
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Keywords
- Airway
- Intubation
- Orotracheal intubation
- Rapid sequence intubation
ASJC Scopus subject areas
- Emergency Medicine
Cite this
A prospective study of tracheal intubation in an academic emergency department in Malaysia. / Fathil, Shahridan Mohd; Mohamad Mahdi, Siti Nidzwani; Che'Man, Zuraidah; Hassan, Azhana; Ahmad, Zulkernain; Ismail, Ahmad Khaldun.
In: International Journal of Emergency Medicine, Vol. 3, No. 4, 12.2010, p. 233-237.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - A prospective study of tracheal intubation in an academic emergency department in Malaysia
AU - Fathil, Shahridan Mohd
AU - Mohamad Mahdi, Siti Nidzwani
AU - Che'Man, Zuraidah
AU - Hassan, Azhana
AU - Ahmad, Zulkernain
AU - Ismail, Ahmad Khaldun
PY - 2010/12
Y1 - 2010/12
N2 - Background: Airway management is an important part of the management of the critically ill and injured patients in the Emergency Department (ED). Numerous studies from developed countries have demonstrated the competency of emergency doctors in intubation. To date there have been no published data on intubations performed in EDs in Malaysia. Methods: Data on intubations from 7 August 2007 till 28 August 2008 were prospectively collected. Results: There were 228 intubations included in the study period. Cardiopulmonary arrest was the main indication for intubation (35.5%). The other indications were head injury (18.4%), respiratory failure (15.4%), polytrauma (9.6%) and cerebrovascular accident (7.0%). All of the 228 patients were successfully intubated. Rapid sequence intubation (RSI) was the most frequent method (49.6%) of intubation. A total of 223 (97.8%) intubations were done by ED personnel. In 79.8% of the cases, intubations were successfully performed on the first attempt. Midazolam was the most common induction agent used (97 patients), while suxamethonium was the muscle relaxant of choice (109 patients). There were 34 patients (14.9%) with 38 reported immediate complications. The most common complication was oesophageal intubation. Conclusion: Emergency Department UKMMC personnel have a high competency level in intubation with an acceptable complication rate. RSI was the most common method for intubation.
AB - Background: Airway management is an important part of the management of the critically ill and injured patients in the Emergency Department (ED). Numerous studies from developed countries have demonstrated the competency of emergency doctors in intubation. To date there have been no published data on intubations performed in EDs in Malaysia. Methods: Data on intubations from 7 August 2007 till 28 August 2008 were prospectively collected. Results: There were 228 intubations included in the study period. Cardiopulmonary arrest was the main indication for intubation (35.5%). The other indications were head injury (18.4%), respiratory failure (15.4%), polytrauma (9.6%) and cerebrovascular accident (7.0%). All of the 228 patients were successfully intubated. Rapid sequence intubation (RSI) was the most frequent method (49.6%) of intubation. A total of 223 (97.8%) intubations were done by ED personnel. In 79.8% of the cases, intubations were successfully performed on the first attempt. Midazolam was the most common induction agent used (97 patients), while suxamethonium was the muscle relaxant of choice (109 patients). There were 34 patients (14.9%) with 38 reported immediate complications. The most common complication was oesophageal intubation. Conclusion: Emergency Department UKMMC personnel have a high competency level in intubation with an acceptable complication rate. RSI was the most common method for intubation.
KW - Airway
KW - Intubation
KW - Orotracheal intubation
KW - Rapid sequence intubation
UR - http://www.scopus.com/inward/record.url?scp=79952737412&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=79952737412&partnerID=8YFLogxK
U2 - 10.1007/s12245-010-0201-0
DO - 10.1007/s12245-010-0201-0
M3 - Article
C2 - 21373289
AN - SCOPUS:79952737412
VL - 3
SP - 233
EP - 237
JO - International Journal of Emergency Medicine
JF - International Journal of Emergency Medicine
SN - 1865-1372
IS - 4
ER -