Incidence of and risk factors for post-intubation hypotension in the critically Ill

Medical Science Monitor

Volumn 22, Issue , 2016, Pages 346-355

  Smischney, Nathan J ^a   Demirci, Onur ^a   Diedrich, Daniel A ^a   Barbara, David W ^a   Sandefur, Benjamin J ^a   Trivedi, Sangita ^a   McGarry, Sean ^b   Kashyap, Rahul ^a  

^a MAYO CLINIC   (United States)

^b Saint Alphonsus Boise ^*  (United States)

Author keywords

Hemodynamics; Hospital mortality; Intensive care; Intubation; Length of stay; Risk factors

Indexed keywords

ETOMIDATE; FENTANYL; HYPERTENSIVE AGENT; KETAMINE; MIDAZOLAM; NEUROMUSCULAR BLOCKING AGENT; PROPOFOL;

ADULT; ANESTHESIA COMPLICATION; APACHE; ARTICLE; CARDIOVASCULAR RISK; CRITICALLY ILL PATIENT; ENDOTRACHEAL INTUBATION; FEMALE; HEMODYNAMICS; HUMAN; HYPOTENSION; INCIDENCE; INTUBATION COMPLICATION; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MEAN ARTERIAL PRESSURE; MIDDLE AGED; MORTALITY; POST INTUBATION HYPOTENSION; RETROSPECTIVE STUDY; RISK FACTOR; SEPSIS; ADVERSE EFFECTS; CRITICAL ILLNESS; HOSPITAL MORTALITY; MULTIVARIATE ANALYSIS; PATHOPHYSIOLOGY; SEVERITY OF ILLNESS INDEX;

CRITICAL ILLNESS; FEMALE; HEMODYNAMICS; HOSPITAL MORTALITY; HUMANS; HYPOTENSION; INCIDENCE; INTUBATION, INTRATRACHEAL; LENGTH OF STAY; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; RISK FACTORS; SEVERITY OF ILLNESS INDEX;

EID: 84957561767     PISSN: 12341010     EISSN: 16433750     Source Type: Journal    
DOI: 10.12659/MSM.895919     Document Type: Article

References (34)

1. Divatia JV, Khan PU, Myatra SN: Tracheal intubations in the ICU: Life saving or life threatening? Indian J Anaesth, 2011; 55: 470–75.
2. Caplan RA, Posner KL et al: Adverse respiratory events in anesthesia: a closed claims analysis. Anesthesiology, 1990; 72: 828–33.
3. Cheney FW, Posner KL, Caplan RA: Adverse respiratory events infrequently leading to malpractice suits. A closed claims analysis. Anesthesiology, 1991; 75: 932–39.
4. Domino KB, Posner KL, Caplan RA, Cheney FW: Airway injury during anesthesia: a closed claims analysis. Anesthesiology, 1999; 91: 1703–11.
5. Metzner J, Posner KL, Domino KB: The risk and safety of anesthesia at remote locations: the US closed claims analysis. Curr Opin Anaesthesiol, 2009; 22: 502–8.
6. Mort TC: Complications of emergency tracheal intubation: immediate airway- related consequences: part II. J Intensive Care Med, 2007; 22: 208–15.
7. Heffner AC, Swords D, Kline JA, Jones AE: The frequency and significance of postintubation hypotension during emergency airway management. J Crit Care, 2012; 27: 417e9–13.
8. Smischney NJ, Ricter BD, Hoeft CC et al: Association of post-intubation hemodyanmic instability in an adult icu with in-hospital mortality and icu length of stay. Am J Respir Crit Care Med, 2014; 189: A4558.
9. Heffner AC, Swords DS, Nussbaum ML et al: Predictors of the complication of postintubation hypotension during emergency airway management. J Crit Care, 2012; 27: 587–93.
10. Green RS, Edwards J, Sabri E, Fergusson D: Evaluation of the incidence, risk factors, and impact on patient outcomes of postintubation hemodynamic instability. CJEM, 2012; 14: 74–82.
11. Green R, Hutton B, Lorette J et al: Incidence of postintubation hemodynamic instability associated with emergent intubations performed outside the operating room: a systematic review. CJEM, 2014; 16: 69–79.
12. Smischney NJ, Demirci O, Ricter BD et al: Vasopressor use as a surrogate for post-intubation hemodynamic instability is associated with in-hospital and 90-day mortality. BMC Res Notes, 2015; 8: 445.
13. Jaber S, Amraoui J, Lefrant JY et al: Clinical practice and risk factors for immediate complications of endotracheal intubation in the intensive care unit: a prospective, multiple-center study. Crit Care Med, 2006; 34: 2355–61.
14. Rosenberg AL, Watts C: Patient readmitted to the ICUs*: a systematic review of risk factors and outcomes. Chest, 2000; 118: 492–502.
15. Benson M, Junger A, Fuchs C et al: Use of an anesthesia information management system (AIMS) to evaluate the physiologic effects of hypnotic agents used to induce anesthesia. J Clin Monit Comput, 2000; 16: 183–90.
16. Smischney NJ, Velagapudi VM, Onigkeit JA et al: Retrospective derivation and validation of a search algorithm to identify emergent endotracheal intubations in the intensive care unit. Appl Clin Inform, 2013; 4: 419–27.
17. Smischney NJ, Velagapudi VM, Onigkeit JA et al: Retrospective derivation and validation of a search algorithm to identify mechanical ventilation initiation in the intensive care unit. BMC Med Inform Decis Mak, 2014; 14: 55.
18. Herasevich V, Pickering BW, Dong Y et al: Informatics infrastructure for syndrome surveillance, decision support, reporting, and modeling of critical illness. Mayo Clin Proc, 2010; 85: 247–54.
19. Harrell FE Jr, Califf RM, Pryor DB et al: Evaluating the yield of medical tests. JAMA, 1982; 247: 2543–46.
20. Lin CC, Chen KF, Shih CP et al: The prognostic factors of hypotension after rapid sequence intubation. Am J Emerg Med, 2008; 26: 845–51.
21. Griesdale DE, Bosma TL, Kurth T et al: Complications of endotracheal intubation in the critically ill. Intensive Care Med, 2008; 34: 1835–42.
22. Mort TC: Emergency tracheal intubation: complications associated with repeated laryngoscopic attempts. Anesth Analg, 2004; 99: 607–13.
23. Tayal VS, Riggs RW, Marx JA et al: Rapid-sequence intubation at an emergency medicine residency: success rate and adverse events during a twoyear period. Acad Emerg Med, 1999; 6: 31–37.
24. Tam AY, Lau FL: A prospective study of tracheal intubation in an emergency department in Hong Kong. Eur J Emerg Med, 2001; 8: 305–10.
25. Marvez E, Weiss SJ, Houry DE, Ernst AA: Predicting adverse outcomes in a diagnosis-based protocol system for rapid sequence intubation. Am J Emerg Med, 2003; 21: 23–29.
26. Wong E, Fong YT, Ho KK: Emergency airway management – experience of a tertiary hospital in South-East Asia. Resuscitation, 2004; 61: 349–55.
27. Wong E, Fong YT: Trauma airway experience by emergency physicians. Eur J Emerg Med, 2003; 10: 209–12.
28. Graham CA, Beard D, Oglesby AJ et al: Rapid sequence intubation in Scottish urban emergency departments. Emerg Med J, 2003; 20: 3–5.
29. Zed PJ, Abu-Laban RB, Harrison DW: Intubating conditions and hemodynamic effects of etomidate for rapid sequence intubation in the emergence department: an observational cohort study. Acad Emerg Med, 2006; 13: 378–83.
30. Sivilotti ML, Ducharme J: Randomized, double-blind study on sedatives and hemodynamics during rapid-sequence intubation in the emergency department: the SHRED study. Ann Emerg Med, 1998; 31: 313–24.
31. Miller RD: Miller’s Anesthesia, 8th edition. Philadelphia: Elsevier Saunders, 2015.
32. Mertes PM, Karila C, Demoly P et al: [What is the reality of anaphylactoid reactions during anaesthesia? Classification, prevalence, clinical features, drugs involved and morbidity and mortality]. Ann Fr Anesth Reanim, 2011; 30: 223–39 [in French].
33. Simpson GD, Ross MJ, Mckeown DW, Ray DC: Tracheal intubation in the critically ill: a multi-centre national study of practice and complications. Br J Anaesth, 2012; 108: 792–99.
34. Dellinger RP, Levy MM, Rhodes A et al: Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2012. Crit Care Med, 2013; 41: 580–637.