Multiple failed intubation attempts are associated with decreased success rates on the first rescue intubation in the emergency department: A retrospective analysis of multicentre observational data

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Volumn 23, Issue 1, 2015, Pages

  Goto, Tadahiro ^a   Gibo, Koichiro ^b   Hagiwara, Yusuke ^c   Morita, Hiroshi ^a   Brown, David F M ^d   Brown, Calvin A ^e   Hasegawa, Kohei ^d  

^a UNIVERSITY OF FUKUI HOSPITAL   (Japan)

^b Okinawa Prefectural Chubu Hospital   (Japan)

^c TOKYO METROPOLITAN CHILDREN'S MEDICAL CENTER   (Japan)

^d MASSACHUSETTS GENERAL HOSPITAL   (United States)

^e BRIGHAM AND WOMEN S HOSPITAL   (United States)

Author keywords

Emergency department; Failed intubation; Intubation; Rescue intubation; Success rate

Indexed keywords

CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; EMERGENCY WARD; HUMAN; INTUBATION; JAPAN; MAJOR CLINICAL STUDY; MULTICENTER STUDY; REGISTER; RESPIRATION CONTROL; RETROSPECTIVE STUDY; TREATMENT FAILURE; ADOLESCENT; ADULT; AGED; EMERGENCY; EMERGENCY HEALTH SERVICE; EMERGENCY MEDICINE; ENDOTRACHEAL INTUBATION; FEMALE; MALE; MIDDLE AGED; PROCEDURES; STATISTICS AND NUMERICAL DATA; TREATMENT OUTCOME; UTILIZATION; YOUNG ADULT;

ADOLESCENT; ADULT; AGED; AIRWAY MANAGEMENT; EMERGENCIES; EMERGENCY MEDICINE; EMERGENCY SERVICE, HOSPITAL; FEMALE; HUMANS; INTUBATION, INTRATRACHEAL; JAPAN; MALE; MIDDLE AGED; RETROSPECTIVE STUDIES; TREATMENT FAILURE; TREATMENT OUTCOME; YOUNG ADULT;

EID: 84988697446     PISSN: None     EISSN: 17577241     Source Type: Journal    
DOI: 10.1186/s13049-014-0085-8     Document Type: Article

References (38)

1. Mort TC. Emergency tracheal intubation: complications associated with repeated laryngoscopic attempts. Anesth Analg. 2004;99:607-13.
2. Levitan R. The importance of a laryngoscopy strategy and optimal conditions in emergency intubation. Anesth Analg. 2005;100:899-900.
3. Hasegawa K, Shigemitsu K, Hagiwara Y, Chiba T, Watase H, Brown 3rd CA, et al. Association between repeated intubation attempts and adverse events in emergency departments: an analysis of a multicenter prospective observational study. Ann Emerg Med. 2012;60:749-54. e742.
4. Sakles JC, Chiu S, Mosier J, Walker C, Stolz U. The importance of first pass success when performing orotracheal intubation in the emergency department. Acad Emerg Med. 2013;20:71-8.
5. Sagarin MJ, Barton ED, Chng YM, Walls RM, National Emergency Airway Registry I. Airway management by US and Canadian emergency medicine residents: a multicenter analysis of more than 6, 000 endotracheal intubation attempts. Ann Emerg Med. 2005;46:328-36.
6. Walls RM, Brown 3rd CA, Bair AE, Pallin DJ, Investigators NI. Emergency airway management: a multi-center report of 8937 emergency department intubations. J Emerg Med. 2011;41:347-54.
7. Hasegawa K, Hagiwara Y, Chiba T, Watase H, Walls RM, Brown DF, et al. Emergency airway management in Japan: Interim analysis of a multi-center prospective observational study. Resuscitation. 2012;83:428-33.
8. Kim JH, Kim YM, Choi HJ, Je SM, Kim E, Korean Emergency Airway Management Registry I. Factors associated with successful second and third intubation attempts in the ED. Am J Emerg Med. 2013;31:1376-81.
9. Practice guidelines for management of the difficult airway. A report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology. 1993;78:597-602.
10. Apfelbaum JL, Hagberg CA, Caplan RA, Blitt CD, Connis RT, Nickinovich DG, et al. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology. 2013;118:251-70.
11. Law JA, Broemling N, Cooper RM, Drolet P, Duggan LV, Griesdale DE, et al. The difficult airway with recommendations for management-part 1-difficult tracheal intubation encountered in an unconscious/induced patient. Can J Anaesth. 2013;60:1089-118.
12. Walls RM, Murphy M. Manual of Emergency Airway Management. 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2012.
13. Dimitriou V, Voyagis GS, Brimacombe JR. Flexible lightwand-guided tracheal intubation with the intubating laryngeal mask Fastrach in adults after unpredicted failed laryngoscope-guided tracheal intubation. Anesthesiology. 2002;96:296-9.
14. Heidegger T, Gerig HJ, Ulrich B, Kreienbuhl G. Validation of a simple algorithm for tracheal intubation: daily practice is the key to success in emergencies-an analysis of 13, 248 intubations. Anesth Analg. 2001;92:517-22.
15. Parmet JL, Colonna-Romano P, Horrow JC, Miller F, Gonzales J, Rosenberg H. The laryngeal mask airway reliably provides rescue ventilation in cases of unanticipated difficult tracheal intubation along with difficult mask ventilation. Anesth Analg. 1998;87:661-5.
16. Levitan RM, Heitz JW, Sweeney M, Cooper RM. The complexities of tracheal intubation with direct laryngoscopy and alternative intubation devices. Ann Emerg Med. 2011;57:240-7.
17. Hasegawa K, Hagiwara Y, Imamura T, Chiba T, Watase H, Brown 3rd CA, et al. Increased incidence of hypotension in elderly patients who underwent emergency airway management: an analysis of a multi-centre prospective observational study. Int J Emerg Med. 2013;6:12.
18. Imamura T, Brown 3rd CA, Ofuchi H, Yamagami H, Branch J, Hagiwara Y, et al. Emergency airway management in geriatric and younger patients: analysis of a multicenter prospective observational study. Am J Emerg Med. 2013;31:190-6.
19. Bair AE, Filbin MR, Kulkarni RG, Walls RM. The failed intubation attempt in the emergency department: analysis of prevalence, rescue techniques, and personnel. J Emerg Med. 2002;23:131-40.
20. Kim C, Kang HG, Lim TH, Choi BY, Shin YJ, Choi HJ. What factors affect the success rate of the first attempt at endotracheal intubation in emergency departments? Emerg Med J. 2013;30:888-92.
21. lme4: Linear mixed-effects models using Eigen and S4. R package version 1.0-5. [http://CRAN.R-project.org/package=lme4]
22. Dunford JV, Davis DP, Ochs M, Doney M, Hoyt DB. Incidence of transient hypoxia and pulse rate reactivity during paramedic rapid sequence intubation. Ann Emerg Med. 2003;42:721-8.
23. Wang HE, Peitzman AB, Cassidy LD, Adelson PD, Yealy DM. Out-of-hospital endotracheal intubation and outcome after traumatic brain injury. Ann Emerg Med. 2004;44:439-50.
24. Wang HE, Simeone SJ, Weaver MD, Callaway CW. Interruptions in cardiopulmonary resuscitation from paramedic endotracheal intubation. Ann Emerg Med. 2009;54:645-52. e641.
25. Wang HE, Balasubramani GK, Cook LJ, Lave JR, Yealy DM. Out-of-hospital endotracheal intubation experience and patient outcomes. Ann Emerg Med. 2010;55:527-37. e526.
26. Wang HE, Mann NC, Mears G, Jacobson K, Yealy DM. Out-of-hospital airway management in the United States. Resuscitation. 2011;82:378-85.
27. Hasegawa K, Hiraide A, Chang Y, Brown DF. Association of prehospital advanced airway management with neurologic outcome and survival in patients with out-of-hospital cardiac arrest. JAMA. 2013;309:257-66.
28. Lossius HM, Roislien J, Lockey DJ. Patient safety in pre-hospital emergency tracheal intubation: a comprehensive meta-analysis of the intubation success rates of EMS providers. Crit Care. 2012;16:R24.
29. Wang HE, Yealy DM. Emergency airway research: using all tools to bridge the knowledge gaps. Ann Emerg Med. 2014;63:14-5.
30. Stefanutto TB, Feiner J, Krombach J, Brown R, Caldwell JE. Hemoglobin desaturation after propofol/remifentanil-induced apnea: a study of the recovery of spontaneous ventilation in healthy volunteers. Anesth Analg. 2012;114:980-6.
31. Kim J, Kim K, Kim T, Rhee JE, Jo YH, Lee JH, et al. The clinical significance of a failed initial intubation attempt during emergency department resuscitation of out-of-hospital cardiac arrest patients. Resuscitation. 2014;85:623-7.
32. Quinn AC, Milne D, Columb M, Gorton H, Knight M. Failed tracheal intubation in obstetric anaesthesia: 2 yr national case-control study in the UK. Br J Anaesth. 2013;110:74-80.
33. Crosby ET, Cooper RM, Douglas MJ, Doyle DJ, Hung OR, Labrecque P, et al. The unanticipated difficult airway with recommendations for management. Can J Anaesth. 1998;45:757-76.
34. Combes X, Le Roux B, Suen P, Dumerat M, Motamed C, Sauvat S, et al. Unanticipated difficult airway in anesthetized patients: prospective validation of a management algorithm. Anesthesiology. 2004;100:1146-50.
35. Combes X, Jabre P, Margenet A, Merle JC, Leroux B, Dru M, et al. Unanticipated difficult airway management in the prehospital emergency setting: prospective validation of an algorithm. Anesthesiology. 2011;114:105-10.
36. Sakles JC, Mosier JM, Patanwala AE, Dicken JM, Kalin L, Javedani PP. The C-MAC(R) Video Laryngoscope Is Superior to the Direct Laryngoscope for the Rescue of Failed First-Attempt Intubations in the Emergency Department. J Emerg Med. 2014. [Epub ahead of print].
37. Reynolds SF, Heffner J. Airway management of the critically ill patient: rapid-sequence intubation. Chest. 2005;127:1397-412.
38. Sakles JC, Mosier J, Chiu S, Cosentino M, Kalin L. A comparison of the C-MAC video laryngoscope to the Macintosh direct laryngoscope for intubation in the emergency department. Ann Emerg Med. 2012;60:739-48.