Postintubation Hypotension in General Anesthesia: A Retrospective Analysis

Journal of Intensive Care Medicine

Volumn 31, Issue 10, 2016, Pages 667-675

  Green, Robert S ^a,b   Butler, Michael B ^a,c  

^a DALHOUSIE UNIVERSITY   (Canada)

^b Nova Scotia Hospital   (Canada)

^c DALHOUSIE UNIVERSITY   (Canada)

Author keywords

adverse events; emergency; endotracheal; hypotension; intubation; retrospective; vascular surgery

Indexed keywords

FENTANYL; HYPERTENSIVE AGENT; KETAMINE; MIDAZOLAM; MORPHINE; PROPOFOL; REMIFENTANIL; ROCURONIUM; SUFENTANIL; SUXAMETHONIUM;

ADULT; ARTICLE; ARTIFICIAL VENTILATION; COMORBIDITY; CONTROLLED STUDY; ENDOTRACHEAL INTUBATION; FEMALE; GENERAL ANESTHESIA; HEMODIALYSIS; HUMAN; HYPOTENSION; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MORBIDITY; MORTALITY; OUTCOME ASSESSMENT; POSTINTUBATION HYPOTENSION; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; RETROSPECTIVE STUDY; VASCULAR SURGERY;

EID: 84993970593     PISSN: 08850666     EISSN: 15251489     Source Type: Journal    
DOI: 10.1177/0885066615597198     Document Type: Article

References (53)

1. Griesdale DE, Henderson WR, Green RS,. Airway management in critically ill patients. Lung. 2011; 189 (3): 181-192.
2. Walz JM, Zayaruzny M, Heard SO,. Airway management in critical illness. Chest. 2007; 131 (2): 608-620.
3. Dorges V,. Airway management in emergency situations. Best Pract Res Clin Anaesthesiol. 2005; 19 (4): 699-715.
4. Nee PA, Benger J, Walls RM,. Airway management. Emerg Med J. 2008; 25 (2): 98-102.
5. Mort TC,. Complications of emergency tracheal intubation: immediate airway-related consequences-part II. J Intensive Care Med. 2007; 22 (4): 208-215.
6. Hosseinzadeh H, Eidy M, Golzari SE, Vasebi M,. Hemodynamic stability during induction of anesthesia in elderly patients: propofol + ketamine versus propofol + etomidate. J Cardiovasc Thorac Res. 2013; 5 (2): 51-54.
7. 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 (5): 792-799.
8. Manthous CA,. Avoiding circulatory complications during endotracheal intubation and initiation of positive pressure ventilation. J Emerg Med. 2010; 38 (5): 622-631.
9. Qadir S, Raju P, Smina M, Amoateng-Adjepong Y, Maisel J, Manthous CA [abstract],. Frequency and risks of developing hypotension following endotracheal intubation: a pilot study. Am J Respir Crit Care Med. 2001; 163: A128.
10. Hayakawa-Fujii Y, Takada M, Ohta S, Dohi S,. Hemodynamic stability during induction of anesthesia and tracheal intubation with propofol plus fentanyl, ketamine, and fentanyl-ketamine. J Anesth. 2001; 15 (4): 191-196.
11. Franklin C, Samuel J, Hu TC,. Life-threatening hypotension associated with emergency intubation and the initiation of mechanical ventilation. Am J Emerg Med. 1994; 12 (4): 425-428.
12. Mort TC,. Complications of emergency tracheal intubation: hemodynamic alterations-part I. J Intensive Care Med. 2007; 22 (3): 157-165.
13. Cook TM, MacDougall-Davis SR,. Complications and failure of airway management. Br J Anaesth. 2012; 109 (suppl 1): i68-i85.
14. Sakles JC, Laurin EG, Rantapaa AA, Panacek EA,. Airway management in the emergency department: a one-year study of 610 tracheal intubations. Ann Emerg Med. 1998; 31 (3): 325-332.
15. Green RS, Edwards J, Sabri E, Fergusson D,. Evaluation of the incidence, risk factors, and impact on patient outcomes of post-intubation instability. CJEM. 2012; 14 (2): 74-82.
16. Heffner AC, Swords D, Kline JA, Jones AE,. The frequency and significance of postintubation hypotension during emergency airway management. J Crit Care. 2012; 27 (4): 417. e9-e13.
17. Mayglothling J, Duane TM, Gibbs M, et al. Emergency tracheal intubation immediately following traumatic injury: an Eastern Association for the Surgery of Trauma practice management guideline. J Trauma. 2012; 73 (5 suppl 4): S333-S340.
18. Lalezarzadeh F, Wisniewski P, Huynh K, Loza M, Gnanadev D,. Evaluation of prehospital and emergency department systolic blood pressure as a predictor of in-hospital mortality. Am Surg. 2009; 75 (10): 1009-1014.
19. Jones AE, Yiannibas V, Johnson C, Kline JA,. Emergency department hypotension predicts sudden unexpected in-hospital mortality: a prospective cohort study. Chest. 2006; 130 (4): 941-946.
20. Jones AE, Aborn LS, Kline JA,. Severity of emergency department hypotension predicts adverse hospital outcome. Shock. 2004; 22 (5): 410-414.
21. 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, multi-center study. Crit Care Med. 2006; 34 (9): 2355-2361.
22. De Maria S Jr, Nurnberg J, Lin HM, et al. Association of intraoperative blood pressure instability with adverse outcomes after liver transplantation. Minerva Anesthesiol. 2013; 79 (6): 604-616.
23. Bijker JB, van Klei WA, Kappen TH, van Wolfswinkel L, Moons KG, Kalkman CJ,. Incidence of intraoperative hypotension as a function of the chosen definition: literature definitions applied to a retrospective cohort using automated data collection. Anesthesiology. 2007; 107 (2): 213-220.
24. Schwartz DE, Matthay MA, Cohen NH,. Death and other complications of emergency airway management in critically ill adults: a prospective investigation of 297 tracheal intubations. Anesthesiology. 1995; 82 (2): 367-376.
25. Green RS, Hutton B, Lorette J, Bleskie D, McIntyre L, Fergusson D,. Incidence of post-intubation hemodynamic instability associated with emergent endotracheal intubations performed outside the operating room: a systematic review. CJEM. 2014; 16 (1): 69-79.
26. Green RS, Butler MB,. The impact of post-intubation hemodynamic instability on patient outcomes in high risk vascular surgery patients [abstract]. In: Proceedings of the 26th Annual Congress of the European Society of Intensive Care Medicine. Paris, France: Springer; 2013.
27. Choi YF, Wong TW, Lau CC,. Midazolam is more likely to cause hypotension than etomidate in emergency department rapid sequence intubation. Emerg Med J. 2004; 21 (6): 700-702.
28. Crimi E, Hill CC,. Postoperative ICU management of vascular surgery patients. Anesthesiol Clin. 2014; 32 (3): 735-757.
29. Singh S, Maldonado Y, Taylor MA,. Optimal perioperative medical management of the vascular surgery patient. Anesthesiol Clin. 2014; 32 (3): 615-637.
30. Hernandez-Boussard T, McDonald KM, Morton JM, Dalman RL, Bech FR,. Determinants of adverse events in vascular surgery. J Am Coll Surg. 2012; 214 (5): 788-797.
31. Roche E, Gomez-Duran EL, Benet-Trave J, Martin-Fumado C, Arimany-Manso J,. Professional liability claims in vascular surgery practice. Ann Vasc Surg. 2014; 28 (2): 324-329.
32. Horak J, Weiss S,. Emergent management of the airway. New pharmacology and the control of comorbidities in cardiac disease, ischemia, and valvular heart disease. Crit Care Clin. 2000; 16 (3): 411-427.
33. Hasegawa K, Hagiwara Y, Imamura T, 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.
34. Shah KB, Kleinman BS, Sami H, Patel J, Rao TL,. Reevaluation of perioperative myocardial infarction in patients with prior myocardial infarction undergoing noncardiac operations. Anesth Analg. 1990; 71 (3): 231-235.
35. Charlson ME, MacKenzie CR, Gold JP, et al. The preoperative and intraoperative hemodynamic predictors of postoperative myocardial infarction or ischemia in patients undergoing noncardiac surgery. Ann Surg. 1989; 210 (5): 637-648.
36. Feinglass J, Pearce WH, Martin GJ, et al. Postoperative and amputation-free survival outcomes after femorodistal bypass grafting surgery: findings from the Department of Veterans Affairs National Surgical Quality Improvement Program. J Vasc Surg. 2001; 34 (2): 283-290.
37. Feinglass J, Pearce WH, Martin GJ, et al. Postoperative and late survival outcomes after major amputation: findings from the Department of Veterans Affairs National Surgical Quality Improvement Program. Surgery. 2001; 130 (1): 21-29.
38. Feinglass J, Sohn MW, Rodriguez H, Martin GJ, Pearce WH,. Perioperative outcomes and amputation-free survival after lower extremity bypass surgery in California hospitals, 1996-1999, with follow-up through 2004. J Vasc Surg. 2009; 50 (4): 776-783.
39. Fleisher LA, Eagle KA, Shaffer T, Anderson GF,. Perioperative- and long-term mortality rates after major vascular surgery: the relationship to preoperative testing in the medicare population. Anesth Analg. 1999; 89 (4): 849-855.
40. McFalls EO, Ward HB, Santilli S, Scheftel M, Chesler E, Doliszny KM,. The influence of perioperative myocardial infarction on long-term prognosis following elective vascular surgery. Chest. 1998; 113 (3): 681-686.
41. Sinha S, Karthikesalingam A, Poloniecki JD, Thompson MM, Holt PJ,. Inter-relationship of procedural mortality rates in vascular surgery in England: retrospective analysis of hospital episode statistics from 2005 to 2010. Circ Cardiovasc Qual Outcomes. 2014; 7 (1): 131-141.
42. Richardson JD,. Morbidity and mortality in vascular surgery: the Kentucky experience with a statewide database. Am Surg. 2006; 72 (11): 1109-1111.
43. Hoeks SE, Scholte op Reimer WJM, Lingsma HF, et al. Process of care partly explains the variation in mortality between hospitals after peripheral vascular surgery. Eur J Vasc Endovasc Surg. 2010; 40 (2): 147-154.
44. Hagberg C, Georgi R, Krier C,. Complications of managing the airway. Best Pract Res Clin Anaesthesiol. 2005; 19 (4): 641-659.
45. Rodricks MB, Deutschman CS,. Emergent airway management. Indications and methods in the face of confounding conditions. Crit Care Clin. 2000; 16 (3): 389-409.
46. Walls RM,. Management of the difficult airway in the trauma patient. Emerg Med Clin North Am. 1998; 16 (1): 45-61.
47. Sivilotti ML,. You need tube, me give one amp of etomidate and SUX. CJEM. 2006; 8 (5): 351-353.
48. Green RS,. Etomidate and RSI: how important is post-intubation hypotension? CJEM. 2007; 9 (1): 3; author reply 3-4.
49. Reich DL, Bodian CA, Krol M, Kuroda M, Osinski T, Thys DM,. Intraoperative hemodynamic predictors of mortality, stroke, and myocardial infarction after coronary artery bypass surgery. Anesth Analg. 1999; 89 (4): 814-822.
50. Monk TG, Saini V, Weldon BC, Sigl JC,. Anesthetic management and one-year mortality after noncardiac surgery. Anesth Analg. 2005; 100 (1): 4-10.
51. Heffner AC, Swords DS, Nussbaum ML, Kline JA, Jones AE,. Predictors of the complication of postintubation hypotension during emergency airway management. J Crit Care. 2012; 27 (6): 587-593.
52. Marchick MR, Kline JA, Jones AE,. The significance of non-sustained hypotension in emergency department patients with sepsis. Intensive Care Med. 2009; 35 (7): 1261-1264.
53. Vollman KM,. Hemodynamic instability: is it really a barrier to turning critically ill patients? Crit Care Nurse. 2012; 32 (1): 70-75.