Apneic oxygenation is associated with a reduction in the incidence of hypoxemia during the RSI of patients with intracranial hemorrhage in the emergency department

John C. Sakles, Jarrod M. Mosier, Asad E Patanwala, John M. Dicken

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Critically ill patients undergoing emergent intubation are at risk of oxygen desaturation during the management of their airway. Patients with intracranial hemorrhage (ICH) are particularly susceptible to the detrimental effects of hypoxemia. Apneic oxygenation (AP OX) may be able to reduce the occurrence of oxygen desaturation during the emergent intubation of these patients. We sought to assess the effect AP OX on oxygen desaturation during the rapid sequence intubation (RSI) of patients with ICH in the emergency department (ED). We prospectively collected data on all patients intubated in an urban academic ED over the 2-year period from July 1, 2013 to June 30, 2015. Following each intubation, the operator completed a standardized continuous quality improvement (CQI) data form, which included information on patient, operator and intubation characteristics. Operators recorded data on the use of AP OX, the oxygen flow rate used for AP OX, and the starting and lowest saturations during intubation. Adult patients with ICH who underwent RSI by emergency medicine (EM) residents were included in the analyses. The primary outcome variable was any oxygen saturation

Original languageEnglish (US)
Pages (from-to)1-10
Number of pages10
JournalInternal and Emergency Medicine
DOIs
StateAccepted/In press - Feb 4 2016

Fingerprint

Intracranial Hemorrhages
Intubation
Hospital Emergency Service
Incidence
Oxygen
Airway Management
Emergency Medicine
Quality Improvement
Hypoxia
Critical Illness

Keywords

  • Apneic oxygenation
  • Intracranial hemorrhage
  • Rapid sequence intubation

ASJC Scopus subject areas

  • Emergency Medicine
  • Internal Medicine

Cite this

@article{cae77139ad8e47538642ab4919d2c3ee,
title = "Apneic oxygenation is associated with a reduction in the incidence of hypoxemia during the RSI of patients with intracranial hemorrhage in the emergency department",
abstract = "Critically ill patients undergoing emergent intubation are at risk of oxygen desaturation during the management of their airway. Patients with intracranial hemorrhage (ICH) are particularly susceptible to the detrimental effects of hypoxemia. Apneic oxygenation (AP OX) may be able to reduce the occurrence of oxygen desaturation during the emergent intubation of these patients. We sought to assess the effect AP OX on oxygen desaturation during the rapid sequence intubation (RSI) of patients with ICH in the emergency department (ED). We prospectively collected data on all patients intubated in an urban academic ED over the 2-year period from July 1, 2013 to June 30, 2015. Following each intubation, the operator completed a standardized continuous quality improvement (CQI) data form, which included information on patient, operator and intubation characteristics. Operators recorded data on the use of AP OX, the oxygen flow rate used for AP OX, and the starting and lowest saturations during intubation. Adult patients with ICH who underwent RSI by emergency medicine (EM) residents were included in the analyses. The primary outcome variable was any oxygen saturation",
keywords = "Apneic oxygenation, Intracranial hemorrhage, Rapid sequence intubation",
author = "Sakles, {John C.} and Mosier, {Jarrod M.} and Patanwala, {Asad E} and Dicken, {John M.}",
year = "2016",
month = "2",
day = "4",
doi = "10.1007/s11739-016-1396-8",
language = "English (US)",
pages = "1--10",
journal = "Internal and Emergency Medicine",
issn = "1828-0447",
publisher = "Springer-Verlag Italia",

}

TY - JOUR

T1 - Apneic oxygenation is associated with a reduction in the incidence of hypoxemia during the RSI of patients with intracranial hemorrhage in the emergency department

AU - Sakles, John C.

AU - Mosier, Jarrod M.

AU - Patanwala, Asad E

AU - Dicken, John M.

PY - 2016/2/4

Y1 - 2016/2/4

N2 - Critically ill patients undergoing emergent intubation are at risk of oxygen desaturation during the management of their airway. Patients with intracranial hemorrhage (ICH) are particularly susceptible to the detrimental effects of hypoxemia. Apneic oxygenation (AP OX) may be able to reduce the occurrence of oxygen desaturation during the emergent intubation of these patients. We sought to assess the effect AP OX on oxygen desaturation during the rapid sequence intubation (RSI) of patients with ICH in the emergency department (ED). We prospectively collected data on all patients intubated in an urban academic ED over the 2-year period from July 1, 2013 to June 30, 2015. Following each intubation, the operator completed a standardized continuous quality improvement (CQI) data form, which included information on patient, operator and intubation characteristics. Operators recorded data on the use of AP OX, the oxygen flow rate used for AP OX, and the starting and lowest saturations during intubation. Adult patients with ICH who underwent RSI by emergency medicine (EM) residents were included in the analyses. The primary outcome variable was any oxygen saturation

AB - Critically ill patients undergoing emergent intubation are at risk of oxygen desaturation during the management of their airway. Patients with intracranial hemorrhage (ICH) are particularly susceptible to the detrimental effects of hypoxemia. Apneic oxygenation (AP OX) may be able to reduce the occurrence of oxygen desaturation during the emergent intubation of these patients. We sought to assess the effect AP OX on oxygen desaturation during the rapid sequence intubation (RSI) of patients with ICH in the emergency department (ED). We prospectively collected data on all patients intubated in an urban academic ED over the 2-year period from July 1, 2013 to June 30, 2015. Following each intubation, the operator completed a standardized continuous quality improvement (CQI) data form, which included information on patient, operator and intubation characteristics. Operators recorded data on the use of AP OX, the oxygen flow rate used for AP OX, and the starting and lowest saturations during intubation. Adult patients with ICH who underwent RSI by emergency medicine (EM) residents were included in the analyses. The primary outcome variable was any oxygen saturation

KW - Apneic oxygenation

KW - Intracranial hemorrhage

KW - Rapid sequence intubation

UR - http://www.scopus.com/inward/record.url?scp=84957571538&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84957571538&partnerID=8YFLogxK

U2 - 10.1007/s11739-016-1396-8

DO - 10.1007/s11739-016-1396-8

M3 - Article

C2 - 26846234

AN - SCOPUS:84957571538

SP - 1

EP - 10

JO - Internal and Emergency Medicine

JF - Internal and Emergency Medicine

SN - 1828-0447

ER -