The Relationship between Intubation and Collapse: Tips for Safe Intubation in the Critically Patient

Abstract

Tracheal intubation is among the most frequently performed procedures in critically ill patients. Different variables have been identified that increase the risk of major complications of tracheal intubation. Intubation-related cardiac arrest and intubation-related hypotension are the major complications reported in tracheal intubations performed in critically ill patients. In the light of the current literature, hypotension before endotracheal intubation is the most important risk factor for intubation-related vascular collapse. There is not enough literature yet to recommend bolus fluid or inotropic administration, and current studies have many limitations. Clinicians and researchers should be encouraged to do more research in this area.

Keywords

• Intubation
• Intratracheal Intubation
• Rapid Sequence Induction and Intubation

Entübasyon & Kollaps İlişkisi: Kritik Hastada Güvenli Entübasyon İpuçları

Abstract

Trakeal entübasyon, kritik hastalarda en sık uygulanan işlemlerden biridir. Bu işlem sırasında, trakea (soluk borusu) içerisine bir tüp yerleştirilerek hastanın solunum fonksiyonu desteklenir. Ancak, trakeal entübasyonun beraberinde bazı majör komplikasyon riskleri bulunmaktadır. Özellikle entübasyon ilişkili kardiyak arrest ve entübasyon ilişkili hipotansiyon bu komplikasyonlardan bazılarıdır. Mevcut literatür, trakeal entübasyon öncesi hipotansiyonun entübasyon ilişkili vasküler kollaps için en önemli risk faktörü olduğunu göstermektedir. Ancak, bolus sıvı veya inotrop (kan basıncını artıran ilaçlar) uygulamalarının önerilmesi konusunda yeterli kanıt henüz bulunmamaktadır ve mevcut çalışmaların kısıtlamaları bulunmaktadır. Bu nedenle, klinisyenler ve araştırmacılar daha fazla çalışma yapmaya teşvik edilmelidir. Bu alanda daha fazla araştırma yapılması, trakeal entübasyonun komplikasyonlarının önlenmesi ve daha iyi sonuçların elde edilmesi için önemlidir.

Keywords

• Entübasyon
• İntratrakeal Entübasyon
• Hızlı Sıralı İndüksiyon ve Entübasyon

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