Emergency Endotracheal Intubation and Factors Affecting Success Rate

Abstract

ABSTRACT

Emergency endotracheal intubation is a life-saving intervention that must be intervened without necessarily providing ideal conditions and is the gold standard for emergency airway management. It is inevitable that the success rates of emergency endotracheal intubation performed under unfavorable conditions outside the operating room are low. Some factors associated with the success of emergency endotracheal intubation can be predicted and modified to improve outcome. In this article; the importance of achieving successful emergency endotracheal intubation in the first attempt and systematic use of the factors affecting the success rate will be reviewed in the light of current literature.

Factors to be evaluated include; critical value for life of emergency endotracheal intubation in non-operating room settings, qualifications of intubation team, emergency patient and airway evaluation, preparation, position, preoxygenation and peroxygenation, avoidance of desaturation, safe apnea time, emergency endotracheal intubation methods and equipment.

Keywords

• Airway management,emergency intubation,endotracheal intubation,laryngoscope,video-laryngoscopy

Acil Endotrakeal Entübasyon ve Başarı Oranını Etkileyen Faktörler

Abstract

ÖZ

Acil endotrakeal entübasyon, zorunlu olarak ideal koşullar sağlanamadan, müdahale edilmesi gereken hayat kurtarıcı bir girişimdir ve acil havayolu yönetimi için altın standarttır. Ameliyathane dışında elverişsiz koşullar altında yapılan acil endotrakeal entübasyon başarı oranlarının düşük olması kaçınılmazdır. Acil endotrakeal entübasyon başarısı ile ilişkili bazı faktörler tahmin edilebilir ve sonucu iyileştirmek için değiştirilebilir. Bu makalede; başarılı acil endotrakeal entübasyonu ilk girişimde sağlayabilmenin önemi ve başarı oranını etkileyen faktörlerin sistematik kullanımı güncel literatürler ışığında gözden geçirilecektir.

Değerlendirme yapılacak faktörler arasında; ameliyathane dışı ortamlarda acil endotrakeal entübasyon yapılmasının yaşam için kritik değeri, entübasyon ekibinin nitelikleri, acil hasta ve havayolu değerlendirme, hazırlık,  pozisyon, preoksijenizasyon ve peroksijenizasyon, desatürasyondan kaçınma, güvenli apne zamanı, acil endotrakeal entübasyon yöntemleri ve ekipman yer almaktadır.

Keywords

• Havayolu yönetimi,acil entübasyon,endotrakeal entübasyon,laringoskop,videolaringoskopi

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