Emergency Endotracheal Intubation and Factors Affecting Success Rate

Yıl 2019, Cilt: 3 Sayı: 3, 72 - 78, 03.12.2019

Fatma Çelik

Öz

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.

Anahtar Kelimeler

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

Acil Endotrakeal Entübasyon ve Başarı Oranını Etkileyen Faktörler

Öz

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.

Anahtar Kelimeler

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

Kaynakça

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