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Related Experiment Videos

Intubation quality assurance thresholds.

C B Thompson1, K Balasz, J Goltermann

  • 1University of Utah College of Nursing, Salt Lake City, USA.

Air Medical Journal
|March 9, 1995
PubMed
Summary

The success rate for intubation in air transport is 91.4%, supporting a 90-95% threshold. Factors like cardiac arrest and facial trauma impact successful intubation outcomes.

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Area of Science:

  • Emergency Medicine
  • Aeromedical Services
  • Critical Care

Background:

  • Quality assurance (QA) and continuous quality improvement (CQI) are crucial in healthcare.
  • Current quality practice guidelines for intubation are often based on intuition.
  • Establishing objective benchmarks for emergency procedures is essential.

Purpose of the Study:

  • To determine an appropriate success rate threshold for intubation in patients undergoing air transport.
  • To identify factors influencing the success of intubation during aeromedical transport.

Main Methods:

  • Prospective descriptive study design.
  • Involved 15 rotor-wing air medical programs across the United States.
  • Data collected from 369 flight crew members on 862 patient intubations over 12 months.

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Main Results:

  • Overall successful intubation rate was 91.4% (788 out of 862 patients).
  • Patients not successfully intubated received alternative airway management (oxygen, bag-valve-mask, cricothyroidotomy).

Conclusions:

  • The study supports a successful intubation threshold between 90% and 95% for air transport.
  • Key factors affecting intubation success include patient cardiac arrest, use of neuromuscular blockade, sedatives, and facial trauma.