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Intubation practice patterns in Tuscan emergency departments.
Leon D Sanchez1, Paolo Di Martino, Matthew Babineau
1Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA. Leon_sanchez@bidmc.harvard.edu
International Journal of Emergency Medicine
|April 23, 2009
Summary
Emergency physicians in Tuscany intubate patients using sedation and paralytics, but confirmation methods and post-procedure care differ significantly from US standards. Further research is needed to understand these variations.
Area of Science:
- Emergency Medicine
- Clinical Practice Guidelines
Background:
- Intubation is a critical, life-saving procedure frequently performed by emergency physicians.
- Significant variations in intubation practices exist globally, necessitating comparative studies.
Purpose of the Study:
- To investigate and compare intubation practices among emergency physicians in Tuscany, Italy.
- To identify differences in intubation techniques, confirmation methods, and post-procedure care compared to international standards.
Main Methods:
- A cross-sectional survey using a written questionnaire was distributed to emergency physicians in Tuscany.
- Data were collected during a year-long emergency medicine course examination period.
Main Results:
- 143 out of 153 (93.4%) physicians completed the survey.
- 73.6% of emergency department physicians perform intubation, with 92.3% using sedation and 49.3% using paralytics.
- While cord visualization (97%) and auscultation (100%) are common, only 11.9% use capnography for confirmation. Post-intubation, 58.2% place nasogastric tubes and 50.7% obtain chest radiographs.
Conclusions:
- Intubation practices in Tuscany differ notably from those in the USA.
- Rapid sequence intubation (RSI) and routine post-intubation radiographs are standard in US emergency departments but not consistently followed in Tuscany.
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