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Rapid Intubation Sequence: 4-Year Experience in an Emergency Department
Ángela María Muñoz1,2, Manuela Estrada1, Jaime A Quintero1,2,3
1Emergency Department, Fundación Valle del Lili, Cali, 760032, Colombia.
Open Access Emergency Medicine : OAEM
|October 27, 2021
Summary
Rapid intubation sequence (RIS) in emergency departments is a critical procedure for oxygenation in severe cases. This study found RIS to be safe, with a low complication rate, likely due to skilled medical teams and established protocols.
Area of Science:
- Emergency Medicine
- Critical Care
- Airway Management
Background:
- Rapid intubation sequence (RIS) is an advanced airway management technique crucial for oxygenation in critically ill patients.
- Emergency department personnel frequently perform RIS procedures.
Purpose of the Study:
- To characterize the main features of rapid intubation sequence (RIS) in a high-complexity hospital's emergency department.
- To analyze indications, success rates, and complications of RIS.
Main Methods:
- Descriptive, cross-sectional, retrospective study design.
- Included adult patients requiring RIS in the emergency department between 2014 and 2017.
- Analyzed numerical variables using central tendency and categorical variables using proportions.
Main Results:
- 401 patients were analyzed; primary indications were low Glasgow Coma Scale (GCS < 8) and hypoxemia.
- Emergency physicians performed 54.4% of RIS procedures.
- Successful first-attempt intubation was achieved in 90.5% of cases, with only 9% experiencing complications.
Conclusions:
- Rapid intubation sequence (RIS) in this emergency department setting was associated with a low complication rate.
- The safety of RIS may be attributed to the high level of medical training and adherence to established protocols.
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