Abstract
Patients admitted to the intensive care unit (ICU) often have acute respiratory failure and/or cardiovascular collapse. In addition, reserves of oxygenation and organ perfusion are limited in ICU patients in contrast to non-critically ill patients. Endotracheal intubation, which is one of the most commonly performed procedures in the ICU, is associated with a high incidence of complications because of the precarious hemodynamic and respiratory status of critically ill patients [1–3]. The incidence of life-threatening complications associated with endotracheal intubation (severe hypoxemia, cardiovascular collapse, cardiac arrest, death) in ICU patients ranges from 25 to 39% [1, 3, 4]. Severe but non life-threatening complications, including cardiac arrhythmia, difficult endotracheal intubation, esophageal and/or traumatic endotracheal intubation, aspiration, and patient agitation [1] generally occur in 10 to 30 % of endotracheal intubations [1, 3, 4].
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Jaber S, Amraoui J, Lefrant JY, et al (2006) Clinical practice and risk factors for immediate complications of endotracheal intubation in the intensive care unit: a prospective, multiplecenter study. Crit Care Med 34: 2355–2361
Le Tacon S, Wolter P, Rusterholtz T, et al (2000) [Complications of difficult tracheal intubations in a critical care unit]. Ann Fr Anesth Reanim 19: 719–724
Schwartz DE, Matthay MA, Cohen NH (1995) Death and other complications of emergency airway management in critically ill adults. A prospective investigation of 297 tracheal intubations. Anesthesiology 82: 367–376
Griesdale DE, Bosma TL, Kurth T, Isac G, Chittock DR (2008) Complications of endotracheal intubation in the critically ill. Intensive Care Med 34: 1835–1842
Leibowitz AB (2006) Tracheal intubation in the intensive care unit: extremely hazardous even in the best of hands. Crit Care Med 34: 2497–2498
Arne J, Descoins P, Fusciardi J, et al (1998) Preoperative assessment for difficult intubation in general and ENT surgery: predictive value of a clinical multivariate risk index. Br J Anaesth 80: 140–146
Langeron O, Masso E, Huraux C, et al (2000) Prediction of difficult mask ventilation. Anesthesiology 92: 1229–1236
Baillard C, Fosse JP, Sebbane M, et al (2006) Noninvasive ventilation improves preoxygenation before intubation of hypoxic patients. Am J Respir Crit Care Med 174: 171–177
Delay J, Sebbane M, Jung B, et al (2008) The effectiveness of non invasive positive pressure ventilation to enhance preoxygenation in morbidly obese patients: a randomized controlled study. Anesth Analg 107: 1707–1713
Walz JM, Heard SO (2005) Making tracheal intubation safer in the critically ill patient. Crit Care Med 33: 2716–2717
Walz JM, Zayaruzny M, Heard SO (2007) Airway management in critical illness. Chest 131: 608–620
Smith DC, Bergen JM, Smithline H, Kirschner R (2000) A trial of etomidate for rapid sequence intubation in the emergency department. J Emerg Med 18: 13–16
den Brinker M, Hokken-Koelega AC, Hazelzet JA, de Jong FH, Hop WC, Joosten KF (2008) One single dose of etomidate negatively influences adrenocortical performance for at least 24h in children with meningococcal sepsis. Intensive Care Med 34: 163–168
Lipiner-Friedman D, Sprung CL, Laterre PF, et al (2007) Adrenal function in sepsis: the retrospective Corticus cohort study. Crit Care Med 35: 1012–1018
Mohammad Z, Afessa B, Finkielman JD (2006) The incidence of relative adrenal insufficiency in patients with septic shock after the administration of etomidate. Crit Care 10:R105
Ray DC, McKeown DW (2007) Effect of induction agent on vasopressor and steroid use, and outcome in patients with septic shock. Crit Care 11:R56
Riche FC, Boutron CM, Valleur P, et al (2007) Adrenal response in patients with septic shock of abdominal origin: relationship to survival. Intensive Care Med 33: 1761–1766
Schenarts CL, Burton JH, Riker RR (2001) Adrenocortical dysfunction following etomidate induction in emergency department patients. Acad Emerg Med 8: 1–7
Marik PE, Pastores SM, Annane D, et al (2008) Recommendations for the diagnosis and management of corticosteroid insufficiency in critically ill adult patients: consensus statements from an international task force by the American College of Critical Care Medicine. Crit Care Med 36: 1937–1949
Martyn JA, Richtsfeld M (2006) Succinylcholine-induced hyperkalemia in acquired pathologic states: etiologic factors and molecular mechanisms. Anesthesiology 104: 158–169
Kabrhel C, Thomsen TW, Setnik GS, Walls RM (2007) Videos in clinical medicine. Orotracheal intubation. N Engl J Med 356:e15
O’Connor M (1998) Airway management. In: Hall JB, Schmidt GA, Wood LDH (eds) Principles of Critical Care, 2nd ed. McGraw Hill, New York, pp 111–119
American Society of Anesthesiologists Task Force on Management of the Difficult Airway (2003) Practice guidelines for management of the difficult airway. Anesthesiology 98: 1269–1277
Langeron O, Amour J, Vivien B, Aubrun F (2006) Clinical review: management of difficult airways. Crit Care 10:243
Donald MJ, Paterson B (2006) End tidal carbon dioxide monitoring in prehospital and retrieval medicine: a review. Emerg Med J 23: 728–730
Jaber S, Jung B, Corne P, et al (2007) Intubation protocol in ICU decrease the incidence of life-threatening complications. Intensive Case Med 33(Suppl 2):S140 (abst)
Grmec S (2002) Comparison of three different methods to confirm tracheal tube placement in emergency intubation. Intensive Care Med 28: 701–704
Jaber S, Chanques G, Matecki S, et al (2003) Post-extubation stridor in intensive care unit patients. Risk factors evaluation and importance of the cuff-leak test. Intensive Care Med 29: 69–74
Chanques G, Jaber S, Barbotte E, et al (2006) Impact of systematic evaluation of pain and agitation in an intensive care unit. Crit Care Med 34: 1691–1699
Schultz MJ, Haitsma JJ, Slutsky AS, Gajic O (2007) What tidal volumes should be used in patients without acute lung injury? Anesthesiology 106: 1226–1231
The Acute Respiratory Distress Syndrome Network (2000) Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med 342: 1301–1308
Li J, Murphy-Lavoie, H, Bugas C, Martinez J, Preston C (1999) Complications of emergency intubation with and without paralysis. Am J Emerg Med 17: 141–143
Ricard-Hibon A, Chollet C, Leroy C, Marty J (2002) Succinylcholine improves the time of performance of a tracheal intubation in prehospital critical care medicine. Eur J Anaesthesiol 19: 361–367
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2009 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Jaber, S., Jung, B., Chanques, G. (2009). Endotracheal Intubation in the ICU. In: Vincent, JL. (eds) Yearbook of Intensive Care and Emergency Medicine. Yearbook of Intensive Care and Emergency Medicine, vol 2009. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-92276-6_30
Download citation
DOI: https://doi.org/10.1007/978-3-540-92276-6_30
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-92275-9
Online ISBN: 978-3-540-92276-6
eBook Packages: MedicineMedicine (R0)