Recall of Awareness During Paralysis Among ED Patients Undergoing Tracheal Intubation
Authors' conclusion
Among patients intubated emergently using a neuromuscular blocking agent, 7.4% of patients recalled awareness without being able to move, which was more likely when patients had a normal level of consciousness prior to intubation.
Study context
- Population
- ED patients receiving an NMBA to facilitate emergency tracheal intubation, urban county hospitalanalysed
- Participants
- 886 patients
- Outcome
- Possible or definite awareness of paralysis (adjudicated by three expert reviewers)
Methodological detailssingle-centre, logistic regression
- Single-centre
- Logistic regression
Main finding
As reported in the abstract
Recalled awareness of paralysis (possible or definite)
Possible or definite recalled awareness of paralysis, n = 66
7.4%
95% CI 5.8–9.4
Possible awareness
61
Definite awareness
5
Observational data: associations, not effects.
Further findings
Decreased level of consciousness before intubation and awareness
| aOR (95% CI) | ||
|---|---|---|
| Decreased level of consciousnessLogistic regression | 0.39 (0.22–0.69) | |
| 0.20.5125Adjusted odds ratio (log scale) |
- NMBA class, sedative, preintubation shock index and postintubation sedation not significantly associated with recall
Original publication
Recall of Awareness During Paralysis Among ED Patients Undergoing Tracheal Intubation. Chest. Published 8 September 2022. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →