The Importance of Circulation in Airway Management: Preventing Postintubation Hypotension in the Trauma Bay
Authors' conclusion
More than half of the patients requiring ETI in the trauma bay developed PIH.
Study context
- Population
- Adult (≥18) trauma patients requiring endotracheal intubation (ETI) in the trauma bay, level I trauma center, 2019–2022
- Participants
- 708 participants
- Exposure
- Postintubation hypotension (PIH) vs no PIH
- PIHn = 435
- Outcome
- Postintubation hypotension (PIH) and its modifiable and nonmodifiable risk factors
Methodological detailssingle-centre, level I trauma center, multivariable logistic regression
- Single-centre
- Level I trauma center
- Multivariable logistic regression
Main finding
As reported in the abstract
Incidence of PIH
PIH
61.4%
435
Observational data: associations, not effects.
Further findings
| Outcome | PIH | No PIH | P value |
|---|---|---|---|
| Preintubation SBPMean | 118 (SD 46) | 138 (SD 28) | P < 0.001 |
| Injury Severity ScoreMedian | 27 (IQR 21–38) | 21 (IQR 9–26) | P < 0.001 |
Original publication
The Importance of Circulation in Airway Management: Preventing Postintubation Hypotension in the Trauma Bay. Ann Surg. Published 1 April 2024. doi:10. 1097/ sla. 0000000000006288
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