Trauma & major bleeding

The Importance of Circulation in Airway Management: Preventing Postintubation Hypotension in the Trauma Bay

Ann SurgPublished Prospective observational study

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

OutcomePIHNo PIHP value
Preintubation SBPMean118 (SD 46)138 (SD 28)P < 0.001
Injury Severity ScoreMedian27 (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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