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Article
Intubation in emergency department of a tertiary care hospital in a low-income
Journal of Pakistan Medical Association
  • Nadeem Ullah Khan, Aga Khan University
  • Uzma R. Khan, Aga Khan University
  • Kiran Ejaz, Aga Khan University
  • Humaid Ahmad, Aga Khan University
  • Nukhba Zia, Aga Khan University
  • Junaid Abdul Razzak, Aga Khan University
Publication Date
3-1-2013
Document Type
Article
Abstract
Objective: To study the indications, method, success rate and complications of intubation at the Emergency Department of a private, tertiary care hospital in Karachi, Pakistan.Methods: The case series involved 278 patients above 14 years of age who underwent emergency intubation at the Emergency Department of Aga Khan University Hospital, Karachi between 1998 and 2003. Descriptive statistics were used to compare rapid sequence intubation with crash intubation. The level of significance was p<0.05.Results: Of the total 278 intubations performed, 37 (13.3%) had to be left out for incomplete information. The study population remaining for inferential analysis comprised of 241 patients. Of the total 278 patients, 174 (63%) were males. Rapid sequence intubation was the commonest type (n=185, 67%) of intubation and was performed mostly by anaesthetists (n=236, 85%). Cardiogenic pulmonary oedema and head injury were commonly seen in these patients. The success on first attempt of intubation was 98% (n=181) in rapid sequence intubation, and 85% (n=48) in crash intubation. Overall, 15 (5.3%) complications were seen in these intubations.Conclusion: Study showed a satisfactory success rate in both rapid sequence and crash intubations.
Citation Information
Nadeem Ullah Khan, Uzma R. Khan, Kiran Ejaz, Humaid Ahmad, et al.. "Intubation in emergency department of a tertiary care hospital in a low-income" Journal of Pakistan Medical Association Vol. 63 Iss. 3 (2013) p. 306 - 309
Available at: http://works.bepress.com/nadeemullah_khan/18/