Faculty Collaboration Database

Continuous pulse oximetry during emergency endotracheal intubation. Ann Emerg Med 1993 Apr;22(4):675-9

Date

04/01/1993

Pubmed ID

8457094

DOI

10.1016/s0196-0644(05)81846-3

Scopus ID

2-s2.0-0027509729 (requires institutional sign-in at Scopus site)   24 Citations

Abstract

STUDY OBJECTIVE: To determine whether continuous pulse oximetry improves the recognition and management of hypoxemia during emergency endotracheal intubation.

DESIGN: A prospective, serial 14-month study.

SETTING: Emergency department, Level I trauma center.

TYPE OF PARTICIPANTS: All adult patients requiring emergency intubation for whom data collection would not compromise patient care.

INTERVENTIONS: All samples were obtained from a finger site at a five-second sampling interval and stored in computer memory. Patients were intubated by the nasotracheal or orotracheal route.

MEASUREMENTS AND MAIN RESULTS: One hundred ninety-one consecutive adult patients qualified for the study and 211 intubation attempts were analyzed. Hypoxemia (O2 saturation, less than 90%) occurred during an intubation attempt in 30 of 111 nonmonitored versus 15 of 100 monitored attempts (P < .05), and the duration of severe hypoxemia (O2 saturation, less than 85%) was significantly greater for nonmonitored attempts (P < .05).

CONCLUSION: Continuous pulse oximetry monitoring reduces the frequency and duration of hypoxemia associated with emergency intubation attempts.

Author List

Mateer JR, Olson DW, Stueven HA, Aufderheide TP

Author

Tom P. Aufderheide MD Professor in the Emergency Medicine department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Emergencies
Humans
Hypoxia
Intubation, Intratracheal
Oximetry
Prospective Studies
Trauma Centers