Endotracheal intubation: a dilemma in pre-hospital care
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.56732/pensarenf.v19i1.104 |
Resumo: | The endotracheal intubation in the prehospital setting, is considered the gold standard in the airway maintenance in order to provide ventilation and oxygenation to the critically ill patient, however it is associated with various complications and risks for the patient. With this work of systematic literature review we intend to understand the relationship between the EIT in prehospital emergency, and the prognosis of the critically ill, posing the following question: “what is the impact of endotracheal intubation, in prehospital care, on the clinical prognosis of the patient?”. This research began with a survey of English and Portuguese literature, on scientific data bases MEDLINE, CINAHL, MedicLatina and Nursing and Allied Health Collection, with a time range between 2010 and 2014. The evidence points out that the performance of a prehospital endotracheal intubation is associated with worse rates of cardiopulmonary resuscitation, increased rates of mortality and an increase in co-morbidities. These findings reinforce the discussion surrounding the practice of EIT in pre-hospital and draw health professionals attention to limit this practice to cases where there is a clear clinical indication. |
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Endotracheal intubation: a dilemma in pre-hospital careIntubação endotraqueal: um dilema na assistência pré-hospitalarPatient safetyEmergency medical servicesIntubationPre-hospital careSegurança do pacienteServiços médicos de emergênciaIntubação intratraquealAssistência pré-hospitalarThe endotracheal intubation in the prehospital setting, is considered the gold standard in the airway maintenance in order to provide ventilation and oxygenation to the critically ill patient, however it is associated with various complications and risks for the patient. With this work of systematic literature review we intend to understand the relationship between the EIT in prehospital emergency, and the prognosis of the critically ill, posing the following question: “what is the impact of endotracheal intubation, in prehospital care, on the clinical prognosis of the patient?”. This research began with a survey of English and Portuguese literature, on scientific data bases MEDLINE, CINAHL, MedicLatina and Nursing and Allied Health Collection, with a time range between 2010 and 2014. The evidence points out that the performance of a prehospital endotracheal intubation is associated with worse rates of cardiopulmonary resuscitation, increased rates of mortality and an increase in co-morbidities. These findings reinforce the discussion surrounding the practice of EIT in pre-hospital and draw health professionals attention to limit this practice to cases where there is a clear clinical indication. A intubação endotraqueal (IET), no pré-hospitalar, é considerada o “gold standard” na manutenção da via aérea de modo a fornecer a ventilação e oxigenação à pessoa em situação crítica, no entanto, está associada a várias complicações e riscos. Com este trabalho de revisão sistemática da literatura pretendeu-se compreender a relação entre a IET em emergência pré-hospitalar e o prognóstico da pessoa em situação crítica, colocando a seguinte questão: “Qual o impacto da intubação endotraqueal, em emergência pré-hospitalar, no prognóstico clínico do doente?”. Este trabalho de investigação iniciou-se com uma pesquisa da literatura de língua inglesa e portuguesa, nas bases de dados científicas MEDLINE, CINAHL, MedicLatina e Nursing and Allied Health Collection num horizonte temporal entre 2010 e 2014. A evidência destaca que a realização da intubação endotraqueal, no pré-hospitalar, está associada a piores taxas de reanimação cardiorrespiratória, ao aumento das taxas de mortalidade e ao aumento das comorbilidades. Estas conclusões reforçam a discussão em torno da prática da IET no pré-hospitalar e sensibilizam os profissionais de saúde para a limitação desta prática a casos em que exista indicação clínica segura.Escola Superior de Enfermagem de Lisboa - ESEL/ CIDNUR2015-08-22info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.56732/pensarenf.v19i1.104https://doi.org/10.56732/pensarenf.v19i1.104Pensar Enfermagem ; Vol. 19 No. 1 (2015): Journal of Nursing Pensar Enfermagem; 62-75Pensar Enfermagem ; Vol. 19 N.º 1 (2015): Revista Científica Pensar Enfermagem; 62-751647-55260873-890410.56732/pensarenf.v19i1reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://pensarenfermagem.esel.pt/index.php/esel/article/view/104https://pensarenfermagem.esel.pt/index.php/esel/article/view/104/99Rodrigues, DanielPires, EdgarGomes, VandaAraújo, Isabelinfo:eu-repo/semantics/openAccess2023-09-26T10:37:59Zoai:pensarenfermagem.esel.pt:article/104Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:31:10.674362Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Endotracheal intubation: a dilemma in pre-hospital care Intubação endotraqueal: um dilema na assistência pré-hospitalar |
title |
Endotracheal intubation: a dilemma in pre-hospital care |
spellingShingle |
Endotracheal intubation: a dilemma in pre-hospital care Rodrigues, Daniel Patient safety Emergency medical services Intubation Pre-hospital care Segurança do paciente Serviços médicos de emergência Intubação intratraqueal Assistência pré-hospitalar |
title_short |
Endotracheal intubation: a dilemma in pre-hospital care |
title_full |
Endotracheal intubation: a dilemma in pre-hospital care |
title_fullStr |
Endotracheal intubation: a dilemma in pre-hospital care |
title_full_unstemmed |
Endotracheal intubation: a dilemma in pre-hospital care |
title_sort |
Endotracheal intubation: a dilemma in pre-hospital care |
author |
Rodrigues, Daniel |
author_facet |
Rodrigues, Daniel Pires, Edgar Gomes, Vanda Araújo, Isabel |
author_role |
author |
author2 |
Pires, Edgar Gomes, Vanda Araújo, Isabel |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Rodrigues, Daniel Pires, Edgar Gomes, Vanda Araújo, Isabel |
dc.subject.por.fl_str_mv |
Patient safety Emergency medical services Intubation Pre-hospital care Segurança do paciente Serviços médicos de emergência Intubação intratraqueal Assistência pré-hospitalar |
topic |
Patient safety Emergency medical services Intubation Pre-hospital care Segurança do paciente Serviços médicos de emergência Intubação intratraqueal Assistência pré-hospitalar |
description |
The endotracheal intubation in the prehospital setting, is considered the gold standard in the airway maintenance in order to provide ventilation and oxygenation to the critically ill patient, however it is associated with various complications and risks for the patient. With this work of systematic literature review we intend to understand the relationship between the EIT in prehospital emergency, and the prognosis of the critically ill, posing the following question: “what is the impact of endotracheal intubation, in prehospital care, on the clinical prognosis of the patient?”. This research began with a survey of English and Portuguese literature, on scientific data bases MEDLINE, CINAHL, MedicLatina and Nursing and Allied Health Collection, with a time range between 2010 and 2014. The evidence points out that the performance of a prehospital endotracheal intubation is associated with worse rates of cardiopulmonary resuscitation, increased rates of mortality and an increase in co-morbidities. These findings reinforce the discussion surrounding the practice of EIT in pre-hospital and draw health professionals attention to limit this practice to cases where there is a clear clinical indication. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-08-22 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.56732/pensarenf.v19i1.104 https://doi.org/10.56732/pensarenf.v19i1.104 |
url |
https://doi.org/10.56732/pensarenf.v19i1.104 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://pensarenfermagem.esel.pt/index.php/esel/article/view/104 https://pensarenfermagem.esel.pt/index.php/esel/article/view/104/99 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Escola Superior de Enfermagem de Lisboa - ESEL/ CIDNUR |
publisher.none.fl_str_mv |
Escola Superior de Enfermagem de Lisboa - ESEL/ CIDNUR |
dc.source.none.fl_str_mv |
Pensar Enfermagem ; Vol. 19 No. 1 (2015): Journal of Nursing Pensar Enfermagem; 62-75 Pensar Enfermagem ; Vol. 19 N.º 1 (2015): Revista Científica Pensar Enfermagem; 62-75 1647-5526 0873-8904 10.56732/pensarenf.v19i1 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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