Tracheal intubation in critically ill patients: a comprehensive systematic review of randomized trials
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2018 |
| Outros Autores: | , , , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da UNIFESP |
| Texto Completo: | http://dx.doi.org/10.1186/s13054-017-1927-3 https://repositorio.unifesp.br/handle/11600/54258 |
Resumo: | Background: We performed a systematic review of randomized controlled studies evaluating any drug, technique or device aimed at improving the success rate or safety of tracheal intubation in the critically ill. Methods: We searched PubMed, BioMed Central, Embase and the Cochrane Central Register of Clinical Trials and references of retrieved articles. Finally, pertinent reviews were also scanned to detect further studies until May 2017. The following inclusion criteria were considered: tracheal intubation in adult critically ill patients |
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Tracheal intubation in critically ill patients: a comprehensive systematic review of randomized trialsTracheal intubationCritically illEmergency departmentIntensive care unitVideolaryngoscopyHigh flow nasal cannulaBackground: We performed a systematic review of randomized controlled studies evaluating any drug, technique or device aimed at improving the success rate or safety of tracheal intubation in the critically ill. Methods: We searched PubMed, BioMed Central, Embase and the Cochrane Central Register of Clinical Trials and references of retrieved articles. Finally, pertinent reviews were also scanned to detect further studies until May 2017. The following inclusion criteria were considered: tracheal intubation in adult critically ill patientsrandomized controlled trialstudy performed in Intensive Care Unit, Emergency Department or ordinary wardand work published in the last 20 years. Exclusion criteria were pre-hospital or operating theatre settings and simulation-based studies. Two investigators selected studies for the final analysis. Extracted data included first author, publication year, characteristics of patients and clinical settings, intervention details, comparators and relevant outcomes. The risk of bias was assessed with the Cochrane Collaboration's Risk of Bias tool. Results: We identified 22 trials on use of a pre-procedure check-list (1 study), pre-oxygenation or apneic oxygenation (6 studies), sedatives (3 studies), neuromuscular blocking agents (1 study), patient positioning (1 study), video laryngoscopy (9 studies), and post-intubation lung recruitment (1 study). Pre-oxygenation with non-invasive ventilation (NIV) and/or high-flow nasal cannula (HFNC) showed a possible beneficial role. Post-intubation recruitment improved oxygenation, while ramped position increased the number of intubation attempts and thiopental had negative hemodynamic effects. No effect was found for use of a checklist, apneic oxygenation (on oxygenation and hemodynamics), videolaryngoscopy (on number and length of intubation attempts), sedatives and neuromuscular blockers (on hemodynamics). Finally, videolaryngoscopy was associated with severe adverse effects in multiple trials. Conclusions: The limited available evidence supports a beneficial role of pre-oxygenation with NIV and HFNC before intubation of critically ill patients. Recruitment maneuvers may increase post-intubation oxygenation. Ramped position increased the number of intubation attemptsthiopental had negative hemodynamic effects and videolaryngoscopy might favor adverse events.IRCCS San Raffaele Sci Inst, Dept Anaesthesia & Intens Care, Via Olgettina 60, I-20132 Milan, ItalyUniv Vita Salute San Raffaele, Via Olgettina 58, I-20132 Milan, ItalyMinist Hlth, Siberian Biomed Res Ctr, Dept Anesthesia & Intens Care, Novosibirsk, RussiaCardioctr Ticino, Dept Cardiovasc Anesthesia & Intens Care, Lugano, SwitzerlandUniv Fed Sao Paulo, Dept Surg Discipline Anesthesiol Crit Care & Pain, Sao Paulo, BrazilUniv Cattolica Sacro Cuore, Fdn Policlin Univ A Gemelli, Dept Intens Care Med & Anaesthesiol, Rome, ItalyAustin Hosp, Dept Intens Care, Heidelberg, AustraliaUniv Melbourne, Sch Med, Melbourne, Vic, AustraliaUniv Genoa, San Martino Policlin Hosp, IRCCS Oncol, Dept Surg Sci & Integrated Diagnost, Largo Rosanna Benzi 8, I-16131 Genoa, ItalyUniv Fed Sao Paulo, Dept Surg Discipline Anesthesiol Crit Care & Pain, Sao Paulo, BrazilWeb of ScienceBiomed Central Ltd2020-07-08T13:09:52Z2020-07-08T13:09:52Z2018info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion-application/pdfhttp://dx.doi.org/10.1186/s13054-017-1927-3Critical Care. London, v. 22, p. -, 2018.10.1186/s13054-017-1927-3WOS000423329500001.pdf1466-609Xhttps://repositorio.unifesp.br/handle/11600/54258WOS:000423329500001engCritical CareLondoninfo:eu-repo/semantics/openAccessCabrini, LucaLandoni, GiovanniRadaelli, Martina BaiardoSaleh, OmarVotta, Carmine D.Fominskiy, EvgenyPutzu, AlessandroSnak de Souza, Cezar Daniel [UNIFESP]Antonelli, MassimoBellomo, RinaldoPelosi, PaoloZangrillo, Albertoreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-07-29T00:36:27Zoai:repositorio.unifesp.br/:11600/54258Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-07-29T00:36:27Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
| dc.title.none.fl_str_mv |
Tracheal intubation in critically ill patients: a comprehensive systematic review of randomized trials |
| title |
Tracheal intubation in critically ill patients: a comprehensive systematic review of randomized trials |
| spellingShingle |
Tracheal intubation in critically ill patients: a comprehensive systematic review of randomized trials Cabrini, Luca Tracheal intubation Critically ill Emergency department Intensive care unit Videolaryngoscopy High flow nasal cannula |
| title_short |
Tracheal intubation in critically ill patients: a comprehensive systematic review of randomized trials |
| title_full |
Tracheal intubation in critically ill patients: a comprehensive systematic review of randomized trials |
| title_fullStr |
Tracheal intubation in critically ill patients: a comprehensive systematic review of randomized trials |
| title_full_unstemmed |
Tracheal intubation in critically ill patients: a comprehensive systematic review of randomized trials |
| title_sort |
Tracheal intubation in critically ill patients: a comprehensive systematic review of randomized trials |
| author |
Cabrini, Luca |
| author_facet |
Cabrini, Luca Landoni, Giovanni Radaelli, Martina Baiardo Saleh, Omar Votta, Carmine D. Fominskiy, Evgeny Putzu, Alessandro Snak de Souza, Cezar Daniel [UNIFESP] Antonelli, Massimo Bellomo, Rinaldo Pelosi, Paolo Zangrillo, Alberto |
| author_role |
author |
| author2 |
Landoni, Giovanni Radaelli, Martina Baiardo Saleh, Omar Votta, Carmine D. Fominskiy, Evgeny Putzu, Alessandro Snak de Souza, Cezar Daniel [UNIFESP] Antonelli, Massimo Bellomo, Rinaldo Pelosi, Paolo Zangrillo, Alberto |
| author2_role |
author author author author author author author author author author author |
| dc.contributor.author.fl_str_mv |
Cabrini, Luca Landoni, Giovanni Radaelli, Martina Baiardo Saleh, Omar Votta, Carmine D. Fominskiy, Evgeny Putzu, Alessandro Snak de Souza, Cezar Daniel [UNIFESP] Antonelli, Massimo Bellomo, Rinaldo Pelosi, Paolo Zangrillo, Alberto |
| dc.subject.por.fl_str_mv |
Tracheal intubation Critically ill Emergency department Intensive care unit Videolaryngoscopy High flow nasal cannula |
| topic |
Tracheal intubation Critically ill Emergency department Intensive care unit Videolaryngoscopy High flow nasal cannula |
| description |
Background: We performed a systematic review of randomized controlled studies evaluating any drug, technique or device aimed at improving the success rate or safety of tracheal intubation in the critically ill. Methods: We searched PubMed, BioMed Central, Embase and the Cochrane Central Register of Clinical Trials and references of retrieved articles. Finally, pertinent reviews were also scanned to detect further studies until May 2017. The following inclusion criteria were considered: tracheal intubation in adult critically ill patients |
| publishDate |
2018 |
| dc.date.none.fl_str_mv |
2018 2020-07-08T13:09:52Z 2020-07-08T13:09:52Z |
| dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
| dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1186/s13054-017-1927-3 Critical Care. London, v. 22, p. -, 2018. 10.1186/s13054-017-1927-3 WOS000423329500001.pdf 1466-609X https://repositorio.unifesp.br/handle/11600/54258 WOS:000423329500001 |
| url |
http://dx.doi.org/10.1186/s13054-017-1927-3 https://repositorio.unifesp.br/handle/11600/54258 |
| identifier_str_mv |
Critical Care. London, v. 22, p. -, 2018. 10.1186/s13054-017-1927-3 WOS000423329500001.pdf 1466-609X WOS:000423329500001 |
| dc.language.iso.fl_str_mv |
eng |
| language |
eng |
| dc.relation.none.fl_str_mv |
Critical Care |
| 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.coverage.none.fl_str_mv |
London |
| dc.publisher.none.fl_str_mv |
Biomed Central Ltd |
| publisher.none.fl_str_mv |
Biomed Central Ltd |
| dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
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Universidade Federal de São Paulo (UNIFESP) |
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UNIFESP |
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UNIFESP |
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Repositório Institucional da UNIFESP |
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Repositório Institucional da UNIFESP |
| repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
| repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
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1814268357399019520 |