| 일반병동 입원환자의 어려운 기도 예측 여부에 따른 기관 내 삽관의 결과 분석 |
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안지영, 최혜란 |
1서울아산병원
2울산대학교 의과대학 |
| Outcome Analysis of Endotracheal Intubation for General Ward Patients with and without Predicted Difficulty |
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Ji-Young An, Hye Ran Choi |
1Asan Medical Center
2College of Medicine, University of Ulsan |
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| Abstract |
Purpose
The purpose of this study was to determine the factors related to airway failure during endotracheal intubation among patients with and without predicted airway difficulty.
Methods
Medical records were examined retrospectively. 329 patients who were admitted to the general ward and underwent endotracheal intubation were included. The incidence of airway failure in the two groups was investigated.
Results
The group predicted to have airway difficulty consisted of 79 patients (24.0%) and the group without airway difficulty, 250 (76.0%). The number of cases of airway failure was 50 (15.2%). The factors that were associated with airway failure in the group with predicted airway difficulty were the jaw relaxation score, Cormack-Lehane score, and the device of the first endotracheal intubation attempt. The factors that were associated with the airway failure in the group predicted not to have airway difficulty were the induction agent, jaw relaxation score, Cormack-Lehane score, level of training of the personnel with the first endotracheal intubation success, and the device of the first endotracheal intubation attempt.
Conclusion
The prediction of airway difficulty during endotracheal intubation was not effective; however, it was meaningful from the perspective of patient safety. |
| Key Words:
Difficult airway, Endotracheal intubation |
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