title: Prospective observational study of emergent endotracheal intubation practice in the intensive care unit and emergency department of an Australian regional tertiary hospital.
abstract: OBJECTIVE
  The present study aimed to describe the characteristics and outcomes of intubation occurring in the ICU and ED of an Australian tertiary teaching hospital.
  
  
  METHODS
  This was a prospective observational study of intubation practice across the Geelong Hospital over a 6 month period from 1 August 2012 to 31 January 2013. Data were entered by the intubating team through an online data collection form.
  
  
  RESULTS
  There were 119 patients intubated and 134 attempts at intubation in the ED and ICU over a 6 month period. The first-pass success rate was 104/119 (87.4%), and all but a single patient was intubated by the second attempt. Propofol, fentanyl, midazolam and suxamethonium were the most common drugs used in rapid sequence induction. AEs were reported in 44/134 (32.8%) of intubation attempts, with transient hypoxia and hypotension being the most common. A significant adverse outcome, namely aspiration pneumonitis, occurred in one patient. There were no peri-intubation deaths.
  
  
  CONCLUSIONS
  The majority of airways are managed by ICU and ED consultants and trainees, with success rates and AE rates comparable with other published studies.
authors.affiliation: Department of Emergency Medicine, Barwon Health, Geelong, Victoria, Australia; Intensive Care Unit, Barwon Health, Geelong, Victoria, Australia; Emergency and Trauma Centre, The Alfred Hospital, Melbourne, Victoria, Australia.
authors.forename: Luke
authors.initials: L
authors.lastname: Phillips
authors.forename: Neil
authors.initials: N
authors.lastname: Orford
authors.forename: Michael
authors.initials: M
authors.lastname: Ragg
mesh_terms: D000328:Adult; D000368:Aged; D058109:Airway Management / Q000009:adverse effects / Q000379:methods*; D001315:Australia; D054869:Clinical Audit; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D006784:Hospitals, Teaching / Q000706:statistics & numerical data; D006801:Humans; D007362:Intensive Care Units / Q000706:statistics & numerical data*; D007442:Intubation, Intratracheal / Q000379:methods / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies
keywords: airway management; critical care; emergency medicine; intensive care; intubation