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Research ArticleOriginal Contributions

Management of Tracheal Intubation in the Respiratory Intensive Care Unit by Pulmonary Physicians

Andrea MA Vianello, Giovanna ME Arcaro, Fausto S Braccioni, Federico Gallan, Chiara M Greggio, Anna Marangoni, Carlo Ori and Michele Minuzzo
Respiratory Care January 2007, 52 (1) 26-30;
Andrea MA Vianello
Unità di Terapia Intensiva Respiratoria, Azienda Ospedaliera di Padova, Padova, Italy.
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  • For correspondence: [email protected]
Giovanna ME Arcaro
Unità di Terapia Intensiva Respiratoria, Azienda Ospedaliera di Padova, Padova, Italy.
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Fausto S Braccioni
Unità di Terapia Intensiva Respiratoria, Azienda Ospedaliera di Padova, Padova, Italy.
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Federico Gallan
Unità di Terapia Intensiva Respiratoria, Azienda Ospedaliera di Padova, Padova, Italy.
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Chiara M Greggio
Unità di Terapia Intensiva Respiratoria, Azienda Ospedaliera di Padova, Padova, Italy.
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Anna Marangoni
Unità di Terapia Intensiva Respiratoria, Azienda Ospedaliera di Padova, Padova, Italy.
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Carlo Ori
Dipartimento di Farmacologia ed Anestesiologia, Università di Padova, Padova, Italy.
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Michele Minuzzo
Unità di Terapia Intensiva Respiratoria, Azienda Ospedaliera di Padova, Padova, Italy.
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Abstract

BACKGROUND: Expert management of tracheal intubation has become fundamental to the routine practice of pulmonary physicians who work in respiratory intensive care units (ICUs). In Italy, tracheal intubation is not included as part of the training in respiratory medicine, and pulmonary physicians are usually dissuaded from managing intubations.

METHODS: We prospectively studied the intubation success rate in 46 consecutive respiratory ICU patients who required either emergency or urgent intubation, conducted by 3 intubation-trained pulmonary physicians in our respiratory ICU. Intubation success was defined as successful tracheal intubation without any of 7 pre-defined complications.

RESULTS: There were 17 emergency intubations and 29 urgent intubations. Intubation was successful in 43 of the 46 intubation attempts. Complications occurred in 3 cases: 2 patients needed to be intubated by an anesthesiologist, and 1 patient received fiberoptic intubation.

CONCLUSIONS: Pulmonary physicians trained in tracheal intubation can have a high success rate in performing intubation in the respiratory ICU. Collaborative efforts between anesthesiologists and pulmonary physicians are necessary to optimize the training, skill-retention, and back-up for advanced airway management in the respiratory ICU.

  • tracheal intubation
  • training
  • respiratory
  • intensive care unit

Footnotes

  • Correspondence: Andrea MA Vianello MD, Unità Operativa Fisiopatologia Respiratoria, Azienda Ospedaliera di Padova, Via Giustiniani 3, 35128 Padova, Italy. E-mail: avianello{at}qubisoft.it.
  • Andrea MA Vianello MD presented a version of this paper at the 38th Congresso Nazionale of the Associazione Italiana Pneumologi Ospedalieri, held October 25–28, 2005, in Venice, Italy.

  • Copyright © 2007 by Daedalus Enterprises Inc.
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Respiratory Care: 52 (1)
Respiratory Care
Vol. 52, Issue 1
1 Jan 2007
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Management of Tracheal Intubation in the Respiratory Intensive Care Unit by Pulmonary Physicians
Andrea MA Vianello, Giovanna ME Arcaro, Fausto S Braccioni, Federico Gallan, Chiara M Greggio, Anna Marangoni, Carlo Ori, Michele Minuzzo
Respiratory Care Jan 2007, 52 (1) 26-30;

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Management of Tracheal Intubation in the Respiratory Intensive Care Unit by Pulmonary Physicians
Andrea MA Vianello, Giovanna ME Arcaro, Fausto S Braccioni, Federico Gallan, Chiara M Greggio, Anna Marangoni, Carlo Ori, Michele Minuzzo
Respiratory Care Jan 2007, 52 (1) 26-30;
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  • tracheal intubation
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  • respiratory
  • intensive care unit

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