Narrow DCP Comparison of The Union Time of Tibial Shaft Fracture Treated with Open Reduction and Internal Fixation Between 4 Screws and 8 Screws on Narrow DCP
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Abstract
Background : Rapid Sequence Intubation (RSI) becomes international standard technique for the airway management in the emergency department (ED). Surin hospital had adopted using RSI in ED. The purpose of this study is to compare the first-pass intubation success between the rapid sequence intubation (RSI) and the conventional endotracheal intubation.
Methods : A retrospective observational study was conducted.Data was collected from medical record and document of patients aged over fifteen years old who underwent intubation at emergency department of Surin hospital during November 1st 2019 to April 30th 2020.
Results : There were 64 patients underwent intubation at ED during study period totally. In which 33 cased (51.6%) underwent rapid sequence intubations and 31 cases (48.4%) underwent conventional endotracheal intubations. The first-pass success intubation rate from RSI technique was 78.8% compared to 77.4% of the conventional endotracheal intubation technique. There was no significantly difference in the first-pass success intubation rate and complication between the two groups. Nevertheless, the first-pass intubation success rate which operated by emergency physicians was significantly different from 6th year medical student (p=0.021). Adverse events found in this study were hypoxia, hypotension and dental trauma. In addition, hypoxia and hypotension incidence of RSI group was higher than those of conventional endotracheal intubation but not significantly different.
Conclusion : In this study, there was no significant differences in the first-pass success intubation and complications between rapid sequence intubation (RSI) group and conventional endotracheal intubation group. However, rate of the first-pass success intubation depended on proficiency of physicians who performed intubation procedure. The emergency physician had significant higher successful first attempt intubation rate than those of 6th year medical student.
Keywords : Rapid sequence intubation (RSI)
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References
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