2004 OPEN FORUM Abstracts
INTUBATION PERFORMED BY RESPIRATORY CARE PRACTITIONERS: A TEN YEAR ANALYSIS
John D Davies RRT; Michael A Gentile RRT; Janice J Thalman RRT FAARC: Neil R MacIntyre MD FAARC, Duke University Medical Center, Durham, NC.
BACKGROUND: Endotracheal intubation (ETI) is an invasive and potentially life saving procedure. A centralized service with well trained practitioners and continuous monitoring can provide an effective airway service. For more than thirty-five years ETI has been performed by Respiratory Care Practitioners (RCP’s) at our institution. We report the retrospective data for the last ten years.
METHODS: Data were collected during the ten year span of 1993-2003 through the use of designated airway forms. The information collected on these forms was then entered into a central database. The intubations took place in all areas of the hospital and included cardiac arrests. From 1993-1994 the RCS department completion rate was not followed. Also, during that time frame, the clinical definition of an intubation attempt was changed from a visualization to an actual passage of an endotracheal tube through the oropharynx.
RESULTS: From 1993-2003 RCP’s averaged 868 intubations per year. The RCP completion rate has improved on a steady basis to 96%. The RCS department completion rate has remained at 99% for 1995-2003.
|Year||Intubations||Attempts||RT Completion Rate||RCS Dept Completion Rate|
CONCLUSION: An airway service provided by a Respiratory Care
Department can assure competent non-physician providers, centralized monitoring
performance tracking and improvement, a 99% completion rate and an
overall effective service.