The Science Journal of the American Association for Respiratory Care

2009 OPEN FORUM Abstracts

AIRWAY MANAGEMENT SUPPORT BY RESPIRATORY CARE SERVICES IN AN ACADEMIC MEDICAL CENTER EMERGENCY DEPARTMENT; A 3 YEAR REVIEW

Jhaymie L. Cappiello, Michael A. Gentile, Andrew Miller, Robert Delong, Janice Thalman, Neil MacIntyre; Duke Medical Center, Durham, NC

Background: Endotracheal intubation by Respiratory Care Practitioners (RCP) is common and well supported. Our airway management support in the emergency department (ED) is provided by a core group of practitioners that includes equipment maintenance, resident education as well as procedure operation. We sought to qualify the endotracheal intubation support from this team by reviewing ED intubation data over a three year (34 month) period. Method: A retrospective review of an airway database maintained by our ED core RCPs’ reviewed 447 ED intubation events between 8/2006 and 6/2009. Data recorded included laryngoscopies per attempt, esophageal intubations, primary/secondary airway operator, type of patient (medical/surgical), and if intubation attempt was successful. Each attempt is limited at two laryngoscopies per departmental standards. An analysis was performed for RCP intubation impact alone. Result: During the reviewed period; RCP Intubations: 36%, 104 as primary, 55 as secondary Laryngoscopy per Attempt (avg) 1.2 Esophageal Intubation rate: 6% Trauma/Surgical Patient: 31% Medical Patient: 69% Success Rate: 98.7% Conclusion: Endotracheal intubation provided by the ED core group RCPs’ is effective as evidenced by the low laryngoscopy and high success rates. The service is well utilized across the patient population and provides a significant portion of endotracheal intubation. Interval follow up is recommended for quality assurance. Sponsored Research - None

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