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Preoxygenation for tracheal intubation in critically ill patients: one technique does not fit all

  
@article{JTD28473,
	author = {Luca Cabrini and Ottavia Pallanch and Marina Pieri and Alberto Zangrillo},
	title = {Preoxygenation for tracheal intubation in critically ill patients: one technique does not fit all},
	journal = {Journal of Thoracic Disease},
	volume = {11},
	number = {Suppl 9},
	year = {2019},
	keywords = {},
	abstract = {Tracheal intubation is a common procedure in critically ill patients (1). Despite its frequent occurrence, tracheal intubation in this setting remains a risky procedure (2,3), mainly due to the combination of two synergistic and negative factors: the unique respiratory and hemodynamic instability of critically ill patients, and the high incidence of difficult airway in this population (4). Intubation-related life-threatening hypoxemia, hypotension, arrythmia, cardiac arrest and death are frequently reported (2,3). Recently, a multicenter retrospective trial on tracheal intubation in Intensive Care Unit (ICU) observed a 2.7% rate of cardiac arrest (strongly predicted by hypoxemia prior to intubation and lack of preoxygenation), with a high 28-day mortality in patients who had experienced an intubation-related cardiac arrest (5).},
	issn = {2077-6624},	url = {https://jtd.amegroups.org/article/view/28473}
}