![]() ![]() In our study, we did not perform previous measurements of blood pressure that could support this finding. Smischney et al 19 proposes that having a mean arterial pressure below 5 mmHg at normal, an advanced age, the use of neuro blocker, or suffering a complication during intubation predict the presence of hypotension. Heffner et al 18 shows that having a severity index of 0.9 is the most sensitive predictor for post intubation hypotension, in addition to other variables with CKD, advanced age, and the indication of intubation due to ventilatory failure. Some studies have evaluated which factors are related to the presence of hypotension. The most frequent complication in our patients was hypotension. In addition, emergency physicians attended directly to patients with difficult airways and more critical conditions. Perhaps, this group had many procedures performed compared to the group of general physicians. The complication rate in the group of emergency physicians was high. Our results showed that the percentage of complications was much lower, possibly attributed to a better performance in the RSI. In the search conducted by Okubo et al, 2 the most relevant results showed that the complication rates did not differ significantly between the groups with RSI and without RSI (12 vs 13% P = 0.59). In our study, the complications occurred in a low percentage. All patient data accessed complied with relevant data protection and privacy regulations. Therefore, the ethics committee omitted the use of informed consent. This study did not present risk (according to resolution 8430 of 1993 of the Colombian Ministry of Health) since it is documentary in nature, and the researchers do not assign biological, psychological, or social exposures to patients. This study adhered to the standards of the STROBE guidelines (STROBE statement is provided in Supplementary Material). 15 of July 31, 2019, protocol number 1421 and followed the Declaration of Helsinki Ethical Principles for Medical Research Involving Human Subjects). ![]() The ethics committee in biomedical research at VFL approved this study (Register No. It is a referral hospital from the Southwest region of the country and has an emergency department volume of approximately 70,000 patients per year. The hospital is a non-profit university hospital affiliated with the Icesi University School of Medicine in Cali, Colombia. This retrospective descriptive study was conducted at FundaciĆ³n Valle del Lili (FVL) University Hospital. The objective of our study is to describe the main characteristics of the rapid intubation sequence used in patients treated in the emergency department of a high complexity hospital. However, a detailed description of the characteristics of the implementation and use of the RSI in different emergency rooms is necessary. ![]() Few intubation schemes have been implemented depending on the needs of the emergency room of each institution. Previous studies in our region have not been developed to evaluate the rapid intubation procedure. 4, 13, 15 Despite being a frequent procedure in emergency room, some complications that this procedure entails have been described. Some authors have described the effectiveness in the first attempt compared to those in which RSI is not performed. 4, 11, 12 However, some research has certain limitations in determining the validity of their use in hospital environments. Some studies realized in the emergency departments around the world have shown the experiences with the RSI. 6, 7 The most appropriate choice of premedication improves the probability of success of orotracheal intubation by minimizing the risk of complications such as hypoxemia, cardiovascular complications, or other secondary events of the medication. The administration of an inducer and a relaxant are used simultaneously after placement of the orotracheal tube, being the most commonly used method in approximately 85% of intubations in the emergency room. The emergency department is the first scenery to determine a quick and concrete clinical assessment in the patient with the imminence of ventilatory failure, allowing to identify the type of airway according to the characteristics of the patient. This procedure has proven to be useful in the approach of patients with a compromised state of consciousness or by alterations in respiratory dynamics treated in the emergency department. The rapid intubation sequence (RSI) is an advanced technique in the management of airways that safely ensures an adequate supply of oxygen to critically ill patients in the emergency department. ![]()
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