The efficacy of apneic oxygenation to prevent hypoxemia during rapid sequence intubation in trauma patients.
Journal
Current opinion in anaesthesiology
ISSN: 1473-6500
Titre abrégé: Curr Opin Anaesthesiol
Pays: United States
ID NLM: 8813436
Informations de publication
Date de publication:
01 Apr 2022
01 Apr 2022
Historique:
pubmed:
2
2
2022
medline:
11
3
2022
entrez:
1
2
2022
Statut:
ppublish
Résumé
Rapid and effective airway management is priority for trauma patients. Trauma patients are often at an increased risk of experiencing hypoxia, and thus at increased risk of morbidity and mortality. Apneic oxygenation has been widely debated but has been reported to provide benefit in terms of increased peri-intubation oxygen saturation and decreased rates of desaturation. This review aims to evaluate the current literature on the efficacy of apneic oxygenation in the setting of rapid sequence intubation (RSI) in trauma patients. Two prospective studies published this year, demonstrated that apneic oxygenation was effective in reducing hypoxic events and hypoxic duration during RSI. The use of apneic oxygenation can play an important role in preventing hypoxic events in trauma patients undergoing RSI. The use of apneic oxygenation is cheap, and should be considered to reduce hypoxemic events. Additional studies are required to see the effects of apneic oxygenation on outcomes in trauma patients undergoing RSI, specifically desaturation and hypoxemic events and duration, and early onset mortality.
Identifiants
pubmed: 35102043
doi: 10.1097/ACO.0000000000001103
pii: 00001503-202204000-00015
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
182-188Informations de copyright
Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.
Références
Semler MW, Janz DR, Lentz RJ, et al. FELLOW Investigators, Pragmatic Critical Care Research Group. Randomized trial of apneic oxygenation during endotracheal intubation of the critically ill. Am J Respir Crit Care Med 2016; 193:273–280.
Lyons C, Callaghan M. Uses and mechanisms of apnoeic oxygenation: a narrative review. Anaesthesia 2019; 74:497–507.
Kolettas A, Grosomanidis V, Kolettas V, et al. Influence of apnoeic oxygenation in respiratory and circulatory system under general anaesthesia. J Thorac Dis 2014; 6 Suppl 1:S116–S145.
Höstman S, Engström J, Sellgren F, et al. Nontoxic alveolar oxygen concentration without hypoxemia during apnoeic oxygenation: an experimental study. Acta Anaesthesiol Scand 2011; 55:1078–1084.
Gleason JM, Christian BR, Barton ED. Nasal cannula apneic oxygenation prevents desaturation during endotracheal intubation: an integrative literature review. West J Emerg Med 2018; 19:403–411.
Frumin MJ, Epstein RM, Cohen G. Apneic oxygenation in man. Anesthesiology 1959; 20:789–798.
Oliveira JE, Silva L, Cabrera D, et al. Effectiveness of apneic oxygenation during intubation: a systematic review and meta-analysis. Ann Emerg Med 2017; 70:483.e11–494.e11.
Perera A, Alkhouri H, Fogg T, et al. Apnoeic oxygenation was associated with decreased desaturation rates during rapid sequence intubation in multiple Australian and New Zealand emergency departments. Emerg Med J 2021; 38:118–124.
Hagberg CA, Kaslow O. Difficult airway management algorithm in trauma: updated by COTEP. ASA Monitor 2014; 78:56.
Davies M, Jacobs A, Brody DL, Friess SH. Delayed hypoxemia after traumatic brain injury exacerbates long-term behavioral deficits. J Neurotrauma 2018; 35:790–801.
Crewdson K, Heywoth A, Rehn M, et al. Apnoeic oxygenation for emergency anaesthesia of prehospital trauma patients. Scand J Trauma Resusc Emerg Med 2021; 29:10.
Caputo N, Azan B, Domingues R, et al. Lincoln Airway Group. Emergency department use of apneic oxygenation versus usual care during rapid sequence intubation: a randomized controlled trial (The ENDAO Trial). Acad Emerg Med 2017; 24:1387–1394.
Riyapan S, Lubin J. Apneic oxygenation may not prevent severe hypoxemia during rapid sequence intubation: a retrospective helicopter emergency medical service study. Air Med J 2016; 35:365–368.
Sakles JC, Mosier JM, Patanwala AE, Dicken JM. Apneic oxygenation is associated with a reduction in the incidence of hypoxemia during the RSI of patients with intracranial hemorrhage in the emergency department. Intern Emerg Med 2016; 11:983–992.
Sakles JC, Mosier JM, Patanwala AE, et al. First pass success without hypoxemia is increased with the use of apneic oxygenation during rapid sequence intubation in the emergency department. Acad Emerg Med 2016; 23:703–710.
Wimalasena Y, Burns B, Reid C, et al. Apneic oxygenation was associated with decreased desaturation rates during rapid sequence intubation by an Australian helicopter emergency medicine service. Ann Emerg Med 2015; 65:371–376.
Binks MJ, Holyoak RS, Melhuish TM, et al. Apneic oxygenation during intubation in the emergency department and during retrieval: a systematic review and meta-analysis. Am J Emerg Med 2017; 35:1542–1546.
White LD, Melhuish TM, White LK, Wallace LA. Apnoeic oxygenation during intubation: a systematic review and meta-analysis. Anaesth Intensive Care 2017; 45:21–27.