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The need for standardized data reporting for prehospital airway management

Despite a widespread belief in the value of aggressive prehospital airway management, the therapeutic benefits of early tracheal intubation (TI) remain unclear. In fact, most attempts to elucidate the benefits of prehospital TI on outcome from traumatic brain injury and cardiopulmonary arrest have d...

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Detalles Bibliográficos
Autor principal: Davis, Daniel P
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3219313/
https://www.ncbi.nlm.nih.gov/pubmed/21457527
http://dx.doi.org/10.1186/cc10039
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author Davis, Daniel P
author_facet Davis, Daniel P
author_sort Davis, Daniel P
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description Despite a widespread belief in the value of aggressive prehospital airway management, the therapeutic benefits of early tracheal intubation (TI) remain unclear. In fact, most attempts to elucidate the benefits of prehospital TI on outcome from traumatic brain injury and cardiopulmonary arrest have documented an increase in mortality associated with the procedure. While some degree of selection bias is likely present in these studies, the inherent adverse physiological effects of intubation and a high incidence of desaturation and subsequent hyperventilation may indicate a harmful effect of the procedure. This uncertainty regarding such a fundamental resuscitation procedure as TI underscores the need for standardized data reporting in prehospital airway management research. To this end, the Utstein prehospital airway conference proposed a set of variables that would move us in that direction. However, the present article by Lossius and colleagues documents how far we still have to travel before such standardization can be achieved. Only through these efforts can we elucidate the true benefits - or harm - of advanced airway management during critical resuscitation.
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spelling pubmed-32193132012-03-14 The need for standardized data reporting for prehospital airway management Davis, Daniel P Crit Care Commentary Despite a widespread belief in the value of aggressive prehospital airway management, the therapeutic benefits of early tracheal intubation (TI) remain unclear. In fact, most attempts to elucidate the benefits of prehospital TI on outcome from traumatic brain injury and cardiopulmonary arrest have documented an increase in mortality associated with the procedure. While some degree of selection bias is likely present in these studies, the inherent adverse physiological effects of intubation and a high incidence of desaturation and subsequent hyperventilation may indicate a harmful effect of the procedure. This uncertainty regarding such a fundamental resuscitation procedure as TI underscores the need for standardized data reporting in prehospital airway management research. To this end, the Utstein prehospital airway conference proposed a set of variables that would move us in that direction. However, the present article by Lossius and colleagues documents how far we still have to travel before such standardization can be achieved. Only through these efforts can we elucidate the true benefits - or harm - of advanced airway management during critical resuscitation. BioMed Central 2011 2011-03-14 /pmc/articles/PMC3219313/ /pubmed/21457527 http://dx.doi.org/10.1186/cc10039 Text en Copyright ©2011 BioMed Central Ltd
spellingShingle Commentary
Davis, Daniel P
The need for standardized data reporting for prehospital airway management
title The need for standardized data reporting for prehospital airway management
title_full The need for standardized data reporting for prehospital airway management
title_fullStr The need for standardized data reporting for prehospital airway management
title_full_unstemmed The need for standardized data reporting for prehospital airway management
title_short The need for standardized data reporting for prehospital airway management
title_sort need for standardized data reporting for prehospital airway management
topic Commentary
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3219313/
https://www.ncbi.nlm.nih.gov/pubmed/21457527
http://dx.doi.org/10.1186/cc10039
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