Author/Editor		Lah, Katja; Grmec, Štefek; Križmarić, Miljenko
Title		Analiza hitrega uvajanja v anestezijo v Centru za nujno medicinsko pomoč in reševalne prevoze Maribor
Translated title		Analysis of rapid sequence intubation in the Center for emergency medicine Maribor
Type		članek
Source		In: Grmec Š, Kupnik D, editors. Akutna stanja. Maribor: Zdravstveni dom dr. Adolfa Drolca, Center za nujno medicinsko pomoč in reševalne prevoza,
Publication year		2007
Volume		str. 272-5
Language		slo
Abstract		Airway control is an initial priority in a management of injured and critically ill patients. In our physician-based emergency medical systems rapid sequence intubation (RSI) is a standard method for maintenance of an adequate airway management in the critically ill patients. Our aim was to determine in a prospective observational study if there are differences in practice of RSI and in patient characteristics between trauma and non-trauma patients that were intubated in the prehospital setting. In nontraumatized critically ill patients we found a lower rate of RSI, more patients with initial GCS 3-4, higer APACHE II on the first day, higher initial end-tidal carbon dioxide partial pressure (petCO2) (asphyxial mechanism?) and higher hospital mortality than in trauma patients. We also discovered that in overall, patients treated with RSI had lower mortality rate and better APACHE II score.
Summary		Oskrba dihalne poti je v prehospitalnem okolju pri hudo bolnih in poškodovanih nujna. Z razvojem urgentne medicine in večjo izkušenostjo zdravnikov se razvijajo in uporabljajo nove metode. V prispevku smo analizirali uporabo metode hitrega uvajanja v anestezijo (RSI) v Centru za nujno medicinsko pomoč in reševalne prevoze (CNMP) Maribor. Predvsem nas je zanimalo, ali obstajajo razlike v uporabi metode in v značilnostih oskrbovancev, če primerjamo kritično bolne in hudo poškodovane. Ugotovili smo, da imajo kritično bolni nižji odstotek RSI, več bolnikov je bilo uvrščenih v najnižjo skupino GCS (3-4), imeli so višji APACHE II prvi dan, višji začetni delni tlak ogljikovega dioksida v izdihanem zraku ob koncu izdiha (petCO2) in višjo umrljivost kot poškodovanci. Ob tem pa smo ugotovili tudi, da imajo tisti kritično bolni in hudo poškodovani, ki so bili oskrbljeni z RSI, večji odstotek preživetja in boljši APACHE II.
Descriptors		INTUBATION, INTRATRACHEAL WOUNDS AND INJURIES ANESTHESIA