Variatie in intubaties op SEH’s in Toscane bekeken

Sanchez LD, Di MP, Babineau M, Lanigra M, Ban KM. Intubation practice patterns in Tuscan emergency departments. Int J Emerg Med 2008 Jun;1(2):127-9.

Intubatie is een van de belangrijkste levensreddende procedures die door spoedeisende hulp artsen worden uitgevoerd. Er is variatie in de praktijk wanneer verschillende landen met elkaar worden vergeleken. METHODS: Een schriftelijke vragenlijst over manieren van intubatie werd gegeven aan een groep van Italiaanse artsen in Toscane tijdens de onderzoeks periode van een jaar

Intubation is one of the most important life-saving procedures performed by emergency physicians (EPs). There is variation in practice when different countries are compared. METHODS: A written questionnaire on intubation practices was administered to a group of Italian doctors practicing in Tuscany during the examination period of a year-long course in emergency medicine. RESULTS: The survey was administered to 153 participants. Of these, 143 (93.4%) returned a complete survey. In the sub-group of physicians who work in the emergency department (ED), 73.6% report intubating patients. Of those that intubate patients, 92.3% use some sort of sedation, and 49.3% use paralytics. While direct visualization of the cords for intubation and auscultation of breath sounds after intubation are almost universal (97% and 100%, respectively), only 11.9% use colorimetric CO2 detectors for confirmation of intubation. After intubation 58.2% commonly place a nasogastric tube and 50.7% obtain a post intubation chest radiograph. CONCLUSIONS: Practice patterns in the USA and Tuscany are different. RSI and post-intubation radiographs are the standard of care in EDs in the USA. This is not the case in Tuscany

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