From: Reintubation in critically ill patients: procedural complications and implications for care
Characteristic | Repeatedly intubated | Singly intubated | P value |
---|---|---|---|
( n = 151) | ( n = 302) | ||
Baseline airway assessment | |||
Mallampati class | 0.39 | ||
I or II | 85 (56) | 162 (54) | |
III or IV | 20 (13) | 55 (18) | |
Missing | 46 (30) | 85 (28) | |
Mouth opening | 0.02 | ||
< 2 cm | 13 (9) | 9 (3) | |
≥ 2 cm | 110 (73) | 245 (81) | |
Missing | 28 (19) | 48 (16) | |
Thyromental distance | 0.09 | ||
< 2 fingers | 61 (40) | 98 (32) | |
≥ 2 fingers | 53 (35) | 137 (45) | |
Missing | 37 (25) | 67 (22) | |
Neck range of motion | 0.33 | ||
Normal | 107 (71) | 213 (71) | |
Limited | 6 (4) | 15(5) | |
Cervical spine collar | 7 (5) | 26 (9) | |
Missing | 31 (21) | 48 (16) | |
Provider anticipated difficulty | 37 (27) | 75 (25) | 0.70 |
Difficult intubation | |||
Intubation attempts | |||
1 or 2 | 134 (89) | 285 (94) | 0.03 |
≥ 3 | 17 (11) | 17 (6) | |
Rank of final intubator | 0.77 | ||
Fellow | 98 (70) | 210 (70) | |
Resident or other | 28 (21) | 64 (21) | |
Attending | 16 (9) | 28 (9) | |
Adjunct to DL useda | 16 (11) | 3 (1) | <0.001 |
Cormack–Lehane grade | 0.02 | ||
1 | 91 (60) | 201 (67) | |
2 | 33 (22) | 74 (25) | |
3 | 3 (2) | 16 (5) | |
4 | 3 (2) | 4 (1) | |
Missing | 16 (11) | 7 (2) | |
Procedural complicationsb | 8 (6) | 33 (12) | 0.07 |
Major complications | 6 (4) | 28 (9) | 0.06 |
Hypotension | 3 (2) | 17 (6) | 0.09 |
Hypoxia | 3 (2) | 13 (4) | 0.28 |
Arrhythmia | 2 (1) | 3 (1) | 1.00 |
Aspiration | 1 (1) | 4 (1) | 0.69 |