The Risk Factors and Prognosis of Postintubation Hypotension in Critically Ill Patients_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

WangWei ¹ , ZhouYu ² , SuZhenjiao ¹ , ZhengWei ¹ ,  ZhaoLing ¹

1. Intensive Care Unit, Zhuhai Hospital of Jinan University, Zhuhai People's Hospital, Zhuhai, Guangdong, 519000, China;
2. ;

Corresponding author：

ZhaoLing, Email: intensivecare@foxmail.com

Keywords：

Intubation; Hypotension; Intensive care unit

DOI：

10.7507/1671-6205.2015115

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To identify the incidence of postintubation hypotension (PIH) in critically ill patients and evaluate the responsive risk factors and prognosis. Methods The data of intubation patients with normal blood pressure before intubation were collected and analyzed in Intensive Care Unit (ICU) in the latest two years and divided into two groups. One contained PIH patients and the other one contained patients with no change in blood pressure after intubation. The primary outcome measure was 28-day mortality and secondary outcome measure was length of stay (LOS) in ICU and hospital. Results There were 25(31.65%) PIH patients in included 79 patients. The patients in PIH group had significantly higher 28-day mortality (40.00% vs 14.81%, P=0.01) and there were no difference in LOS in ICU and hospital. Risk factors were age (OR:1.1, 95% CI:1.00-1.12), chronic respiratory diseases (OR:3.0, 95% CI:1.13-8.07) and complication with over two chronic diseases (OR:3.6, 95% CI:1.18-11.03). Conclusion PIH is more common in old patients complicated with chronic diseases and results in higher 28-day mortality.

Citation： WangWei, ZhouYu, SuZhenjiao, ZhengWei, ZhaoLing. The Risk Factors and Prognosis of Postintubation Hypotension in Critically Ill Patients. Chinese Journal of Respiratory and Critical Care Medicine, 2015, 14(5): 474-476. doi: 10.7507/1671-6205.2015115 Copy

1.	Reich DL, Hossain S, Krol M, et al. Predictors of hypotension after induction of general anesthesia. Anesth Analg, 2005, 101:622-628.
2.	Heffner AC, Swords D, Kline JA, et al. The frequency and significance of postintubation hypotension during emergency airway management. J Crit Care, 2012, 27:417.e9-e13.
3.	Griesdale DE, Bosma TL, Kurth T, et al. Complications of endotracheal intubation in the critically ill. Intensive Care Med, 2008, 34:1835-1842.
4.	Green RS, Edwards J, Sabri E, et al. Evaluation of the incidence, risk factors, and impact on patient outcomes of postintubation hemodynamic instability. CJEM, 2012, 14:74-82.
5.	尹万红, 王波, 康焰, 等.重症加强治疗病房内气管插管分析.中国呼吸与危重监护杂志, 2010, 9:413-415.
6.	杨建中, 李文超, 彭鹏, 等.气管插管术前快速补液对呼吸衰竭合并低血容量状态的影响.中国急救医学, 2013, 33:322-325.
7.	杨明全, 李强, 肖国辉, 等.急性呼吸衰竭患者氯胺酮和咪达唑仑诱导抢救性气管插管的临床评价.中国呼吸与危重监护杂志, 2013, 12:477-480.
8.	Heffner AC, Swords DS, Nussbaum ML, et al. Predictors of the complication of postintubation hypotension during emergency airway management. J Crit Care, 2012, 27:587-593.
9.	Lin CC, Chen KF, Shih CP, et al. The prognostic factors of hypotension after rapid sequence intubation. Am J Emerg Med, 2008, 26:845-851.

1. Reich DL, Hossain S, Krol M, et al. Predictors of hypotension after induction of general anesthesia. Anesth Analg, 2005, 101:622-628.
2. Heffner AC, Swords D, Kline JA, et al. The frequency and significance of postintubation hypotension during emergency airway management. J Crit Care, 2012, 27:417.e9-e13.
3. Griesdale DE, Bosma TL, Kurth T, et al. Complications of endotracheal intubation in the critically ill. Intensive Care Med, 2008, 34:1835-1842.
4. Green RS, Edwards J, Sabri E, et al. Evaluation of the incidence, risk factors, and impact on patient outcomes of postintubation hemodynamic instability. CJEM, 2012, 14:74-82.
5. 尹万红, 王波, 康焰, 等.重症加强治疗病房内气管插管分析.中国呼吸与危重监护杂志, 2010, 9:413-415.
6. 杨建中, 李文超, 彭鹏, 等.气管插管术前快速补液对呼吸衰竭合并低血容量状态的影响.中国急救医学, 2013, 33:322-325.
7. 杨明全, 李强, 肖国辉, 等.急性呼吸衰竭患者氯胺酮和咪达唑仑诱导抢救性气管插管的临床评价.中国呼吸与危重监护杂志, 2013, 12:477-480.
8. Heffner AC, Swords DS, Nussbaum ML, et al. Predictors of the complication of postintubation hypotension during emergency airway management. J Crit Care, 2012, 27:587-593.
9. Lin CC, Chen KF, Shih CP, et al. The prognostic factors of hypotension after rapid sequence intubation. Am J Emerg Med, 2008, 26:845-851.

Chinese Journal of Respiratory and Critical Care Medicine

The Risk Factors and Prognosis of Postintubation Hypotension in Critically Ill Patients

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content