Factors associated with peri-intubation cardiac arrest
A recent publication from the National Emergency Airway Registry (NEAR) profiles the incidence and factors associated with peri-intubation cardiac arrest*. Across over 15,000 intubations, 1% of patients experienced a cardiac arrest. Unsurprisingly, hypotensive and hypoxic patients suffered peri-intubation cardiac arrests at a much higher rate than those without hypoxia or hypotension. 3.5% of patients in the overall cohort died. In contrast, 32.5% of patients who had peri-intubation cardiac arrest died. This study affirms the need to support blood pressure and augment oxygenation before intubation to improve our patients’ outcomes.
* Reference: April MD, Arana A, Reynolds JC, et al. Peri-intubation cardiac arrest in the Emergency Department: A National Emergency Airway Registry (NEAR) study. Resuscitation. Published online 2021. doi:10.1016/j.resuscitation.2021.02.039