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Intensive Care Medicine
Published in: Intensive Care Medicine 12/2013

01-12-2013 | Editorial

Videolaryngoscopy: towards a new standard method for tracheal intubation in the ICU?

Authors: Anders Larsson, Gilles Dhonneur

Published in: Intensive Care Medicine | Issue 12/2013

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Excerpt

Tracheal intubation is one of the most common and hazardous procedures in the intensive care unit (ICU). In fact, about 20 % of ICU patients experience severe hypoxemia, which in the worst case leads to death [1‐3]. Other common complications are esophageal intubation, aspiration, and bronchial intubation, among others [1‐5]. The problems associated with tracheal intubation in the ICU can be divided into two categories. The first comprises complications due to the removal of sympathetic tone by sedative drugs, such as propofol, which cause cardiovascular depression that may worsen the detrimental effects of pre-existing hypoxemia. The second category consists of complications due to any delay in the correct placement of the endotracheal tube, which can lead to aspiration and/or severe hypoxemia and cardiovascular deterioration, such as arrhythmias, hypotension, and cardiovascular collapse. …
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Metadata
Title
Videolaryngoscopy: towards a new standard method for tracheal intubation in the ICU?
Authors
Anders Larsson
Gilles Dhonneur
Publication date
01-12-2013
Publisher
Springer Berlin Heidelberg
Published in
Intensive Care Medicine / Issue 12/2013
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-013-3118-2

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