How to safely extubate a patient in the emergency department: a user's guide to critical care

被引：5

作者：

Gray, Sara H. ^{[1
,2
,3
,4
]}

Ross, John A. ^{[5
]}

Green, Robert S. ^{[5
,6
]}

机构：

[1] Univ Toronto, Fac Med, Toronto, ON, Canada

[2] St Michaels Hosp, Dept Emergency Med, Toronto, ON M5B 1W8, Canada

[3] St Michaels Hosp, Interdept Div Crit Care, Toronto, ON M5B 1W8, Canada

[4] Li Ka Shing Knowledge Inst, Toronto, ON, Canada

[5] Dalhousie Univ, Dept Emergency Med, Halifax, NS, Canada

[6] Dalhousie Univ, Dept Anesthesia, Div Crit Care Med, Halifax, NS, Canada

来源：

CANADIAN JOURNAL OF EMERGENCY MEDICINE | 2013年 / 15卷 / 05期

关键词：

emergency department; extubation; patient safety;

D O I：

10.2310/8000.2012.120795

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

CLINICAL SCENARIO A 35-year-old male is found unconscious at the bottom of a staircase. His Glasgow Coma Scale (GCS) score is 3, and he is intubated by the paramedics for failure to protect his airway. On assessment in the emergency department (ED), the GCS score remains 3, but his examination and investigations (including a normal head computed tomographic [CT] scan) are unremarkable except for a serum ethanol of 97 mmol/L. Five hours later, he remains intubated in the ED but is starting to wake up. Should you extubate him or sedate him to keep him intubated? How do you ensure the optimal outcome for this patient?

引用

页码：303 / 306

页数：4

共 5 条

[1] Critical Care in the Emergency Department: An assessment of the length of stay and invasive procedures performed on critically ill ED patients [J].