Deciding When to Intubate a COVID-19 Patient

Q: How can I download an article?

To download an article from SID, first log in to the site, search for the article title, and click on the 'Download Article' option.

Q: How can I download an ISI article?

To download an ISI article on SID, enter the keyword or article title in the search bar, view the relevant results, click on the desired article, and select the 'Download Article' option.

Q: How can I access the SID database?

To access the SID database, visit SID.ir, create an account, and log in to access scientific resources.

Q: Is downloading articles from SID free?

Some articles on SID are available for free, while others require payment. Details are specified on the article's page.

FARHADI NEWSHA; Varpaei Hesam Aldin; Ghazi Samrand Fattah; Amoozadeh Laya; MOHAMMADI MOSTAFA

مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Journal Paper

Paper Information

Journal: Anesthesiology and Pain Medicine Year:2022 | Volume:12 | Issue:3 Page(s): 0-0

Download Full-Text

View:

Download:

Cites:

Information Journal Paper

Title

Deciding When to Intubate a COVID-19 Patient

Author(s)

Keywords

Critical Care

Intubation Time

SARS-CoV-2

Acute Respiratory Distress Syndrome

Mechanical Ventilation

Intensive Care Unit

Endotracheal Intubation

APACHE II

Abstract

Background: The SARS-CoV-2 pandemic is one of the most significant challenges for healthcare providers, particularly in the Critical Care setting. The timing of intubation in COVID-19 patients seems to be challenging. Therefore, we aimed to investigate how it may have a survival benefit, and we determined which clinical characteristics were associated with outcomes. Methods: This cross-sectional study was conducted in the Imam Khomeini Hospital Complex. We randomly selected patients admitted to Intensive Care Units and, based on intubation status, categorized them into three subgroups (early, late, and not intubated). Early intubation is defined as intubation within 48 hours of ICU admission, and late intubation is defined as intubation after 48 hours of ICU admission. Results: Early-intubated patients were more likely to have dyspnea than late-intubated patients, and late-intubated patients had a higher mean heart rate than early-intubated patients. The neutrophil/lymphocyte ratio was significantly (P < 0. 05) lower in notintubated patients than in other patients. There was no difference in NLR between early-and late-intubated patients. Mean serum creatine phosphokinase and troponin I levels were higher in late-intubated patients than in early-and not-intubated patients. Earlyintubated patients had a lower ROX index than late-intubated patients. Patients with higher scores of APACHE 2, respiratory rates, and neutrophil to lymphocyte ratio were more likely to be intubated. Increasing APACHE and SOFA scores were associated with decreased odds of survival. Conclusions: There were no statistically significant differences in total mortality between early-and late-intubated patients. APACHE 2 scores, NLR, RR, and history of ischemic heart disease are some of the appropriate predictors of intubation. Higher respiratory rates (tachypnea) can be an indicator of early intubation. The ROX index is one of the most sensitive and capable tools for predicting intubation. Intubation status is a potent predictor of in-hospital mortality.

Cites

References

No record.

Cite

APA: Copy

FARHADI, NEWSHA, Varpaei, Hesam Aldin, Ghazi, Samrand Fattah, Amoozadeh, Laya, & MOHAMMADI, MOSTAFA. (2022). Deciding When to Intubate a COVID-19 Patient. ANESTHESIOLOGY AND PAIN MEDICINE, 12(3), 0-0. SID. https://sid.ir/paper/1063453/en

Vancouver: Copy

FARHADI NEWSHA, Varpaei Hesam Aldin, Ghazi Samrand Fattah, Amoozadeh Laya, MOHAMMADI MOSTAFA. Deciding When to Intubate a COVID-19 Patient. ANESTHESIOLOGY AND PAIN MEDICINE[Internet]. 2022;12(3):0-0. Available from: https://sid.ir/paper/1063453/en

IEEE: Copy

NEWSHA FARHADI, Hesam Aldin Varpaei, Samrand Fattah Ghazi, Laya Amoozadeh, and MOSTAFA MOHAMMADI, “Deciding When to Intubate a COVID-19 Patient,” ANESTHESIOLOGY AND PAIN MEDICINE, vol. 12, no. 3, pp. 0–0, 2022, [Online]. Available: https://sid.ir/paper/1063453/en

Related Journal Papers

No record.

Related Seminar Papers

No record.

Related Plans

No record.

Recommended Workshops