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Table 3 Risk factors and aggravating conditions and ETI success

From: A retrospective descriptive analysis of non-physician-performed prehospital endotracheal intubation practices and performance in South Africa

 

FPS n = 697 (%)

Overall success n = 886 (%)

TOTAL n = 926 (%)

Patient risk factors for difficult intubationa

 Reduced neck mobility (incl. MILNS)

266 (38.2)

355 (40.17)

363 (39.2)

 Risk factors not assessed

269 (38.6)

324 (36.6)

342 (36.9)

 Fluid in airways

145 (20.8)

200 (22.6)

205 (22.1)

 Significant facial or airway trauma

56 (8.0)

70 (7.9)

72 (7.8)

 No risk factors for difficult intubation

55 (7.9)

63 (7.1)

68 (7.3)

 Severe obesity or thick/short neck

11 (1.6)

18 (2.0)

20 (2.2)

 Other

11 (1.6)

15 (1.7)

16 (1.7)

 Limited mouth opening

5 (0.7)

11 (1.2)

12 (1.3)

 Pre-existing airway device ineffective

6 (0.9)

7 (0.8)

9 (1.0)

 Prior difficult intubation

5 (0.7)

7 (0.8)

8 (0.9)

 Short TMD

2 (0.3)

3 (0.3)

3 (0.3)

Aggravating conditions for airway managementb

 Not assessed

144 (20.7)

174 (19.6)

194 (21.0)

 Darkness

68 (9.8)

95 (10.7)

96 (10.4)

 In stationary ambulance

42 (6.0)

50 (5.6)

57 (6.2)

 Patient entrapped

35 (5.0)

43 (4.9)

45 (4.9)

 Hostile environment

35 (5.0)

40 (4.5)

42 (4.5)

 In moving ambulance

23 (3.3)

28 (3.2)

29 (3.1)

 Not 360-degree access

12 (1.7)

13 (1.5)

15 (1.6)

 Bright light/sunlight

9 (1.3)

12 (1.4)

12 (1.3)

 Suboptimal provider positioning

4 (0.6)

5 (0.6)

6 (0.7)

  1. FPS First pass success, MILNS Manual in-line neck stabilisation, TMD Thyromental distance
  2. aIndividual cases may have > 1 risk factor
  3. bSome cases had no aggravating condition