Jaber et al identified risk factors associated with immediate complications after a patient has been intubated in the intensive care unit (ICU). They noted a high (28%) rate of serious immediate complications in this population. The authors are from multiple university hospitals in France.


Risk factors associated with severe or life-threatening complications:

(1) acute respiratory failure as reason for intubation

(2) shock as the reason for intubation


NOTE: Both of these risk factors are linked to severe complications (acute respiratory failure with hypoxemia; shock with hemodynamic collapse).


Other risk factors:

(1) older age

(2) higher SAPS II on admission (mean score for patients with complications was 54 with range 33 - 75; mean for patients without complications was 43 with range 26 - 60)

(3) hemodynamically unstable


Factors that reduced the risk of severe or life-threatening complications:

(1) intubation performed by 2 operators (junior physician supervised by senior)


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