[Tracheal intubation in the Emergency Unit: accidents and incidents in the teaching hospital of Gabriel Touré of Bamako].

INTRODUCTION

Intubation in urgency is characterized by a greater difficulty compared with intubation in situation regulated with the operating theatre suite. In urgency, the determination of the predictive anatomical factors of difficult intubation is secondary. The incidence of the complications of endotracheal intubations in urgency in the French system was 11,6% with a rate of failure to 0,5.

OBJECTIVE

To study the incidents and accidents during endotracheal intubations in the service of reception of the urgencies with the Gabriel TOURE teaching hospital of Bamako.

PATIENTS AND METHOD: A prospective cross-sectional study was conducted from October 2010 at September 2011 with the service of reception of the urgencies of the Gabriel Touré teaching hospital. All the intubated patients were included. All the patients received a clinical evaluation and paraclinic examinations. Clinical monitoring was carried out in the 24 hours following the accident. The statistical test which was used for the comparison of our results was Khi 2 with a threshold of significance fixed at P<0,05.

RESULTS

For the period of study 120 cases of accidents and incidents were collected for 320 intubated patients - a frequency of 37,5%. The age bracket 15 - 29 was prevalent representing 30,8 % of patients. The sex ratio was 2,3 in favour of men. In 44.3% of cases patients died in the 24 hours following intervention. Only patients admitted for cranial traumatism presented undesirable side effects in 50% of the cases versus 50% for the other joined reasons for admission.

CONCLUSION

The accidents during endotracheal intubation in urgent interventions are considerable, hence the acquisition of more suitable material and good training would decrease incidence.