TY - JOUR T1 - Are “off hours” intubations a risk factor for complications during intubation? A prospective, observational study JO - Medicina Intensiva (English Edition) T2 - AU - Taboada,M. AU - Calvo,A. AU - Doldán,P. AU - Ramas,M. AU - Torres,D. AU - González,M. AU - Rodríguez,A. AU - Lombardía,M. AU - Fernandez,Cr. AU - Baluja,A. AU - Otero,P. AU - Álvarez,J. SN - 21735727 M3 - 10.1016/j.medine.2017.10.014 DO - 10.1016/j.medine.2017.10.014 UR - https://www.medintensiva.org/en-are-off-hours-intubations-risk-articulo-S2173572718301784 AB - ObjectiveTo compare the complications and the difficulty of orotracheal intubation procedures performed in the Intensive Care Unit during the off-hours period and the on-hours period. DesignA prospective, observational and non-interventional cohort study covering a period of 27 months was carried out. Working days between 8:00 a.m. and 7:59 p.m. were considered “on-hours”, while the remaining shifts were regarded as “off-hours”. ScopeAn 18-bed surgical in a Intensive Care Unit of a third-level hospital. PatientsAll orotracheal intubation patients admitted to the ICU from January 2015 to March 2017 were included. Patients were stratified into 2 groups according to whether intubation was performed on-hours or off-hours. InterventionsNon-interventional study. Variables of interestThe reason for intubation, time and day on which intubation was performed, degree of intubation difficulty (number of attempts, Cormack–Lehane laryngoscopic vision, need for accessory material) and complications during intubation. ResultsA total of 252 patients were intubated; of these, 132 were included in the on-hours group and 120 patients in the off-hours group. In the off-hours group we observed a greater percentage of urgent and emergent intubations compared to the on-hours group. However, no differences were found between the 2 groups in relation to the other variables studied. ConclusionsDuring the off-hours period, orotracheal intubation was not associated to a greater number of complications or to greater difficulty of the technique in our Unit. ER -