You are seeing a free-to-access but limited selection of the activity Altmetric has collected about this research output.
Click here to find out more.
X Demographics
Mendeley readers
Attention Score in Context
| Title |
Significant modification of traditional rapid sequence induction improves safety and effectiveness of pre-hospital trauma anaesthesia
|
|---|---|
| Published in |
Critical Care, December 2015
|
| DOI | 10.1186/s13054-015-0872-2 |
| Pubmed ID | |
| Authors |
Richard M Lyon, Zane B Perkins, Debamoy Chatterjee, David J Lockey, Malcolm Q Russell |
| Abstract |
Rapid Sequence Induction of anaesthesia (RSI) is the recommended method to facilitate emergency tracheal intubation in trauma patients. In emergency situations, a simple and standardised RSI protocol may improve the safety and effectiveness of the procedure. A crucial component of developing a standardised protocol is the selection of induction agents. The aim of this study is to compare the safety and effectiveness of a traditional RSI protocol using etomidate and suxamethonium with a modified RSI protocol using fentanyl, ketamine and rocuronium. We performed a comparative cohort study of major trauma patients undergoing pre-hospital RSI by a physician-led Helicopter Emergency Medical Service. Group 1 underwent RSI using etomidate and suxamethonium and Group 2 underwent RSI using fentanyl, ketamine and rocuronium. Apart from the induction agents, the RSI protocol was identical in both groups. Outcomes measured included laryngoscopy view, intubation success, haemodynamic response to laryngoscopy and tracheal intubation, and mortality. Compared to Group 1 (n = 116), Group 2 RSI (n = 145) produced significantly better laryngoscopy views (p = 0.013) and resulted in significantly higher first-pass intubation success (95% versus 100%; p = 0.007). A hypertensive response to laryngoscopy and tracheal intubation was less frequent following Group 2 RSI (79% versus 37%; p < 0.0001). A hypotensive response was uncommon in both groups (1% versus 6%; p = 0.05). Only one patient in each group developed true hypotension (SBP < 90 mmHg) on induction. In a comparative, cohort study, pre-hospital RSI using fentanyl, ketamine and rocuronium produced superior intubating conditions and a more favourable haemodynamic response to laryngoscopy and tracheal intubation. An RSI protocol using fixed ratios of these agents delivers effective pre-hospital trauma anaesthesia. |
X Demographics
The data shown below were collected from the profiles of 167 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 45 | 27% |
| United States | 22 | 13% |
| Australia | 6 | 4% |
| Spain | 3 | 2% |
| Canada | 2 | 1% |
| Puerto Rico | 2 | 1% |
| Chile | 2 | 1% |
| Timor-Leste | 2 | 1% |
| South Africa | 2 | 1% |
| Other | 16 | 10% |
| Unknown | 65 | 39% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 106 | 63% |
| Practitioners (doctors, other healthcare professionals) | 47 | 28% |
| Scientists | 9 | 5% |
| Science communicators (journalists, bloggers, editors) | 4 | 2% |
| Unknown | 1 | <1% |
Mendeley readers
The data shown below were compiled from readership statistics for 263 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 2 | <1% |
| Brazil | 1 | <1% |
| Czechia | 1 | <1% |
| Canada | 1 | <1% |
| Mexico | 1 | <1% |
| United States | 1 | <1% |
| Unknown | 256 | 97% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Bachelor | 43 | 16% |
| Student > Master | 39 | 15% |
| Other | 37 | 14% |
| Researcher | 21 | 8% |
| Student > Postgraduate | 17 | 6% |
| Other | 65 | 25% |
| Unknown | 41 | 16% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 156 | 59% |
| Nursing and Health Professions | 29 | 11% |
| Neuroscience | 4 | 2% |
| Agricultural and Biological Sciences | 3 | 1% |
| Business, Management and Accounting | 2 | <1% |
| Other | 18 | 7% |
| Unknown | 51 | 19% |
Attention Score in Context
This research output has an Altmetric Attention Score of 126. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 07 June 2023.
All research outputs
#336,857
of 25,784,004 outputs
Outputs from Critical Care
#172
of 6,618 outputs
Outputs of similar age
#5,289
of 397,805 outputs
Outputs of similar age from Critical Care
#8
of 466 outputs
Altmetric has tracked 25,784,004 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 98th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 6,618 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 20.7. This one has done particularly well, scoring higher than 97% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 397,805 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 98% of its contemporaries.
We're also able to compare this research output to 466 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 98% of its contemporaries.