Is the adage “If GCS <8, intubate” still relevant for non-TBI patients?
Do the findings of the NICO trial influence your stance?
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Is "GCS < 8, intubate" still relevant for non-TBI patients?
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2 Answers
Mednet MemberInvited Expert
Pulmonology · Augusta University Medical College Of Georgia
Answered on · Updated on
It's a challenging area. NICO does lead credence to withholding intubation among patients that are comatose from acute poisoning with improvements in "composite end point of in-hospital death, length of ICU stay, and length of hospital stay."
Practically speaking, I've never liked hard and fast rules...
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Mednet Member
Pulmonology · The Iowa Clinic Pc
Answered on
I’ve seen too many patients harmed by getting intubated for the hard rule of GCS <8. The clinical context and history matters more than a number.
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