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Journal articles on the topic 'Intubations'

Author: Grafiati

Published: 2 June 2025

Last updated: 31 July 2025

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1

Kukreti, Vinay, Mika Nonoyama, Efrosini Papaconstantinou, et al. "48 Paediatric intubation in an adult-based community hospital emergency department (ED)." Paediatrics & Child Health 25, Supplement_2 (2020): e20-e20. http://dx.doi.org/10.1093/pch/pxaa068.047.

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Abstract Background Airway intubation is a high-risk procedure, especially in the paediatric population. Training ED healthcare providers is challenging because it is rare. Success and adverse events (AEs) could be due to patients’ illness, the health professional intubating, and hospital factors. Objectives Describe paediatric intubations in an adult community-based hospital, with primary outcomes being first-pass success and AEs. The secondary objective is to determine what factors are association with intubation success and related AEs. Design/Methods Retrospective chart review of patients

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Adnet, Frederic, Stephen W. Borron, Stephane X. Racine, et al. "The Intubation Difficulty Scale (IDS)." Anesthesiology 87, no. 6 (1997): 1290–97. http://dx.doi.org/10.1097/00000542-199712000-00005.

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Background A quantitative scale of intubation difficulty would be useful for objectively comparing the complexity of endotracheal intubations. The authors have developed a quantitative score that can be used to evaluate intubating conditions and techniques with the aim of determining the relative values of predictive factors of intubation difficulty and of the techniques used to decrease such difficulties. Methods An Intubation Difficulty Scale (IDS) was developed, based on parameters known to be associated with difficult intubation. It was then evaluated prospectively in a group of 311 consec

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Sawyer, Taylor, Elizabeth E. Foglia, Anne Ades, et al. "Incidence, impact and indicators of difficult intubations in the neonatal intensive care unit: a report from the National Emergency Airway Registry for Neonates." Archives of Disease in Childhood - Fetal and Neonatal Edition 104, no. 5 (2019): F461—F466. http://dx.doi.org/10.1136/archdischild-2018-316336.

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ObjectiveTo determine the incidence, indicators and clinical impact of difficult tracheal intubations in the neonatal intensive care unit (NICU).DesignRetrospective review of prospectively collected data on intubations performed in the NICU from the National Emergency Airway Registry for Neonates.SettingTen academic NICUs.PatientsNeonates intubated in the NICU at each of the sites between October 2014 and March 2017.Main outcome measuresDifficult intubation was defined as one requiring three or more attempts by a non-resident provider. Patient (age, weight and bedside predictors of difficult i

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Tronnier, Amy, Collin F. Mulcahy, Ayal Pierce, et al. "COVID-19 Intubation Safety: A Multidisciplinary, Rapid-Cycle Model of Improvement." American Journal of Medical Quality 35, no. 6 (2020): 450–57. http://dx.doi.org/10.1177/1062860620949141.

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The COVID-19 pandemic has forced the health care industry to develop dynamic protocols to maximize provider safety as aerosolizing procedures, specifically intubation, increase the risk of contracting SARS-CoV-2. The authors sought to create a quality improvement framework to ensure safe practices for intubating providers, and describe a multidisciplinary model developed at an academic tertiary care facility centered on rapid-cycle improvements and real-time gap analysis to track adherence to COVID-19 intubation safety protocols. The model included an Intubation Safety Checklist, a standardize

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Tanigawa, Koichi, Taku Takeda, Eiichi Goto, and Keiichi Tanaka. "Accuracy and Reliability of the Self-inflating Bulb to Verify Tracheal Intubation in Out-of-hospital Cardiac Arrest Patients." Anesthesiology 93, no. 6 (2000): 1432–36. http://dx.doi.org/10.1097/00000542-200012000-00015.

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Background To determine the sensitivity and specificity of the self-inflating bulb (SIB) to verify tracheal intubation in out-of-hospital cardiac arrest patients. Methods Sixty-five consecutive adult patients with out-of-hospital cardiac arrest were enrolled. Patients were provided chest compression and ventilation by either ba-valve-mask or the esophageal tracheal double-lumen airway by ambulance crews when they arrived at the authors' department. Immediately after intubation in the emergency department, the endotracheal tube position was tested by the SIB and end-tidal carbon dioxide (ETCO2)

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Schmidt, Ulrich H., Kanya Kumwilaisak, Edward Bittner, Edward George, and Dean Hess. "Effects of Supervision by Attending Anesthesiologists on Complications of Emergency Tracheal Intubation." Anesthesiology 109, no. 6 (2008): 973–77. http://dx.doi.org/10.1097/aln.0b013e31818ddb90.

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Background Emergent intubation is associated with a high complication rate. These intubations are often performed by resident physicians in teaching hospitals. The authors evaluated whether supervision by an anesthesia-trained intensivist decreases complications of emergent intubations. Methods The authors performed a prospective cohort study in an Academic Tertiary Care Hospital. They enrolled 322 consecutive patients who required emergent intubation between November 1, 2006, and April 15, 2008. Emergency intubations are performed by anesthesia residents during their surgical intensive care u

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Joseph, Thomas T., Jonathan S. Gal, Samuel DeMaria, Hung-Mo Lin, Adam I. Levine, and Jaime B. Hyman. "A Retrospective Study of Success, Failure, and Time Needed to Perform Awake Intubation." Anesthesiology 125, no. 1 (2016): 105–14. http://dx.doi.org/10.1097/aln.0000000000001140.

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Abstract Background Awake intubation is the standard of care for management of the anticipated difficult airway. The performance of awake intubation may be perceived as complex and time-consuming, potentially leading clinicians to avoid this technique of airway management. This retrospective review of awake intubations at a large academic medical center was performed to determine the average time taken to perform awake intubation, its effects on hemodynamics, and the incidence and characteristics of complications and failure. Methods Anesthetic records from 2007 to 2014 were queried for the pe

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Carbajal, Ricardo, Noella Lode, Azzedine Ayachi, et al. "Premedication practices for tracheal intubation in neonates transported by French medical transport teams: a prospective observational study." BMJ Open 9, no. 11 (2019): e034052. http://dx.doi.org/10.1136/bmjopen-2019-034052.

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ObjectivesPremedication practices for neonatal tracheal intubations have not yet been described for neonatal transport teams. Our objective is to describe the use of sedation/analgesia (SA) for tracheal intubations and to assess its tolerance in neonates transported by medical transport teams in France.SettingThis prospective observational study was part of the EPIPPAIN 2 project and collected around-the-clock data on SA practices in neonates intubated by all five paediatric medical transport teams of the Paris region during a 2-month period. Intubations were classified as emergent, semiemerge

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Ozawa, Yuri, Shigehiro Takahashi, Humiko Miyahara, et al. "Utilizing Video versus Direct Laryngoscopy to Intubate Simulated Newborns while Contained within the Incubator: A Randomized Crossover Study." American Journal of Perinatology 37, no. 05 (2019): 519–24. http://dx.doi.org/10.1055/s-0039-1683957.

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Abstract Objective The use of video laryngoscopy for intubating neonates in ergonomically challenging settings has not been studied well. We aimed to assess the usefulness of video laryngoscopy for experienced neonatologists to intubate neonatal manikins in incubators via side hand ports or head window. Study Design In this randomized crossover trial at three neonatal intensive care units in Japan, 27 neonatologists were randomized into two groups, namely, those intubating neonatal simulators using video laryngoscopy and then using direct laryngoscopy, or vice versa. The intubations were perfo

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Murk Shaikh, Arshalooz Jamila Rahman, Samina Akhtar, Tarab zehra, Suhana Shaikh, and Tayyaba Anwar. "Frequency of tracheal intubation associated adverse events and contributing factors in the Pediatric Intensive Care Unit (PICU)." Professional Medical Journal 31, no. 04 (2024): 563–68. http://dx.doi.org/10.29309/tpmj/2024.31.04.7968.

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Objective: To determine the frequency of adverse events associated with immediate tracheal intubation in children (1-18 years) from Pediatric Intensive Care Unit of Tertiary Care Hospital of Karachi, Pakistan. Study Design: Observational study. Setting: PICU of the Aga Khan University Hospital Karachi. Period: September 2020 to August 2021. Methods: A total of 183 intubations occurred during the study period. Data was extracted using the pre-designed peri-intubation proforma, data recorded on the checklist by the observer (Staff) who was fully trained by the Physician, later on compared by the

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O’Shea, Joyce E., Prakash Loganathan, Marta Thio, C. Omar Farouk Kamlin, and Peter G. Davis. "Analysis of unsuccessful intubations in neonates using videolaryngoscopy recordings." Archives of Disease in Childhood - Fetal and Neonatal Edition 103, no. 5 (2017): F408—F412. http://dx.doi.org/10.1136/archdischild-2017-313628.

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ObjectivesNeonatal intubation is a difficult skill to learn and teach. If an attempt is unsuccessful, the intubator and instructor often cannot explain why. This study aims to review videolaryngoscopy recordings of unsuccessful intubations and explain the reasons why attempts were not successful.Study designThis is a descriptive study examining videolaryngoscopy recordings obtained from a randomised controlled trial that evaluated if neonatal intubation success rates of inexperienced trainees were superior if they used a videolaryngoscope compared with a laryngoscope. All recorded unsuccessful

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Blayney, Marc, Simon Costello, Max Perlman, Kel Lui, and John Frank. "A New System for Location of Endotracheal Tube in Preterm and Term Neonates." Pediatrics 87, no. 1 (1991): 44–47. http://dx.doi.org/10.1542/peds.87.1.44.

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A randomized, controlled trial was conducted to evaluate a new noninvasive system for placement of the endotracheal tube, based on a magnetic field interference-sensing technique. Seventy-two neonates treated by the standard technique were compared with 70 treated by the new system (TRACH MATE), with radiographic localization as the standard. As judged by the author(s) on the morning after the intubation, correct initial placement was achieved in 69 (78%) of 88 intubations using the new system, compared with 71 (66%) of 107 using the standard technique (Fisher's Test, one-tailed, P = .044). Re

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Madiha, Shadab, Bhagat Shrutika, and Prasad Sudama. "A Retrospective Study Evaluates Tracheal Intubation Procedures and Complications in Trauma Patients." International Journal of Toxicological and Pharmacological Research 14, no. 3 (2024): 254–59. https://doi.org/10.5281/zenodo.12820239.

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<strong>Aim:</strong> To investigate the tracheal intubation procedures and complications in trauma patients upon their arrival at a tertiary hospital. <strong>Material and Method: </strong>This study was conducted in the Department of Anesthesia, Patna Medical College and Hospital, Patna, Bihar, India for one year. Data was collected on all tracheal intubations occurring in trauma victims requiring definitive airway control with endotracheal intubation in red (life threatening injury requiring immediate emergency care) and yellow (do not have life threatening injury/do not requ

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Yang, Tao, Jiong Hou, Jinbao Li, et al. "Retrograde Light-guided Laryngoscopy for Tracheal Intubation." Anesthesiology 118, no. 5 (2013): 1059–64. http://dx.doi.org/10.1097/aln.0b013e31828877c0.

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Abstract Background: Tracheal intubation with conventional laryngoscopy requires many trials until beginners are sufficiently skilled in intubating patients safely. To facilitate intubation, the authors used retrograde light-guided laryngoscopy (RLGL) and compared its feasibility with conventional direct laryngoscopy (DL). Methods: Twenty operators participated in a prospective, randomized, open-label, parallel-arm study. These operators intubated 205 patients randomly according to a computer-generated procedure by using either DL or RLGL (five intubations with each technique). The primary out

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Gray, Megan M., Jennifer A. Rumpel, Brianna K. Brei, et al. "Associations of Stylet Use during Neonatal Intubation with Intubation Success, Adverse Events, and Severe Desaturation: A Report from NEAR4NEOS." Neonatology 118, no. 4 (2021): 470–78. http://dx.doi.org/10.1159/000515872.

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<b><i>Introduction:</i></b> Intubations are frequently performed procedures in neonatal intensive care units (NICU) and delivery rooms (DR). Unsuccessful first attempts are common as are tracheal intubation-associated events (TIAEs) and severe desaturations. Stylets are often used during intubation, but their association with intubation outcomes is unclear. <b><i>Objective:</i></b> To compare intubation success, rate of relevant TIAEs, and severe desaturations in neonates intubated with and without stylets. <b><i>Methods:</i>&lt

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Tsay, Pei-Jiuan, Chih-Pin Yang, Hsiang-Ning Luk, Jason Zhensheng Qu, and Alan Shikani. "Video-Assisted Intubating Stylet Technique for Difficult Intubation: A Case Series Report." Healthcare 10, no. 4 (2022): 741. http://dx.doi.org/10.3390/healthcare10040741.

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Induction of anesthesia can be challenging for patients with difficult airways and head or neck tumors. Factors that could complicate airway management include poor dentition, limited mouth opening, restricted neck motility, narrowing of oral airway space, restricted laryngeal and pharyngeal space, and obstruction of glottic regions from the tumor. Current difficult airway management guidelines include awake tracheal intubation, anesthetized tracheal intubation, or combined awake and anesthetized intubation. Video laryngoscopy is often chosen over direct laryngoscopy in patients with difficult

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Kim, Kyu Nam, Mi Ae Jeong, You Na Oh, Soo Yeon Kim, and Ji Yoon Kim. "Efficacy of Pentax airway scope versus Macintosh laryngoscope when used by novice personnel: A prospective randomized controlled study." Journal of International Medical Research 46, no. 1 (2017): 258–71. http://dx.doi.org/10.1177/0300060517726229.

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Objective To determine whether intubation education using the Pentax Airway Scope (AWS) in normal airways is more useful than direct laryngoscopy (Macintosh laryngoscope) in novice personnel. Methods Eleven intern doctors without intubation experience performed 60 sequential intubations with each device on a manikin and 10 sequential intubations in adult patients. The time required for successful intubation, percentage of glottic opening (POGO) score, number of intubation attempts, and number of dental injuries were analyzed for each intubation technique. Results The mean (standard deviation)

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Azurdia, Adrienne R., Jarvis Walters, Chris R. Mellon, et al. "Airway risk associated with patients in halo fixation." Surgical Neurology International 15 (March 29, 2024): 104. http://dx.doi.org/10.25259/sni_386_2023.

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Background: The halo fixation device introduces a significant obstacle for clinicians attempting to secure a definitive airway in trauma patients with cervical spine injuries. The authors sought to determine the airway-related mortality rate of adult trauma patients in halo fixation requiring endotracheal intubation. Methods: This study was a retrospective chart review of patients identified between 2007 and 2012. Only adult trauma patients who were intubated while in halo fixation were included in the study. Results: A total of 46 patients underwent 60 intubations while in halo. On five occas

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Gandhi, Ajay, Jagdish Sokhi, Chris Lockie, and Patrick A. Ward. "Emergency Tracheal Intubation in Patients with COVID-19: Experience from a UK Centre." Anesthesiology Research and Practice 2020 (December 10, 2020): 1–9. http://dx.doi.org/10.1155/2020/8816729.

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This retrospective observational case series describes a single centre’s preparations and experience of 53 emergency tracheal intubations in patients with COVID-19 respiratory failure. The findings of a contemporaneous online survey exploring technical and nontechnical aspects of airway management, completed by intubation team members, are also presented. Preparations included developing a COVID-19 intubation standard operating procedure and checklist, dedicated airway trolleys, a consultant-led mobile intubation team, and an airway education programme. Tracheal intubation was successful in al

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Taboada, Manuel, Patricia Doldan, Andrea Calvo, et al. "Comparison of Tracheal Intubation Conditions in Operating Room and Intensive Care Unit." Anesthesiology 129, no. 2 (2018): 321–28. http://dx.doi.org/10.1097/aln.0000000000002269.

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Abstract What We Already Know about This Topic What This Article Tells Us That Is New Background Tracheal intubation is a common intervention in the operating room and in the intensive care unit. The authors hypothesized that tracheal intubation using direct laryngoscopy would be associated with worse intubation conditions and more complications in the intensive care unit compared with the operating room. Methods The authors prospectively evaluated during 33 months patients who were tracheally intubated with direct laryngoscopy in the operating room, and subsequently in the intensive care unit

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Schwartz, David E., Michael A. Matthay, and Neal H. Cohen. "Death and Other Complications of Emergency Airway Management in Critically Ill Adults." Anesthesiology 82, no. 2 (1995): 367–76. http://dx.doi.org/10.1097/00000542-199502000-00007.

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Background Hospitalized patients outside of the operating room frequently require emergency airway management. This study investigates complications of emergency airway management in critically ill adults, including: (1) the incidence of difficult and failed intubation; (2) the frequency of esophageal intubation; (3) the incidence of pneumothorax and pulmonary aspiration; (4) the hemodynamic consequences of emergent intubation, including death, during and immediately following intubation; and (5) the relationship, if any, between the occurrence of complications and supervision of the intubatio

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Mossabeb, Roschanak, Ogechukwu Menkiti, Megan Young, Vidhy Bains, David Cooperberg, and Rachel Fleishman. "Transition to Routine Premedication for Nonemergent Intubations in a Level IV Neonatal Intensive Care Unit." American Journal of Perinatology 35, no. 04 (2017): 336–44. http://dx.doi.org/10.1055/s-0037-1607282.

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Objective This study aims to test whether implementing a guideline for nonemergent intubation improves the rate of premedication for nonemergent intubations in an academic level IV neonatal intensive care unit (NICU). We further sought to test the hypothesis that neonates who receive premedication for a nonemergent intubation have decreased pain scores at the time of intubation, fewer intubation attempts, and no associated adverse events. Study Design This was a prospective observational study with ongoing audit and feedback as well as statistical process control analysis. Data collection bega

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Hutton, Kevin C., Vincent P. Verdile, Donald M. Yealy, and Paul M. Paris. "Prehospital and Emergency Department Verification of Endotracheal Tube Position Using a Portable, Non-Directable, Fiberoptic Bronchoscope." Prehospital and Disaster Medicine 5, no. 2 (1990): 131–36. http://dx.doi.org/10.1017/s1049023x00026704.

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AbstractVerification of endotracheal tube (ETT) location in prehospital setting and the emergency department (ED) is a challenging task. Unrecognized esophageal intubations with potentially dangerous consequences may occur more frequently in these environments than in less hectic settings. To evaluate the capabilities of a portable, non-directable, fiberoptic bronchoscope (Visicath; Saratoga Medical, Saratoga, Calif., USA) to detect appropriate ETT placement, a prospective series of 22 intubated prehospital, air-medical, or ED patients underwent fiberoptic verification (FOV) of a newly placed

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Huang, Ching-Hsuan, I.-Min Su, Bo-Jyun Jhuang, Hsiang-Ning Luk, Jason Zhensheng Qu, and Alan Shikani. "Video-Assisted Stylet Intubation with a Plastic Sheet Barrier, a Safe and Simple Technique for Tracheal Intubation of COVID-19 Patients." Healthcare 10, no. 6 (2022): 1105. http://dx.doi.org/10.3390/healthcare10061105.

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As the COVID-19 pandemic evolves, infection with the Omicron variants has become a serious risk to global public health. Anesthesia providers are often called upon for endotracheal intubations for COVID patients. Expedite and safe intubation can save patient’s life, while minimizing the virus exposure to the anesthesia provider and personnel involved during airway intervention is very important to protect healthcare workers and conserve the medical work force. In this paper, we share clinical experience of using a video-assisted intubating stylet technique combined with a simple plastic sheet

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Cole, A. F. D., J. S. Mallon, S. H. Rolbin, and C. Ananthanarayan. "Fiberoptic Intubation Using Anesthetized, Paralyzed, Apneic Patients." Anesthesiology 84, no. 5 (1996): 1101–6. http://dx.doi.org/10.1097/00000542-199605000-00012.

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Background There is no consensus about the best way to teach fiberoptic intubation. This study assesses the effectiveness of a training program in which novice anesthetic residents routinely were taught fiberoptic tracheal intubation of anesthetized, paralyzed, apneic patients. Methods Eight inexperienced anesthetic residents learned fiberoptic and conventional tracheal intubation simultaneously during their first 4 months of training. All intubations were performed using general anesthesia and muscle paralysis. Of these intubations, 223 (23%) were fiberoptic and 743 (77%) were laryngoscopic.

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Yoo, J. H., J. Trojanowski, K. Dullemond, et al. "P164: Development of the BC-Airway Registry for Emergencies (BCARE) network." CJEM 20, S1 (2018): S115. http://dx.doi.org/10.1017/cem.2018.362.

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Introduction: Intubation is one of the highest-risk procedures performed in the ED. Few Canadian centres monitor intubation frequency, indications, methods used, success, and/or complication rates. An airway registry that tracks patient outcomes and variation in practice would be a valuable quality improvement (QI) tool. We describe the development of the BC-Airway Registry for Emergencies (BCARE) network, an emergency intubation database at two tertiary-care and one community hospital. Methods: Respiratory Therapists (RTs) are present at every intubation outside of the OR and complete a stand

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Thampi, Suma Mary, Serina Ruth Salins, Divya P. Jacob, and Ahwad Sheetal Avinash. "The Feeding Tube- a Simple Yet Handy Aid to Intubate an Unanticipated Difficult Pediatric Airway." Journal of Nepal Medical Association 53, no. 198 (2015): 141–43. http://dx.doi.org/10.31729/jnma.2778.

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Pediatric intubation requires certain unique set of additional skills compared to intubating adults. The challenges of successfully intubation of a child increases as the age and size of the child decrease and are compounded when airway difficulties arise for various reasons. Often in the rural setting, such procedures may have to be carried out by health care personnel who get trained on-the-job, and in the absence of adequate technological back-up. This leads to an increased incidence of failed intubations which can have devastating complications, especially in the pediatric age group. We de

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Granell, Manuel, Nerea Sanchis, Carlos Delgado, et al. "Airway Management of Patients with Suspected or Confirmed COVID-19: Survey Results from Physicians from 19 Countries in Latin America." Journal of Clinical Medicine 11, no. 16 (2022): 4731. http://dx.doi.org/10.3390/jcm11164731.

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Airway management during the COVID-19 pandemic has been one of the most challenging aspects of care that anesthesiologists and intensivists face. This study was conducted to evaluate the management of tracheal intubation in patients with suspected or confirmed COVID-19 infection. This is a cross-sectional and international multicenter study based on a 37-item questionnaire. The survey was available to physicians who had performed intubations and tracheostomies in patients with suspected or confirmed COVID-19 and had provided informed consent to participate. The primary outcome is the preferenc

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Shrestha, Manzil, Tanvir R. Rahman, and Bikash Agarwal. "Hemodynamic changes during endotracheal intubation: A prospective randomised comparative study using fibreoptic bronchoscope and intubating laryngeal mask airway." Journal of Society of Anesthesiologists of Nepal 1, no. 2 (2015): 70–75. http://dx.doi.org/10.3126/jsan.v1i2.13573.

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Background: Fibreoptic intubation and Intubating laryngeal mask airway are alternatives to conventional laryngoscopy. The objective of the study was to compare hemodynamic changes with the use of these two devices for tracheal intubation.Methods: It was a randomized, comparative and prospective study of two groups comprising of 50 patients each. Tracheal intubations were performed using intubating fiberscope in group I and intubating laryngeal mask airway in Group II. Intubation time, heart rate, blood pressure and complications were compared.Results: Heart rate response to tracheal intubation

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Deepak, Chandrakant Koli, S. Katkade Sandip, D. Latkar Prajakta, and H. Mehta Hemant. "Airway Management In Patients With Traumatic Cervical Spine Injury For Emergency Surgery: A Case Series." British Journal of Medical and Health Research 10, no. 03 (2023): 26–35. https://doi.org/10.5281/zenodo.7805004.

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Patients with traumatic cervical spine injuries who require surgical intervention pose a significant challenge to anaesthesiologists. Airway management inherently involves cervical spine movements that may aggravate pre-existing injury. There is currently no agreement on the technique for intubating these patients. We present three patients with cervical spine traumatic injuries and neurological symptoms posted for emergency cervical spine fixation surgery. All intubations were done by direct laryngoscopy with video laryngoscope and endotracheal tube then railroaded over Boogie with manual in-

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Gleeson, M. J., M. Z. Stodlak, and C. L. Wengarf. "Fibre optic guided nasal intubation—shouldn'st we be the experts?" Journal of Laryngology & Otology 99, no. 8 (1985): 775–78. http://dx.doi.org/10.1017/s0022215100097656.

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AbstractDifficult intubations are more common in otolaryngological practice than any other branch of medicine or surgery. The majority of these are predictable. It is the unexpected intubational failure, usually in a patient undergoing treatment for an unrelated problem, that results in tragedy. In this paper the indications for fibre optic guided intubation are discussed, and the technique described and illustrated in a case of pharyngeal obstruction secondary to an epiglottic cyst. It is suggested that our expertise to operate within the upper airway should be exploited to the advantage of o

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Lema, Penelope C., Michael O’Brien, Juliana Wilson, et al. "Avoid the Goose! Paramedic Identification of Esophageal Intubation by Ultrasound." Prehospital and Disaster Medicine 33, no. 4 (2018): 406–10. http://dx.doi.org/10.1017/s1049023x18000651.

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AbstractObjectivesRapid identification of esophageal intubations is critical to avoid patient morbidity and mortality. Continuous waveform capnography remains the gold standard for endotracheal tube (ETT) confirmation, but it has limitations. Point-of-care ultrasound (POCUS) may be a useful alternative for confirming ETT placement. The objective of this study was to determine the accuracy of paramedic-performed POCUS identification of esophageal intubations with and without ETT manipulation.MethodsA prospective, observational study using a cadaver model was conducted. Local paramedics were rec

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Mackenzie, Colin F., Richard L. Horst, and David L. Mahaffey. "Group Decision-Making during Trauma Patient Resuscitation and Anesthesia." Proceedings of the Human Factors and Ergonomics Society Annual Meeting 37, no. 4 (1993): 372–76. http://dx.doi.org/10.1177/154193129303700425.

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We examined decision-making in the real-world environment of trauma patient resuscitation and anesthesia in a Level One Trauma Center. The present paper focuses on the risk factors in the trauma treatment environment that can lead to errors or misjudgments, and strategies that may be helpful in reducing these risks. Video and audio recordings were made of a number of trauma cases involving tracheal intubation, including both emergency intubations performed during resuscitation and “elective” intubations prior to surgery. Post-treatment questionnaires completed by anesthesia personnel suggested

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Shulman, G. Brent, Ned G. Nordin, and Neil Roy Connelly. "Teaching with a Video System Improves the Training Period but Not Subsequent Success of Tracheal Intubation with the Bullard Laryngoscope." Anesthesiology 98, no. 3 (2003): 615–20. http://dx.doi.org/10.1097/00000542-200303000-00007.

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Background The Bullard laryngoscope is useful for the management of a variety of airway management scenarios. Without the aid of a video system, teaching laryngoscopy skills occurs with indirect feedback to the instructor. The purpose of this study was to determine if use of a video system would speed the process of learning the Bullard laryngoscope or improve the performance (speed or success) of its use. Methods Thirty-six anesthesia providers with no previous Bullard laryngoscope experience were randomly divided into two groups: initial training (first 15 intubations) with looking directly

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Chan, Gene Wai Han, Chew Yian Chai, Joy Su-Yue Teo, Calvin Kai En Tjio, Mui Teng Chua, and Calvin A. III Brown. "Emergency airway management in a Singapore centre: A registry study." Annals of the Academy of Medicine, Singapore 50, no. 1 (2021): 42–51. http://dx.doi.org/10.47102/annals-acadmedsg.2020331.

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ABSTRACT Introduction: Intubations in the emergency department (ED) are often performed immediately without the benefit of pre-selection or the ability to defer. Multicentre observational data provide a framework for understanding emergency airway management but regional practice variation may exist. We aim to describe the intubation indications, prevalence of difficult airway features, peri-intubation adverse events and intubator characteristics in the ED of the National University Hospital, Singapore. Methods: We conducted a prospective observational study over a period of 31 months from 1 M

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Nouruzi-Sedeh, Parichehr, Mark Schumann, and Harald Groeben. "Laryngoscopy via Macintosh Blade versus GlideScope." Anesthesiology 110, no. 1 (2009): 32–37. http://dx.doi.org/10.1097/aln.0b013e318190b6a7.

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Background Tracheal intubation is the preferred technique to secure the airway and apply mechanical ventilation. However, when performed by untrained medical personnel, tracheal intubation via direct laryngoscopy has a high rate of failure. The GlideScope (Verathon Medical Europe, Ijsselstein, Netherlands) technique improves the success rate for difficult tracheal intubation performed by experienced physicians; whether this technique improves the success rate for normal intubations when performed by inexperienced personnel as well is unknown. Therefore, the authors compared the success rate of

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Guerra-Hernández, Mauricio, Gabriela Josefina Vidaña-Martínez, José S. Camacho-Juárez, et al. "Novel Video-Laryngoscope with Wireless Image Transmission via Wi-Fi towards a Smartphone." Electronics 9, no. 10 (2020): 1629. http://dx.doi.org/10.3390/electronics9101629.

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A low-cost video laryngoscope (VDL) called Hybrid 1.0 was developed using smart devices for visualization. To test its performance, we compared it with a high-end VDL device, using both in vitro and in vivo studies. During the in vitro study, medical students without experience in airway intubation were randomly asked to intubate a mannequin with different degrees of difficulty (Cormack–Lehane scales) by using either the Hybrid 1.0 VDL (GI) or a conventional laryngoscope (GII). During the in vivo study, N = 60 endotracheal intubations were performed by resident and base physicians, divided int

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Hodgson, Kate A., Louise S. Owen, Camille Omar Kamlin, et al. "A multicentre, randomised trial of stabilisation with nasal high flow during neonatal endotracheal intubation (the SHINE trial): a study protocol." BMJ Open 10, no. 10 (2020): e039230. http://dx.doi.org/10.1136/bmjopen-2020-039230.

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IntroductionNeonatal endotracheal intubation is an essential but potentially destabilising procedure. With an increased focus on avoiding mechanical ventilation, particularly in preterm infants, there are fewer opportunities for clinicians to gain proficiency in this important emergency skill. Rates of successful intubation at the first attempt are relatively low, and adverse event rates are high, when compared with intubations in paediatric and adult populations. Interventions to improve operator success and patient stability during neonatal endotracheal intubations are needed. Using nasal hi

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Hindman, Bradley J., Ricardo B. Fontes, Robert P. From, et al. "Intubation biomechanics: laryngoscope force and cervical spine motion during intubation in cadavers—effect of severe distractive-flexion injury on C3–4 motion." Journal of Neurosurgery: Spine 25, no. 5 (2016): 545–55. http://dx.doi.org/10.3171/2016.3.spine1640.

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OBJECTIVE With application of the forces of intubation, injured (unstable) cervical segments may move more than they normally do, which can result in spinal cord injury. The authors tested whether, during endotracheal intubation, intervertebral motion of an injured C3–4 cervical segment 1) is greater than that in the intact (stable) state and 2) differs when a high- or low-force laryngoscope is used. METHODS Fourteen cadavers underwent 3 intubations using force-sensing laryngoscopes while simultaneous cervical spine motion was recorded with lateral fluoroscopy. The first intubation was perform

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Hindman, Bradley J., Robert P. From, Ricardo B. Fontes, et al. "Intubation Biomechanics." Anesthesiology 123, no. 5 (2015): 1042–58. http://dx.doi.org/10.1097/aln.0000000000000830.

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Abstract Background The aims of this study are to characterize (1) the cadaver intubation biomechanics, including the effect of repeated intubations, and (2) the relation between intubation force and the motion of an injured cervical segment. Methods Fourteen cadavers were serially intubated using force-sensing Macintosh and Airtraq laryngoscopes in random order, with simultaneous cervical spine motion recorded with lateral fluoroscopy. Motion of the C1-C2 segment was measured in the intact and injured state (type II odontoid fracture). Injured C1-C2 motion was proportionately corrected for ch

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Arulkumaran, Nishkantha, Charles S. McLaren, Kailash Arulkumaran, Barbara J. Philips, and Maurizio Cecconi. "An analysis of emergency tracheal intubations in critically ill patients by critical care trainees." Journal of the Intensive Care Society 19, no. 3 (2018): 180–87. http://dx.doi.org/10.1177/1751143717749686.

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Introduction We evaluated intensive care medicine trainees’ practice of emergency intubations in the United Kingdom. Methods Retrospective analysis of 881 in-hospital emergency intubations over a three-year period using an online trainee logbook. Results Emergency intubations out-of-hours were less frequent than in-hours, both on weekdays and weekends. Complications occurred in 9% of cases, with no association with time of day/day of week (p = 0.860). Complications were associated with higher Cormack and Lehane grades (p=0.004) and number of intubation attempts (p < 0.001), but not American

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Yang, WX, KL Fan, and LP Leung. "The practice and safety profile of endotracheal intubation in an emergency department: A single-center study in Shenzhen, China." Hong Kong Journal of Emergency Medicine 27, no. 6 (2019): 323–27. http://dx.doi.org/10.1177/1024907919889489.

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Objectives: Endotracheal intubation is an essential skill of every emergency department clinician. The current practice of emergency intubation in the emergency departments in China and its safety is largely unknown. This study aimed at evaluating the practice and the safety profile of emergency intubation in an emergency department in Shenzhen. Methods: This study was of retrospective design. It was conducted in the emergency department of a university affiliated hospital. All patients requiring emergency intubation from 1 January 2017 to 30 June 2018 were recruited. Data on demographic and c

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Vasan, N. R., E. Kosik, B. Collins, and M. Clampitt. "Surgeon-performed intubation in awake patients utilising an anterior commissure laryngoscope with bougie: a retrospective case series." Journal of Laryngology & Otology 133, no. 11 (2019): 986–91. http://dx.doi.org/10.1017/s0022215119002214.

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AbstractObjectiveThis retrospective case series examined the outcomes of surgeon-performed intubation using the anterior commissure rigid laryngoscope and bougie in adults with a difficult airway, including awake patients.MethodsThis study comprised a series of adult patients who underwent surgeon-performed intubation over a 10-year period. They were identified by a records search for the Current Procedural Terminology (‘CPT’) code 31500 – ‘intubation by surgeon’.ResultsForty-nine intubations performed in the operating theatre were reviewed. Intubation performed by the surgeon using the rigid

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Denton, Gavin, Lindsay Green, Marion Palmera, et al. "Advanced airway management and drug-assisted intubation skills in an advanced critical care practitioner team." British Journal of Nursing 31, no. 11 (2022): 564–70. http://dx.doi.org/10.12968/bjon.2022.31.11.564.

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Introduction: Airway management, including endotracheal intubation, is one of the cornerstones of care of critically ill patients. Internationally, health professionals from varying backgrounds deliver endotracheal intubation as part of their critical care role. This article considers the development of airway management skills within a single advanced critical care practitioner (ACCP) team and uses case series data to analyse the safety profile in performing this aspect of critical care. Skills were acquired during and after the ACCP training pathway. A combination of theoretical teaching, th

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Tanasansuttiporn, Jutarat, Piyaporn Vasinanukorn, Sutthasinee Petsakul, Ngamjit Pattaravit, and Sumidtra Prathep. "Comparison of Intubating Condition of the McGrath® Video Laryngoscope With and Without Muscle Relaxant." PSU Medical Journal 3, no. 2 (2023): 77–83. http://dx.doi.org/10.31584/psumj.2023257019.

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Objective: The objectives of this study were to evaluate the intubating conditions using the McGrath® Series 5 Portable Video Laryngoscope (VL) with and without a muscle relaxant.Material and Methods: This randomized, prospective study was performed in 34 patients with ASA (American Society of Anesthesiologist) I-II who required oroendotracheal tube intubation. The patients were divided into two groups asthe rocuronium group and the placebo (saline) group. McGrath® VL intubation was initiated after 90 seconds when thepatient was fully relaxed. The primary outcome was the conditions of tracheal

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Martin, Lizabeth D., Jill M. Mhyre, Amy M. Shanks, Kevin K. Tremper, and Sachin Kheterpal. "3,423 Emergency Tracheal Intubations at a University Hospital." Anesthesiology 114, no. 1 (2011): 42–48. http://dx.doi.org/10.1097/aln.0b013e318201c415.

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Background There are limited outcome data regarding emergent nonoperative intubation. The current study was undertaken with a large observational dataset to evaluate the incidence of difficult intubation and complication rates and to determine predictors of complications in this setting. Methods Adult nonoperating room emergent intubations at our tertiary care institution from December 5, 2001 to July 6, 2009 were reviewed. Prospectively defined data points included time of day, location, attending physician presence, number of attempts, direct laryngoscopy view, adjuvant use, medications, and

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Bouwmeester, Romy N., Mathijs Binkhorst, Nicole K. Yamada, et al. "Appraisal of a scoring instrument for training and testing neonatal intubation skills." Archives of Disease in Childhood - Fetal and Neonatal Edition 104, no. 5 (2018): F521—F527. http://dx.doi.org/10.1136/archdischild-2018-315221.

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ObjectiveTo determine the validity, reliability, feasibility and applicability of a neonatal intubation scoring instrument.DesignProspective observational study.SettingSimulation-based research and training centre (Center for Advanced Pediatric and Perinatal Education), California, USA.SubjectsForty clinicians qualified for neonatal intubation.InterventionsVideotaped elective intubations on a neonatal patient simulator were scored by two independent raters. One rater scored the intubations twice. We scored the preparation of equipment and premedication, intubation performance, tube position/fi

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Amour, Julien, Frédéric Marmion, Aurélie Birenbaum, et al. "Comparison of Plastic Single-use and Metal Reusable Laryngoscope Blades for Orotracheal Intubation during Rapid Sequence Induction of Anesthesia." Anesthesiology 104, no. 1 (2006): 60–64. http://dx.doi.org/10.1097/00000542-200601000-00011.

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Background Plastic single-use laryngoscope blades are inexpensive and carry a lower risk of infection compared with metal reusable blades, but their efficiency during rapid sequence induction remains a matter of debate. The authors therefore compared plastic and metal blades during rapid sequence induction in a prospective randomized trial. Methods Two hundred eighty-four adult patients undergoing general anesthesia requiring rapid sequence induction were randomly assigned on a weekly basis to either plastic single-use or reusable metal blades (cluster randomization). After induction, a 60-s p

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Vasilev, V. V. "EXPERIENCE OF VIDEO LARYNGOSCOPY DURING TRACHEAL INTUBATION FOR EMERGENCY INDICATIONS IN THE PRACTICE OF AN ANESTHESIOLOGIST AND RESUSCITATOR." EMERGENCY MEDICAL CARE 21, no. 3 (2020): 33–38. http://dx.doi.org/10.24884/2072-6716-2020-21-3-33-38.

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Objectives. To assess the advantages and disadvantages of videolaryngoscopy as one of methods of tracheal intubation which is being widely used as an alternative to direct laryngoscopy in anesthesiologist’s practice.Material and methods. Over 100 of tracheal intubations were conducted with the use of videolaryngoscope, along with a routine use of the direct laryngoscopy. The results of 48 intubations are discussed. 4 clinical cases are presented in this article.Results. Cormack-Lehane grade I view was obtained in 39 cases (81,3%), Cormack-Lehane grade II - in 9 patients (18,8%). First attempt

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Nasir, Shua, Lal Shehbaz, Hamid Raza, and Saqib Basar. "ENDOTRACHEAL INTUBATION PROCEDURES." Professional Medical Journal 22, no. 11 (2015): 1509–13. http://dx.doi.org/10.29309/tpmj/2015.22.11.940.

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Objective: The objective of the study is to study the procedure of endotrachealintubation; its methods between Rapid sequence intubation and crash intubation its successrates and the associated short term complications at the accident and emergency departmentof a government run hospital in Karachi, Pakistan. Study Design: Case series. Setting: Accidentand Emergency Department of Civil Hospital Karachi. Period: 2010 to 2012. Methods: Thesample size taken is of 260 patients, all of whom must be above the age of 14 years, andundergo the procedure of emergency endotracheal intubation. Rapid sequen

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