A two-person verbal check to confirm tracheal intubation: evaluation of practice changes to prevent unrecognised oesophageal intubation
Authors' conclusion
Our results suggest that a two-person verbal intubation check is feasible and acceptable to all members of the intubating team.
Study context
- Population
- Anaesthetists (intubators) and their assistants in two hospitals149 intubators · 72 assistants
- Exposure
- One-step vs two-step two-person verbal intubation check
- Outcome
- Feasibility and acceptability of two-person checking of tracheal intubation
Methodological detailsbefore-and-after implementation evaluation, anonymous online questionnaires, two hospitals
- Before-and-after implementation evaluation
- Anonymous online questionnaires
- Two hospitals
Main finding
As reported in the abstract
Two-person verbal intubation check would reduce likelihood of unrecognised oesophageal intubation
Observational data: associations, not effects.
Further findings
| Outcome | Values |
|---|---|
| Improved communication and teamwork (intubators) | Intubators 79% |
| Plan to continue the two-person check for all future intubations | Intubators 82% · Intubators' assistants 94% |
Assistants' experience
- More empowered to voice concerns
- 69/72, 96%
- Flattened team hierarchy
- 53/72, 74%
- Feeling more valued as team members
- 64/72, 89%
Original publication
A two-person verbal check to confirm tracheal intubation: evaluation of practice changes to prevent unrecognised oesophageal intubation. Br J Anaesth. Published 19 October 2024. doi:10.
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