Airway management

Artificial intelligence‐assisted tracheal intubation in humans: a prospective observational study of diagnostic accuracy

AnaesthesiaPublished Diagnostic accuracy study

Authors' conclusion

This first in-human study has established the feasibility of AI-guided real-time tracheal intubation using larynGuide.

Study context

Population
Adults undergoing elective surgery under GA with tracheal intubation by C-MAC® videolaryngoscope (Macintosh blade)110 analysed
Participants
132 adults
Comparison
larynGuide vs Airway operator
Outcome
Real-time accuracy of larynGuide in identifying correct tracheal tube placement
Methodological detailsprospective, single-centre, investigator-initiated, observational, first in-human
  • Prospective
  • Single-centre
  • Investigator-initiated
  • Observational
  • First in-human

Performance

As reported in the abstract

Identification of correctly placed tracheal tubes
Test or modelValueSensitivitySensitivity 95% CI
larynGuide102 events0.940.88-0.98

larynGuide

Value102 events
Sensitivity0.94
Sensitivity 95% CI0.88-0.98
Correctly placed tubes
108
Misclassified tube position
6
False negatives (failed intubation advised despite correct placement)
2
No feedback
4

Further findings

Detection of oesophageal tube placement at first attempt

Oesophageal placements detected by larynGuide (of 2)
1

Original publication

Artificial intelligence‐assisted tracheal intubation in humans: a prospective observational study of diagnostic accuracy. Anaesthesia. Published 17 November 2025. doi:10.1111/anae.70063

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