Airway management

Diabetes Mellitus Is Not a Risk Factor for Difficult Intubation Among Critically Ill Adults: A Secondary Analysis of Multicenter Trials

Crit Care MedPublished Secondary analysis of five randomised trials

Primary resultResult — go to the resultDifference −4.4 s 95% CI −17.2 to 8.3

Authors' conclusion

Among 2654 critically ill patients undergoing tracheal intubation in an ED or an ICU, diabetes mellitus was not independently associated with the time from induction to intubation, the probability of successful intubation on the first attempt, or the rate of complications during intubation.

Study context

Population
Critically ill adults undergoing tracheal intubation with a laryngoscope in an ED or ICU, 11 US centers
Participants
2,654 adults · 5 RCTs
Comparison
Diabetes mellitus vs nondiabetes
  • Diabetes mellitusn = 638
Methodological detailsmulticentre
  • Multicentre

Primary result

As reported in the abstract

Difference

−4.4 s

95% CI −17.2 to 8.3

P = 0.50

Diabetes mellitus vs Nondiabetes
difference −4.4 s (95% CI −17.2 to 8.3); P = 0.50
Mean time from induction to intubation, all patients
169 seconds (sd, 137s)

Further findings

Successful intubation on the first attempt

P = 0.46

Safety

Complications during intubation

P = 0.52

Complications during intubation — Complications during intubation, all patients
1007 (37.9%)

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Diabetes Mellitus Is Not a Risk Factor for Difficult Intubation Among Critically Ill Adults: A Secondary Analysis of Multicenter Trials. Crit Care Med. Published 21 October 2024. doi:10.1097/ccm.0000000000006460

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