Emergency airway management in a tertiary trauma centre (AIRMAN): a one-year prospective longitudinal study
Authors' conclusion
First-pass success rates varied widely between locations within the hospital and were less than those published from similar institutions, except for the ED.
Study context
- Population
- Patients ≥ 17 yr intubated in the emergency department (ED), surgical intensive care unit (SICU), medical intensive care unit (MICU) and inpatient wards of a tertiary care trauma centre
- Participants
- 416 emergency intubations
- Exposure
- First-pass success by hospital location
- Outcome
- First-pass success rate of emergency airway management
Methodological detailssingle-centre, longitudinal, Seven-month period
- Single-centre
- Longitudinal
- Seven-month period
Main finding
As reported in the abstract
First-pass success rate
- Overall first-pass success rate
- 73.1%
Observational data: associations, not effects.
Secondary outcomes
Factors associated with ≥2 intubation attempts (multivariate LASSO regression)
| OR | |
|---|---|
| Physiologic instabilityReference group, ED | 1.19 |
| Anatomically difficult airwayReference group, ED | 1.05 |
| HypoxemiaReference group, ED | 1.98 |
| Lack of neuromuscular blocker useReference group, ED | 2.28 |
| Intubator inexperienceReference group, ED | 1.41 |
| Outcome | ED | OR |
|---|---|---|
| Factors associated with ≥2 intubation attempts (multivariate LASSO regression)Wards vs ED · reference group, ED | 1.23 | |
| Factors associated with ≥2 intubation attempts (multivariate LASSO regression)MICU vs ED · reference group, ED | 1.24 | |
| Factors associated with ≥2 intubation attempts (multivariate LASSO regression)SICU vs ED · reference group, ED | 1.19 | |
| Videolaryngoscopy use by location | 65.1% |
- Videolaryngoscopy use by location: Wards 10.6%
Original publication
Emergency airway management in a tertiary trauma centre (AIRMAN): a one-year prospective longitudinal study. Can J Anaesth. Published 20 January 2023. doi:10.
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