Airway management

Etomidate as an induction agent for endotracheal intubation in critically ill patients: A meta-analysis of randomized trials

J Crit CarePublished Systematic review and meta-analysis of randomised trials

Pooled resultResult — go to the resultRelative risk 1.16 95% CI 1.01–1.33

Authors' conclusion

This meta-analysis found a high probability that etomidate increases mortality when used as an induction agent in critically ill patients with a number needed to harm of 31.

Study context

Population
Critically ill adults undergoing endotracheal intubation
Participants
2,704 adults · 11 RCTs
Comparison
Etomidate vs other induction agents
  • Etomidaten = 1,359
  • Other induction agentsn = 1,345reference
Outcome
Mortality at the main timepoint defined by the study
Methodological detailsfixed-effects meta-analysis
  • Fixed-effects meta-analysis

Pooled result

As reported in the abstract

Relative risk

1.16

95% CI 1.01–1.33

P = 0.03

Events by group

Etomidate vs Other induction agents
RR 1.16 (95% CI 1.01–1.33); P = 0.03
Probability of any increase in mortality
98.1%
Probability of a 1% increase in mortality (NNH ≤100)
92.1%

Original publication

Etomidate as an induction agent for endotracheal intubation in critically ill patients: A meta-analysis of randomized trials. J Crit Care. Published 29 April 2023. doi:10.1016/j.jcrc.2023.154317

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