Impact of Checklist Implementation on Endotracheal Intubation‐Related Complications in Critically Ill Adults—A Retrospective Before and After Study
Authors' conclusion
In this study on implementing a checklist for intubation of critically ill adults, we could not demonstrate a reduction in immediate intubation-related complications.
Study context
- Population
- Adult ICU patients intubated between December 2022 and August 2024 at Karolinska University Hospital
- Participants
- 97 patients
- Exposure
- Checklist period vs standard period
- Outcome
- SpO2 < 90% by pulse oximetry or systolic arterial pressure (SAP) < 90 mmHg
- Follow-up
- Within 5 min of intubation
Methodological detailsobservational, single-centre, quality registry data
- Observational
- Single-centre
- Quality registry data
Main finding
As reported in the abstract
- Standard period vs Checklist period: P = 0.29
- Standard period vs Checklist period: P = 0.80
Observational data: associations, not effects.
Secondary outcomes
Apnoeic oxygenation use (standard nasal cannula or HFNC)
P = 0.005
Preoxygenation with NIV
P = 0.19
Lowest median SpO2 (intubation to 5 min), surgical airway, cardiovascular collapse, cardiac arrest, oesophageal intubation, severe arrhythmia, death
- No difference between the periods
Original publication
Impact of Checklist Implementation on Endotracheal Intubation‐Related Complications in Critically Ill Adults—A Retrospective Before and After Study. Acta Anaesthesiol Scand. Published 22 July 2025. doi:10.
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