Airway management

The incidence of awake tracheal intubation in anesthetic practice is decreasing: a historical cohort study of the years 2014–2020 at a single tertiary care institution

Can J AnaesthPublished Historical cohort study

Authors' conclusion

In this single-center historical cohort study, the use of ATI decreased significantly from 2014 to 2020.

Study context

Population
Adult patients undergoing awake tracheal intubation at a single tertiary care centre, 2014–2020
Participants
692 awake tracheal intubation (ATI) cases
Outcome
Yearly ATIs
Follow-up
2014–2020
Methodological detailssingle-centre, database study
  • Single-centre
  • Database study

Main finding

As reported in the abstract

Statistically significant decrease in yearly ATIs over the seven-year period (Chi square goodness of fit)
P < 0.001
ATI use decreasing by about
50%

Observational data: associations, not effects.

Secondary outcomes

OutcomeValuesP value
First attempt success, flexible bronchoscopy vs video laryngoscopyFlexible bronchoscopy 84% · Video laryngoscopy 60%P < 0.001
First attempt success, oral vs nasal routeOral 82% · Nasal 82%P = 1.0

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

Original publication

The incidence of awake tracheal intubation in anesthetic practice is decreasing: a historical cohort study of the years 2014–2020 at a single tertiary care institution. Can J Anaesth. Published 26 October 2022. doi:10.1007/s12630-022-02344-8

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