Predictive and protective factors for failing first pass intubation in prehospital rapid sequence intubation: an aetiology and risk systematic review with meta-analysis
Authors' conclusion
Heterogeneity of studies limits stronger conclusions.
Study context
- Population
- Prehospital live patients undergoing RSI
- Outcome
- First pass success of RSI (success or failure at first attempt laryngoscopy)
Methodological detailsaetiology and risk systematic review, PRISMA, MEDLINE, EMBASE, CINAHL and Cochrane Library searched March 3, 2023
- Aetiology and risk systematic review
- PRISMA
- MEDLINE, EMBASE, CINAHL and Cochrane Library searched March 3, 2023
Pooled result
As reported in the abstract
Predictive and protective factors for failure of first pass intubation
- Predictive factors: age <1 yr, blood or fluid in the airway, restricted jaw or neck movement, trauma patients, nighttime procedures, chronic or acute distortions of normal face/upper airway anatomy, equipment issues
- Protective factors: experienced intubator, adequate training, certain videolaryngoscopes, elevating the patient on a stretcher in an inclined position, bougie, laryngeal manoeuvres
Original publication
Predictive and protective factors for failing first pass intubation in prehospital rapid sequence intubation: an aetiology and risk systematic review with meta-analysis. Br J Anaesth. Published 19 March 2024. doi:10.
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