Use of a Bougie vs Endotracheal Tube With Stylet and Successful Intubation on the First Attempt Among Critically Ill Patients Undergoing Tracheal Intubation

Brenner, Michael; McGrath, Brendan A.; Cook, Tim

doi:10.1001/jama.2022.2710

Cited by 2 publications

(1 citation statement)

References 9 publications

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“…First attempt success rate, rather than overall success rate, was measured based on prior literature emphasizing the importance of first attempt success in reducing risk of ischemia. [63][64][65] We reported the success rates with first attempt at airway securement in percentages and the time to secure airway in seconds or minutes based on individual article reporting. Moreover, we calculated the overall complication rate for each study depending on whether they reported these clinical outcomes.…”

Section: Data Synthesismentioning

confidence: 99%

Multidisciplinary Difficult Airway Team Characteristics, Airway Securement Success, and Clinical Outcomes: A Systematic Review

Pandian

Ghazi

et al. 2022

Ann Otol Rhinol Laryngol

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Objective: To investigate whether implementation of a multidisciplinary airway team was associated with improvement in (1) rate of successful airway securement at first attempt; (2) time to secure airway; and (3) overall complication rate in patients with a difficult airway, as compared with usual care. Data Sources: Ovid Medline, Embase, Scopus, Cochrane Central, and CINAHL databases. Review Methods: Systematic review of literature on inpatient multidisciplinary team management of difficult airways, including all studies performed in inpatient settings, excluding studies of ventilator weaning, flight/military medicine, EXIT procedures, and simulation or educational studies. DistillerSR was used for article screening and risk of a bias assessment to evaluate article quality. Data was extracted on study design, airway team composition, patient characteristics, and clinical outcomes including airway securement, complications, and mortality. Results: From 5323 studies screened, 19 studies met inclusion criteria with 4675 patients. Study designs included 12 quality improvement projects, 6 cohort studies, and 1 randomized controlled trial. Four studies evaluated effect of multidisciplinary difficult airway teams on airway securement; all reported higher first attempt success rate with team approach. Three studies reported time to secure the difficult airways, all reporting swifter airway securement with team approach. The most common difficult airway complications were hypoxia, esophageal intubation, hemodynamic instability, and aspiration. Team composition varied, including otolaryngologists, anesthesiologists, intensivists, nurses, and respiratory care practitioners. Conclusion: Multidisciplinary difficult airway teams are associated with improved clinical outcomes compared to unstructured emergency airway management; however, studies have significant heterogeneity in team composition, algorithms for airway securement, and outcomes reported. Further evidence is necessary to define the clinical efficacy, cost-effectiveness, and best practices relating to implementing difficult airway teams in inpatient settings.

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Section: Data Synthesismentioning

confidence: 99%

Multidisciplinary Difficult Airway Team Characteristics, Airway Securement Success, and Clinical Outcomes: A Systematic Review

Pandian

Ghazi

et al. 2022

Ann Otol Rhinol Laryngol

Self Cite

View full text Add to dashboard Cite

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Advances in airway management in recent 10 years from 2013 to 2023

Liu,

He,

Wang

et al. 2023

APS

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Difficult airway management has been the focus in the field of anesthesiology. Clinical research in difficult airway management has made some progress in the last 10 years. We searched the relevant literature and summarized the latest clinical research in the field of difficult airway management in this review to provide some practice strategies for difficult airway management for anesthesiologists as well as a range of professionals. Graphical Abstract

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Use of a Bougie vs Endotracheal Tube With Stylet and Successful Intubation on the First Attempt Among Critically Ill Patients Undergoing Tracheal Intubation

Cited by 2 publications

References 9 publications

Multidisciplinary Difficult Airway Team Characteristics, Airway Securement Success, and Clinical Outcomes: A Systematic Review

Multidisciplinary Difficult Airway Team Characteristics, Airway Securement Success, and Clinical Outcomes: A Systematic Review

Advances in airway management in recent 10 years from 2013 to 2023

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