BET 2: should real resuscitationists use airway checklists?
Open accessAbstract
A short cut review was carried out to establish whether the use of preprocedural checklists prior to intubation of critically ill patients outside a theatre environment can reduce the incidence of adverse events. Four directly relevant papers were found using the reported search strategy and presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these papers are tabulated. It is concluded that preprocedural checklists may reduce adverse events in these patients, but that the evidence level is low and further matched cohort studies are needed to prove effectiveness.
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Numerous preparatory airway acronyms and checklists have been proposed to reduce errors and adverse events associated with RSI.
“Numerous preparatory airway acronyms and checklists have been proposed to reduce errors and adverse events associated with RSI.85,86”
From Airway Management in Trauma (2018) · cites this paper as [85]
The Comments section (page not specified) says airway checklists are increasingly adopted in initiatives designed to reduce adverse events and discusses their use to reduce errors. The paper does not describe preparatory airway acronyms, so it supports the checklist portion but not the full claim. (LLM, conf=0.85)
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Research works printed but not linked: 8
- Conroy MJ, Weingart GS, Carlson JN. Impact of checklists on peri-intubation care in ED trauma patients. Am J Emerg Med 2014;32:541-4. · DOI
- Kerrey BT, Mittiga MR, Rinderknecht AS, et al. Reducing the incidence of oxyhaemoglobin desaturation during rapid sequence intubation in a paediatric emergency department. BMJ Qual Saf 2015;24:709-17.
- Smith KA, High K, Collins SP, et al. A preprocedural checklist improves the safety of emergency department intubation of trauma patients. Acad Emerg Med 2015;22:989-92. · DOI
- Fogg T, Annesley N, Vassiliadis J. Prospective observational study of the practice of endotracheal intubation in the emergency department of a tertiary hospital in Sydney, Australia. Emerg Med Australas 2012;24:617-24. · DOI
- Cook TM, Woodall N, Harper J, Benger J. Fourth National Audit Project. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 2: intensive care and emergency departments. Br J Anaesth 2011;106:632-42.
- Goodacre S. Uncontrolled before-after studies; discouraged by Cochrane and the EMJ. Emerg Med J 2015;32:507-8. · DOI
- Jaber S, Jung B, Corne P, et al. An intervention to decrease complications related to endotracheal intubation in the intensive care unit: a prospective, multiple-center study. Intensive Care Med 2010;36:248-55. · DOI
- Tscholl DW, Weiss M, Kolbe M, et al. An anesthesia preinduction checklist to improve information exchange, knowledge of critical information, perception of safety, and possibly perception of teamwork in anesthesia teams. Anesth Analg 2015;121:948-56. Emerg Med J 2016;33:439-441. doi:10.1136/emermed-2016-205871. · DOI
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Kovacs, G., & Sowers, N. (2018) · Emergency Medicine Clinics of North America · doi:10.1016/j.emc.2017.08.006 · Cited by 115 · see citing works
- Authors
- Hardy, G., & Horner, D.
- Affiliations
- Salford Royal NHS Foundation Trust (GB)
- ORCID
- Horner, Daniel
- Venue
- Emergency Medicine Journal
- Publisher
- BMJ
- Published
- 2016-05-19
- Volume
- 33
- Issue
- 6
- Pages
- 439-441
- ISSN
- 1351-0622 (ISSN-L)
- 1472-0205
- 1472-0213
- OpenAlex
- W2398558392
- Cited by
- 7
- References
- 0
- Citations by year
- 2024: 2 · 2023: 1 · 2022: 1 · 2021: 1 · 2020: 1 · 2017: 1
- FWCI
- 0.49
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Emergency Medicine Journal (publishedVersion)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (publishedVersion, other-oa)
- HighWire Press Open Archive (submittedVersion)
- Topics
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Airway Management and Intubation Techniques
- Health Sciences › Health Professions › Emergency Medical Services › Patient Safety and Medication Errors
- Health Sciences › Medicine › Emergency Medicine › Cardiac Arrest and Resuscitation
- Keywords
- intubation, critically ill patients, adverse events, emergency airway management, resuscitation, out-of-hospital intubation
- MeSH terms
- Humans, Intubation, Intratracheal, Critical Illness, Evidence-Based Emergency Medicine, Checklist
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