{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:35:13Z","timestamp":1787758513665,"version":"build-2784847793"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVES:<\/jats:title>\n                    <jats:p>Emergency airway management is an integral part of patient stabilization. It is an essential skill for an emergency physician to master. There is a paucity of literature on airway management from low-to-middle-income countries like India where emergency medicine (EM) specialty is still in its infancy. We conducted this study to identify the existing airway management practices among emergency physicians in our tertiary care center. This study could pave the way for national airway registries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>This prospective, observational study was conducted in the emergency department (ED) of a tertiary care center in India for 16 months. We included 166 patients who underwent emergency endotracheal intubation in the ED, irrespective of their age or underlying condition. The patients were observed for 15 min after intubation to identify any associated adverse events. We collected data about patients\u2019 demographic profile, indication for intubation, techniques of airway management, medications used, specialty of the physician performing intubation, use of preintubation and postintubation checklists, vitals before and after intubation, and any adverse events following intubation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>A total of 166 patients who required definite airway management in the ED were recruited for the study. The mean age of patients was 45.5 \u00b1 20.1 years. Males comprised 61.4% of the patients. One hundred and forty-four patients were nontrauma cases and the remaining 22 cases were related to trauma. The most common indication for emergency airway management was altered mental status among nontrauma encounters and traumatic brain injury among trauma patients. Rapid sequence intubation (RSI) was the most common method employed (72.9% of cases). The most common agents used for induction and paralysis were etomidate and rocuronium, respectively. Direct laryngoscope was used in about 95% of cases. The first pass success rate in our study was 78.3%. EM residents were able to perform orotracheal intubation for all patients and none required a surgical airway. The incidence of adverse events within 15 min of intubation was 58.4%. Common complications observed were desaturation, right mainstem bronchus intubation, and equipment failure. Postintubation cardiac arrest occurred in around 5% of cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>RSI remains the most common method employed for emergency airway management. There exists heterogeneity in the practice and its associated complications. Hence, regular surveillance, quality improvement, and training are imperative to provide good patient care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/2452-2473.357351","type":"journal-article","created":{"date-parts":[[2022,9,29]],"date-time":"2022-09-29T14:29:35Z","timestamp":1664461775000},"page":"186-191","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":10,"title":["Airway management practices among emergency physicians"],"prefix":"10.4103","volume":"22","author":[{"given":"M.","family":"Jishnu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjeev","family":"Bhoi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ankit Kumar","family":"Sahu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soorya","family":"Suresh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Praveen","family":"Aggarwal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-3-20240909","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1080\/31270300282X","article-title":"National Association of EMS Physicians. Recommended guidelines for uniform reporting of data from out-of-hospital airway management: position statement of the National Association of EMS Physicians","volume":"8","author":"Wang","year":"2004","journal-title":"Prehosp Emerg Care"},{"key":"R2-3-20240909","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1016\/j.annemergmed.2014.10.036","article-title":"NEAR III Investigators. 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Trauma airway management in emergency departments: A multicentre, prospective, observational study in Japan","volume":"5","author":"Nakao","year":"2015","journal-title":"BMJ Open"},{"key":"R6-3-20240909","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1097\/00006565-200212000-00004","article-title":"Rapid sequence intubation for pediatric emergency airway management","volume":"18","author":"Sagarin","year":"2002","journal-title":"Pediatr Emerg Care"},{"key":"R7-3-20240909","doi-asserted-by":"crossref","first-page":"S39","DOI":"10.1017\/S1049023X17001200","article-title":"Improvement in success rate of intubation, done by non-anesthetist emergency physician with the implementation of Rapid Sequence Intubation (RSI) protocol in the emergency department","volume":"32","author":"Bhoi","year":"2017","journal-title":"Prehospital Disaster Med"},{"key":"R8-3-20240909","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1111\/1742-6723.12704","article-title":"Systematic review and meta-analysis of first-pass success rates in emergency department intubation: Creating a benchmark for emergency airway care","volume":"29","author":"Park","year":"2017","journal-title":"Emerg Med Australas"},{"key":"R9-3-20240909","doi-asserted-by":"crossref","first-page":"1164","DOI":"10.1001\/jama.2021.1727","article-title":"Intubation practices and adverse peri-intubation events in critically ill patients from 29 countries","volume":"325","author":"Russotto","year":"2021","journal-title":"JAMA"},{"key":"R10-3-20240909","doi-asserted-by":"crossref","first-page":"1659","DOI":"10.1007\/s00134-014-3407-4","article-title":"Incidence and associated factors of difficult tracheal intubations in pediatric ICUs: A report from National Emergency Airway Registry for Children: NEAR4KIDS","volume":"40","author":"Graciano","year":"2014","journal-title":"Intensive Care Med"},{"key":"R11-3-20240909","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12245-017-0129-8","article-title":"Japanese Emergency Medicine Network Investigators. The effectiveness of rapid sequence intubation (RSI) versus non-RSI in emergency department: An analysis of multicenter prospective observational study","volume":"10","author":"Okubo","year":"2017","journal-title":"Int J Emerg Med"},{"key":"R12-3-20240909","doi-asserted-by":"crossref","first-page":"466","DOI":"10.5811\/westjem.2019.4.42753","article-title":"Alternatives to rapid sequence intubation: contemporary airway management with ketamine","volume":"20","author":"Merelman","year":"2019","journal-title":"West J Emerg Med"},{"key":"R13-3-20240909","first-page":"CD002788","article-title":"Rocuronium versus succinylcholine for rapid sequence induction intubation","volume":"2015","author":"Tran","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"R14-3-20240909","first-page":"CD002788","article-title":"Rocuronium versus succinylcholine for rapid sequence induction intubation","volume":"2008","author":"Perry","year":"2008","journal-title":"Cochrane Database Syst Rev"},{"key":"R15-3-20240909","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1111\/j.1553-2712.2010.00954.x","article-title":"Comparison of succinylcholine and rocuronium for first-attempt intubation success in the emergency department","volume":"18","author":"Patanwala","year":"2011","journal-title":"Acad Emerg Med"},{"key":"R16-3-20240909","first-page":"e928462","article-title":"Comparison of rocuronium with succinylcholine for rapid sequence induction intubation in the emergency department: A retrospective study at a single center in China","volume":"27","author":"Li","year":"2021","journal-title":"Med Sci Monit"},{"key":"R17-3-20240909","first-page":"S131","article-title":"Prospective observational study of emergency airway management in emergency department","volume":"99","author":"Srivilaithon","year":"2016","journal-title":"J Med Assoc Thail Chotmaihet Thangphaet"},{"key":"R18-3-20240909","doi-asserted-by":"crossref","first-page":"664","DOI":"10.1007\/s00101-018-0476-8","article-title":"Systematic analysis of airway registries in emergency medicine","volume":"67","author":"Girrbach","year":"2018","journal-title":"Anaesthesist"},{"key":"R19-3-20240909","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1197\/j.aem.2003.08.013","article-title":"A comparison of trauma intubations managed by anesthesiologists and emergency physicians","volume":"11","author":"Bushra","year":"2004","journal-title":"Acad Emerg Med"},{"key":"R20-3-20240909","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1002\/ams2.428","article-title":"Advancing emergency airway management practice and research","volume":"6","author":"Goto","year":"2019","journal-title":"Acute Med Surg"},{"key":"R21-3-20240909","doi-asserted-by":"crossref","first-page":"712","DOI":"10.1016\/j.bja.2017.12.041","article-title":"Videolaryngoscopy versus direct laryngoscopy for emergency orotracheal intubation outside the operating room: A systematic review and meta-analysis","volume":"120","author":"Arulkumaran","year":"2018","journal-title":"Br J Anaesth"},{"key":"R22-3-20240909","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1097\/SIH.0b013e318197d2e5","article-title":"Comparison of intubation success of video laryngoscopy versus direct laryngoscopy in the difficult airway using high-fidelity simulation","volume":"4","author":"Narang","year":"2009","journal-title":"Simul Healthc"},{"key":"R23-3-20240909","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1097\/ALN.0000000000003389","article-title":"Videolaryngoscopy intubation in patients with COVID-19: How to minimize risk of aerosolization?","volume":"133","author":"Zeidan","year":"2020","journal-title":"Anesthesiology"},{"key":"R24-3-20240909","doi-asserted-by":"crossref","first-page":"816","DOI":"10.1016\/j.chest.2017.08.1163","article-title":"A multicenter randomized trial of a checklist for endotracheal intubation of critically ill adults","volume":"153","author":"Janz","year":"2018","journal-title":"Chest"}],"container-title":["Turkish Journal of Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/2452-2473.357351","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:16:12Z","timestamp":1787757372000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/2452-2473.357351"}},"subtitle":["An observational study"],"short-title":[],"issued":{"date-parts":[[2022,10]]},"references-count":24,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/2452-2473.357351","relation":{},"ISSN":["2452-2473"],"issn-type":[{"value":"2452-2473","type":"print"}],"subject":[],"published":{"date-parts":[[2022,10]]}}}