{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T10:49:51Z","timestamp":1775472591725,"version":"3.50.1"},"reference-count":17,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2023,4,11]],"date-time":"2023-04-11T00:00:00Z","timestamp":1681171200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Respir Care"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Respiratory therapists (RTs) have historically performed safe and effective intubations, yet there are limited multi-center data assessing their intubation performance. Multi-center data can be used to compare RT intubation performance to that of other professions and identify quality improvement opportunities at hospitals where RTs perform intubation. We aimed to explore the feasibility of a multi-center collaborative to evaluate RT intubation outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>A data collection tool was developed by the authors and implemented at two institutions. Following institutional review board approval at each center and completion of data-use sharing agreements, data were collected between May 25, 2020\u2013April 30, 2022, and combined for analysis. Descriptive statistics were used to compare overall success rate, first-attempt success rate, adverse events (AEs), and type of laryngoscopy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>There were a total of 689 intubation courses where RTs made an attempt, 363 from center A and 326 from center B. Center A captured 85% of all RT intubation courses, and center B captured 63%. Overall, RTs were successful in 98% of attempts. RTs made 86% of initial attempts. The most common indications for intubation were cardiac arrest (42%) and respiratory failure (31%). Videolaryngoscopy was used during 65% of initial attempts and was associated with higher first-attempt success rate, higher overall success rate, and fewer AEs. Airway-related adverse event rate was 8.7%; physiologic AE rate was 16%, and desaturation rate was 11%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>A collaborative examining RTs intubation performance was successfully initiated at 2 separate facilities. Intubations performed by RTs had a high success rate, with AE rates comparable to published results from other types of providers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4187\/respcare.10682","type":"journal-article","created":{"date-parts":[[2023,4,11]],"date-time":"2023-04-11T10:47:42Z","timestamp":1681210062000},"page":"1031-1040","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Feasibility of a Multi-Center Respiratory Therapist Endotracheal Intubation Study"],"prefix":"10.1177","volume":"68","author":[{"given":"Andrew G","family":"Miller","sequence":"first","affiliation":[{"name":"Duke University Medical Center, Durham, North Carolina."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Gillin","sequence":"additional","affiliation":[{"name":"ChristianaCare, Newark, Delaware."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandre T","family":"Rotta","sequence":"additional","affiliation":[{"name":"Duke University Medical Center, Durham, North Carolina."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John S","family":"Emberger","sequence":"additional","affiliation":[{"name":"ChristianaCare, Newark, Delaware."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,4,11]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.07338"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.07153"},{"issue":"4","key":"e_1_3_2_4_2","first-page":"336","article-title":"Emergency endotracheal intubation by respiratory care personnel in a community hospital","volume":"26","author":"Conley JM","year":"1981","unstructured":"Conley JM, , Smith DJ. Emergency endotracheal intubation by respiratory care personnel in a community hospital. Respir Care, 1981; 26(4):336-338.","journal-title":"Respir Care"},{"issue":"4","key":"e_1_3_2_5_2","first-page":"333","article-title":"Training and evaluation of respiratory therapists in emergency intubation","volume":"26","author":"McLaughlin AJ","year":"1981","unstructured":"McLaughlin AJJr., , Scott W. Training and evaluation of respiratory therapists in emergency intubation. Respir Care, 1981; 26(4):333-335.","journal-title":"Respir Care"},{"issue":"10","key":"e_1_3_2_6_2","first-page":"1063","article-title":"Respiratory care practitioners as primary providers of neonatal intubation in a community hospital: an analysis","volume":"40","author":"Noblett KE","year":"1995","unstructured":"Noblett KE, , Meibalane R. Respiratory care practitioners as primary providers of neonatal intubation in a community hospital: an analysis. Respir Care, 1995; 40(10):1063-1067.","journal-title":"Respir Care"},{"issue":"5","key":"e_1_3_2_7_2","first-page":"469","article-title":"Analysis of an endotracheal intubation service provided by respiratory care practitioners","volume":"38","author":"Thalman JJ","year":"1993","unstructured":"Thalman JJ, , Rinaldo-Gallo S, , MacIntyre NR. Analysis of an endotracheal intubation service provided by respiratory care practitioners. Respir Care, 1993; 38(5):469-473.","journal-title":"Respir Care"},{"issue":"1","key":"e_1_3_2_8_2","first-page":"30","article-title":"Respiratory care practitioners as secondary providers of endotracheal intubation: one hospital\u2019s experience","volume":"39","author":"Zyla EL","year":"1994","unstructured":"Zyla EL, , Carlson J. Respiratory care practitioners as secondary providers of endotracheal intubation: one hospital\u2019s experience. Respir Care, 1994; 39(1):30-33.","journal-title":"Respir Care"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.07667"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.05037"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e3182746736"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aeq136"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201411-517OC"},{"issue":"24","key":"e_1_3_2_14_2","first-page":"7734","article-title":"Video vs direct laryngoscopy for adult surgical and intensive care unit patients requiring tracheal intubation: a systematic review and meta-analysis of randomized controlled trials","volume":"25","author":"Vargas M","year":"2021","unstructured":"Vargas M, , Servillo G, , Buonanno P, , Iacovazzo C, , Marra A, , Putensen-Himmer G, et al. Video vs direct laryngoscopy for adult surgical and intensive care unit patients requiring tracheal intubation: a systematic review and meta-analysis of randomized controlled trials. Eur Rev Med Pharmacol Sci, 2021; 25(24):7734-7749.","journal-title":"Eur Rev Med Pharmacol Sci"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-017-1885-9"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2017.12.041"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2021.02.031"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0000000000002592"}],"container-title":["Respiratory Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.4187\/respcare.10682","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4187\/respcare.10682","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4187\/respcare.10682","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T09:39:22Z","timestamp":1775468362000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.4187\/respcare.10682"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,11]]},"references-count":17,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2023,8]]}},"alternative-id":["10.4187\/respcare.10682"],"URL":"https:\/\/doi.org\/10.4187\/respcare.10682","relation":{},"ISSN":["0020-1324"],"issn-type":[{"value":"0020-1324","type":"print"}],"subject":[],"published":{"date-parts":[[2023,4,11]]}}}