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Bed tilt and ramp positions are associated with increased first-pass success of adult endotracheal intubation in the emergency department: A registry study

Successful endotracheal intubation in the ED requires optimum body positioning. In patients with obesity, the ramp position was suggested to achieve better intubating conditions. However, limited data are available on the airway management practices for patients with obesity in Australasian EDs. The...

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Bibliographic Details
Published in:Emergency medicine Australasia 2023-12, Vol.35 (6), p.983-990
Main Authors: Bennett, Samantha, Alkhouri, Hatem, Badge, Helen, Long, Elliot, Chan, Trevor, Vassiliadis, John, Fogg, Toby
Format: Article
Language:English
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Summary:Successful endotracheal intubation in the ED requires optimum body positioning. In patients with obesity, the ramp position was suggested to achieve better intubating conditions. However, limited data are available on the airway management practices for patients with obesity in Australasian EDs. The aim of this study was to identify current patient positioning practices during endotracheal intubation and its association with first-pass success (FPS) at intubation and adverse event (AE) rates in obese and non-obese populations. Prospectively collected data from the Australia and New Zealand ED Airway Registry (ANZEDAR) between 2012 and 2019 were analysed. Patients were categorised into two groups according to their weight:
ISSN:1742-6731
1742-6723
DOI:10.1111/1742-6723.14276