PMID- 37041028
OWN - NLM
STAT- MEDLINE
DCOM- 20230721
LR  - 20230801
IS  - 1943-3654 (Electronic)
IS  - 0020-1324 (Print)
IS  - 0020-1324 (Linking)
VI  - 68
IP  - 8
DP  - 2023 Aug
TI  - Feasibility of a Multi-Center Respiratory Therapist Endotracheal Intubation 
      Study.
PG  - 1031-1040
LID - 10.4187/respcare.10682 [doi]
AB  - BACKGROUND: 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. 
      METHODS: 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-April 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. RESULTS: 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%. CONCLUSIONS: 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.
CI  - Copyright (c) 2023 by Daedalus Enterprises.
FAU - Miller, Andrew G
AU  - Miller AG
AD  - Duke University Medical Center, Durham, North Carolina. Andrew.g.miller@duke.edu.
FAU - Gillin, Thomas
AU  - Gillin T
AD  - ChristianaCare, Newark, Delaware.
FAU - Rotta, Alexandre T
AU  - Rotta AT
AD  - Duke University Medical Center, Durham, North Carolina.
FAU - Emberger, John S
AU  - Emberger JS
AD  - ChristianaCare, Newark, Delaware.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
DEP - 20230411
PL  - United States
TA  - Respir Care
JT  - Respiratory care
JID - 7510357
SB  - IM
MH  - Humans
MH  - Feasibility Studies
MH  - Intubation, Intratracheal/methods
MH  - Laryngoscopy/adverse effects
MH  - *Laryngoscopes
MH  - *Respiratory Insufficiency/etiology
PMC - PMC10353167
OTO - NOTNLM
OT  - airway management
OT  - intubation
OT  - laryngoscopy
OT  - respiratory therapist
OT  - respiratory therapy
OT  - videolaryngoscopy
COIS- Mr Miller discloses relationships with Saxe Communications and S2N Health. Mr 
      Miller is a section editor for Respiratory Care. Mr Emberger discloses 
      relationships with Drager Medical and Avanos. Dr Rotta discloses relationships 
      with Breas United States, Vapotherm, and Elsevier. Mr Gillin has disclosed no 
      conflicts of interest.
EDAT- 2023/04/12 06:00
MHDA- 2023/07/21 06:42
PMCR- 2024/08/01
CRDT- 2023/04/11 20:53
PHST- 2024/08/01 00:00 [pmc-release]
PHST- 2023/07/21 06:42 [medline]
PHST- 2023/04/12 06:00 [pubmed]
PHST- 2023/04/11 20:53 [entrez]
AID - respcare.10682 [pii]
AID - RC-10682 [pii]
AID - 10.4187/respcare.10682 [doi]
PST - ppublish
SO  - Respir Care. 2023 Aug;68(8):1031-1040. doi: 10.4187/respcare.10682. Epub 2023 Apr 
      11.