Evidence map›Paper›PMID 28045209›Full record

GuidelineAnaesthesia2017

AAGBI: Safer pre-hospital anaesthesia 2017: Association of Anaesthetists of Great Britain and Ireland.

D J Lockey, K Crewdson, G Davies, B Jenkins, J Klein, C Laird, P F Mahoney, J Nolan, A Pountney, S Shinde and 4 more

Open access · hybridAbstract readPractice Guideline
In one paragraph

Guideline in Anaesthesia, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 5 pooled it
16.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 5 syntheses or guidelines pooled it, 150 citations in OpenAlex.

  1. Guideline
  2. Guideline
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Review
  9. Article
  10. Service evaluation: Accuracy of using end-tidal COJournal of the Intensive Care Society · 2026
    Article
  11. The PaCOJournal of the Intensive Care Society · 2026
    Article
  12. Observational
  13. Article
  14. Article
  15. Article
  16. Observational
  17. Observational
  18. Review
  19. Observational
  20. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 12 institutions in 1 country.

D J LockeyNorth Bristol NHS Trust, AAGBI Working Party, Bristol University, Bristol, UK.
K CrewdsonAnaesthetics and Intensive Care Medicine, Severn Deanery, UK.
G DaviesRoyal London Hospital/Royal College of Emergency Medicine, London, UK.
B JenkinsCardiff University, Cardiff, UK.
J KleinDerby Hospitals NHS Foundation Trust, Faculty of Pre-hospital Care, Royal College of Surgeons of Edinburgh, Edinburgh, UK.
C LairdBritish Association for Immediate Care, Auchterarder, Perthshire, UK.
P F MahoneyRoyal Centre for Defence Medicine, Imperial College, London, UK.
J NolanRoyal United Hospital, Bath, Anaesthesia and Intensive Care Medicine/Resuscitation Medicine at Bristol University, Royal College of Anaesthetists, Bristol, UK.
A PountneyMid-Yorkshire NHS Trust, British Association for Immediate Care, Ipswich, Suffolk, UK.
S ShindeNorth Bristol NHS Trust, AAGBI Board, Bristol, UK.
S TigheCountess of Chester Hospital, AAGBI Board, Chester, UK.
M Q RussellKent, Surrey, Sussex Air Ambulance Trust, Royal College of General Practitioners, Tonbridge, UK.
J PriceRoyal United Hospital Bath, Group of Anaesthetists in Training, AAGBI, Avon, UK.
C WrightSt Mary's Major Trauma Centre, Imperial College, Military Pre-hospital Emergency Medicine, London, UK.
Association of Anaesthetists of Great Britain and Ireland · GBNorth Bristol NHS Trust · GBBritish Association for Immediate Care Scotland · GBCardiff University · GBImperial College London · GBRoyal College of General Practitioners · GBRoyal College of Surgeons of Edinburgh · GBRoyal London Hospital · GBRoyal United Hospital · GBSevern Trent (United Kingdom) · GBSt Mary's Hospital · GBUniversity of Suffolk · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pre-hospital emergency anaesthesia with oral tracheal intubation is the technique of choice for trauma patients who cannot maintain their airway or achieve adequate ventilation. It should be carried out as soon as safely possible, and performed to the same standards as in-hospital emergency anaesthesia. It should only be conducted within organisations with comprehensive clinical governance arrangements. Techniques should be straightforward, reproducible, as simple as possible and supported by the use of checklists. Monitoring and equipment should meet in-hospital anaesthesia standards. Practitioners need to be competent in the provision of in-hospital emergency anaesthesia and have supervised pre-hospital experience before carrying out pre-hospital emergency anaesthesia. Training programmes allowing the safe delivery of pre-hospital emergency anaesthesia by non-physicians do not currently exist in the UK. Where pre-hospital emergency anaesthesia skills are not available, oxygenation and ventilation should be maintained with the use of second-generation supraglottic airways in patients without airway reflexes, or basic airway manoeuvres and basic airway adjuncts in patients with intact airway reflexes.

Indexed as

AnesthesiaEmergency Medical ServicesAirway ManagementAnesthesiologyClinical CompetenceEducation, Medical, GraduateHumansIntubation, IntratrachealIrelandMonitoring, PhysiologicProcedural SedationTransportation of PatientsUnited KingdomWounds and Injuriesambulanceanaesthesiaemergencypre-hospitaltrauma

Identifiers

PMID28045209
PMCPMC5324693
OpenAlexW2562436663

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.