Observational studyScandinavian journal of trauma, resuscitation and emergency medicine2019
Airway Management in the Emergency Department (The OcEAN-Study) - a prospective single centre observational cohort study.
Observational study in Scandinavian journal of trauma, resuscitation and emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
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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.
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.
Who cites it
20 citing papers in PubMed, 45 citations in OpenAlex.
- Hemodynamically neutral intubation: management of a physiologically difficult airway.Clinical and experimental emergency medicine · 2026Article
- Impact of anesthesia training on knowledge and practice of rapid sequence intubation among emergency physicians: a survey study.International journal of emergency medicine · 2026Article
- Intubation exposure associated with first-pass success - understanding practitioner-related characteristics in South African EMS.International journal of emergency medicine · 2026Article
- Indications, techniques, success rates and complications of emergency airway management in Thuringian emergency departments: a prospective registry analysis.World journal of emergency medicine · 2026Article
- Rescue airway maneuvers after jaw-thrust failure in suspected cervical spine injury: a prospective post-guideline observational cohort study.Frontiers in medicine · 2026Article
- Learning Curve for Interpreting Transtracheal Ultrasound Images to Confirm Endotracheal Tube Placement Among Anaesthesia Residents in a Teaching Hospital.Australasian journal of ultrasound in medicine · 2025Article
- [Indications and success rate of endotracheal emergency intubation in clinical acute and emergency medicine].Die Anaesthesiologie · 2024Article
- Predictors of first-pass success intubations in the emergency departments in Germany: analysis of the German Airway Registry between 2015 and 2022.World journal of emergency medicine · 2024Article
- Exchange of a Tracheal Tube and Supraglottic Airway Device: Evaluation of Different Techniques in Three Simulated Airway Scenarios (TUBE Study)-A Prospective, Randomised Controlled Study.Journal of clinical medicine · 2023Article
- National Emergency Resuscitation Airway Audit (NERAA): a pilot multicentre analysis of emergency intubations in Irish emergency departments.BMC emergency medicine · 2022Article
- Short-term outcome and characteristics of critical care for nontrauma patients in the emergency department.Der Anaesthesist · 2022Article
- Predictive value of difficult airway identifiers for intubation-related complications in the emergency department.Laryngoscope investigative otolaryngology · 2021Article
- Identification and validation of objective triggers for initiation of resuscitation management of acutely ill non-trauma patients: the INITIATE IRON MAN study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2021Article
- Managing the difficult airway: A survey of doctors with different seniority in China.Medicine · 2021Article
- [Nontraumatic resuscitation room management of critically ill patients].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2021Review
- Aspiration Pneumonia after Rapid Sequence Intubation: A Diagnostic Dilemma!Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2021Article
- First-attempt intubation success and complications in patients with COVID-19 undergoing emergency intubation.Journal of the American College of Emergency Physicians open · 2020Article
- Increased First Pass Success with C-MAC Videolaryngoscopy in Prehospital Endotracheal Intubation-A Randomized Controlled Trial.Journal of clinical medicine · 2020Article
- Impact of Quantitative Feedback via High-Fidelity Airway Management Training on Success Rate in Endotracheal Intubation in Undergraduate Medical Students-A Prospective Single-Center Study.Journal of clinical medicine · 2019Article
- Evaluation of endotracheal intubations in the emergency department of a tertiary care facility.Turkish journal of emergency medicineArticle
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEmergency airway management (AM) is a major key for successful resuscitation of critically ill non-traumatic (CINT) patients. Details of the AM of these patients in German emergency departments (ED) are unknown. This observational study describes epidemiology, airway techniques, success rates and complications of AM in CINT ED patients in the resuscitation room (RR).
methodsData was collected prospectively on adult CINT patients admitted to the RR of a single German university ED September 2014 to August 2015. Patient characteristics, out-of-hospital and in-hospital RR AM, complications and success rates were recorded using a self-developed airway registry form.
resultsDuring the study period 34,303 patients were admitted to the ED, out of those 21,074 patients for non-trauma emergencies. Suffering from severe acute life-threatening problems, 532 CINT patients were admitted to the RR. 150 (28.2%) CINT patients had received out-of-hospital AM. In 16 of these cases (10.7%) the inserted airway needed to be changed after RR admission (unrecognized oesophageal intubation: n = 2, laryngeal tube exchange: n = 14). 136 (25.6%) CINT patients without out-of-hospital AM received RR AM immediately after admission. The first-pass and overall success rate in the RR were 71 and 100%, respectively, and multiple intubation attempts were necessary in 29%. A lower Cormack/Lehane (C/L) grade was associated with less intubation attempts (C/L1/2 vs. 3/4: 1.2 ± 0.5 vs. 1.8 ± 1.2, p = 0.0002). Complication rate was 43%.
conclusionsOcEAN demonstrates the challenges of AM in CINT patients in a German ED RR. We propose a nation-wide ED airway registry to better track outcomes in the future.
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Registered trials
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.