Observational studyBritish journal of anaesthesia2020
Emergency tracheal intubation in 202 patients with COVID-19 in Wuhan, China: lessons learnt and international expert recommendations.
2 registry-linked trialsOpen access · bronzeAbstract readMulticenter StudyObservational Study
In one paragraph
Observational study in British journal of anaesthesia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 185 papers, 9 of them syntheses that pooled it.
0numbers the graph read from it
0cells of the map it votes in
185citing papers in PubMed, 9 pooled it
85.9field-weighted citation impact, top 1% of its field
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.
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.
Coronavirus Associated Pneumomediastinum and Pneumothorax - COVIMIX Study
Airways Management in COVID-19 Related Respiratory Failure: a Prospective Observational Multi-center Study
Who cites it
185 citing papers in PubMed, 9 syntheses or guidelines pooled it, 363 citations in OpenAlex.
- Efficacy of simulation-based training for airway management in preparing hospitals for the COVID-19 pandemic: a systematic review.Frontiers in medicine · 2025Pooled it
- Efficacy of personal protective equipment to prevent environmental infection of COVID-19 among healthcare workers: a systematic review.Environmental health and preventive medicine · 2023Pooled it
- Barotrauma in Coronavirus Disease 2019 Patients Undergoing Invasive Mechanical Ventilation: A Systematic Literature Review.Critical care medicine · 2022Pooled it
- International alliance and AGREE-ment of 71 clinical practice guidelines on the management of critical care patients with COVID-19: a living systematic review.Journal of clinical epidemiology · 2022Pooled it
- Assessment of health equity consideration in masking/PPE policies to contain COVID-19 using PROGRESS-plus framework: a systematic review.BMC public health · 2021Pooled it
- Personal protective equipment for reducing the risk of COVID-19 infection among health care workers involved in emergency trauma surgery during the pandemic: An umbrella review.The journal of trauma and acute care surgery · 2021Pooled it
- Impact of an aerosol box on time to tracheal intubation: systematic review and meta-analysis.British journal of anaesthesia · 2021Pooled it
- Systematic review of simulated airway management whilst wearing personal protective equipment.British journal of anaesthesia · 2020Pooled it
- Use of powered air-purifying respirator (PAPR) by healthcare workers for preventing highly infectious viral diseases-a systematic review of evidence.Systematic reviews · 2020Pooled it
- A hood shield reduces postdoffing contamination during simulated COVID-19 airway management: an exploratory, simulation-based randomized study.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023Trial
- Effect of an Aerosol Box on Intubation in Simulated Emergency Department Airways: A Randomized Crossover Study.The western journal of emergency medicine · 2020Trial
- Coronavirus disease 2019 pneumonia with concomitant spontaneous pneumomediastinum, pneumothorax, and subcutaneous emphysema in a non-ventilated patient, complicated by pulmonary embolism: a case report.Journal of medical case reports · 2025Article
- Spontaneous Pneumomediastinum in a Patient With Severe COVID-19 Pneumonia: A Case Report.Clinical case reports · 2025Article
- SAFE anaesthesia for patients at risk of pulmonary aspiration: A nationwide survey.European journal of anaesthesiology and intensive care · 2025Article
- A robot-assisted tracheal intubation system based on a soft actuator?International journal of computer assisted radiology and surgery · 2024Article
- Characterizing intubation practices in response to the COVID-19 pandemic: a survey of the Canadian COVID-19 Emergency Department Rapid Response Network (CCEDRRN) sites.BMC emergency medicine · 2023Article
- Association between number of vasopressors and mortality in COVID-19 patients.American heart journal plus : cardiology research and practice · 2023Article
- ETView SL versus Macintosh Direct Laryngoscope for Endotracheal Intubation Amid Simulated COVID-19 Cardiac Arrest: A Randomized Crossover Study.Journal of clinical medicine · 2023Article
- Facilitated Intubation: Time to Re-examine an Old Technique With Its Associated Risks Mitigated by New Technology.Cureus · 2023Article
- COVID-19 and spontaneous pneumothorax: a survival analysis.Journal of cardiothoracic surgery · 2023Article
125 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
33 authors at 19 institutions in 6 countries.
Wenlong YaoDepartment of Anesthesiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Tingting WangDepartment of Anesthesiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Bailin JiangDepartment of Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, PA, USA; Department of Anesthesiology, Peking University People's Hospital, Beijing, China.
Feng GaoDepartment of Anesthesiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Li WangDepartment of Anesthesiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Hongbo ZhengDepartment of Anesthesiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Weimin XiaoDepartment of Anesthesiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Shanglong YaoDepartment of Anesthesiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Wei MeiDepartment of Anesthesiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Xiangdong ChenDepartment of Anesthesiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. Electronic address: Xiangdongchen2013@163.com.
Ailin LuoDepartment of Anesthesiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. Electronic address: alluo@tjh.tjmu.edu.cn.
Liang SunDepartment of Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, PA, USA; Department of Anesthesiology, Peking University People's Hospital, Beijing, China.
Tim CookDepartment of Anaesthesia and Intensive Care Medicine, Royal United Hospital, Bath, UK.
Elizabeth BehringerDivision of Cardiovascular Surgery and Critical Care, Kaiser Permanente Los Angeles Medical Center, Los Angeles, CA, USA.
Johannes M HuitinkAirway Management Academy, Amsterdam, the Netherlands.
David T WongDepartment of Anaesthesia, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, ON, Canada.
Meghan Lane-FallDepartment of Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, PA, USA.
Alistair F McNarryDepartment of Anaesthesia, Western General Hospital, Edinburgh, UK.
Barry McGuireDepartment of Anaesthesia, Ninewells Hospital, Dundee, UK.
Andrew HiggsDepartment of Anaesthesia and Intensive Care Medicine, Warrington and Halton Hospitals, Warrington, UK.
Amit ShahDepartment of Anesthesiology, Kailash Cancer Hospital and Research Center, Muni Seva Ashram, Goraj, India.
Anil PatelDepartment of Anaesthesiology, Royal National Throat, Nose and Ear Hospital, London, UK.
Mingzhang ZuoDepartment of Anesthesiology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, China.
Wuhua MaDepartment of Anesthesiology, First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou, China.
Zhanggang XueDepartment of Anesthesiology, Zhongshan Hospital, Fudan University, Shanghai, China.
Li-Ming ZhangDepartment of Anesthesiology and Perioperative Medicine, University of Pittsburgh Medical Center (UPMC) and University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Wenxian LiDepartment of Anesthesiology, Eye, Ear, Nose and Throat Hospital of Fudan University, Shanghai, China.
Yong WangDepartment of Anesthesiology, First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou, China.
Carin HagbergDepartment of Anesthesiology and Perioperative Medicine, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Ellen P O'SullivanDepartment of Anaesthesia and Intensive Care Medicine, St James's Hospital, Dublin, Ireland.
Lee A FleisherDepartment of Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, PA, USA.
Huafeng WeiDepartment of Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, PA, USA. Electronic address: huafeng.wei@pennmedicine.upenn.edu.
collaborators
Tongji Hospital · CNUnion Hospital · CNPeking University · CNUniversity of Pennsylvania · USFirst Affiliated Hospital of Guangzhou University of Chinese Medicine · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNEye & ENT Hospital of Fudan University · CNKaiser Permanente · USNinewells Hospital · GBRoyal National Throat Nose and Ear Hospital · GBRoyal United Hospital · GBShri Siddhivinayak Ganapati Cancer Hospital · INSt. James's Hospital · IESun Yat-sen University · CNThe University of Texas MD Anderson Cancer Center · USUniversity Health Network · CAUniversity of Pittsburgh Medical Center · USWarrington and Halton Teaching Hospitals NHS Foundation Trust · GBWestern General Hospital · GB
Funding
Mechanisms of Dantrolene Neuroprotection in Alzheimer's DiseaseR01AG061447 · NIA · UNIVERSITY OF PENNSYLVANIA · PI WEI, HUAFENG · 2019 to 2023
$2.3MNIA NIH HHS R01 AG061447
Abstract
Tracheal intubation in coronavirus disease 2019 (COVID-19) patients creates a risk to physiologically compromised patients and to attending healthcare providers. Clinical information on airway management and expert recommendations in these patients are urgently needed. By analysing a two-centre retrospective observational case series from Wuhan, China, a panel of international airway management experts discussed the results and formulated consensus recommendations for the management of tracheal intubation in COVID-19 patients. Of 202 COVID-19 patients undergoing emergency tracheal intubation, most were males (n=136; 67.3%) and aged 65 yr or more (n=128; 63.4%). Most patients (n=152; 75.2%) were hypoxaemic (Sao
Indexed as
BetacoronavirusPersonal Protective EquipmentAgedChinaCoronavirus InfectionsCOVID-19FemaleHumansHypotensionHypoxiaIntubation, IntratrachealMalePandemicsPneumonia, ViralPneumothoraxPractice Guidelines as Topicairway managementARDSconsensus recommendationsCOVID-19critical careinfection prevention and controlpneumoniarespiratory failuretracheal intubation
Identifiers
What OpenQuestion holds
Textmetadata
Read underepoch 390
Registered trials
NCT04897152ClinicalTrials.gov
NCT04909476ClinicalTrials.gov
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.