ArticleJournal of the American College of Emergency Physicians open2020
Impact of bed angle and height on intubation success during simulated endotracheal intubation in the ramped position.
Article in Journal of the American College of Emergency Physicians open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 14 citations in OpenAlex.
- A comparative study of haemodynamic effects of single-blinded orotracheal intubations with intubating laryngeal mask airway, Macintosh and McGrath video laryngoscopes.Anaesthesiology intensive therapy · 2021Trial
- Applied forces during neonatal intubation with direct and video laryngoscopy at different bed elevations: a randomized crossover manikin study.European journal of pediatrics · 2025Article
- Article
- Success rates of endotracheal intubation using the standard method versus the modified-ramped position.Annals of medicine and surgery (2012) · 2023Article
- Pilot Study Examining Bed Angles and Heights During Ramped Position Intubation in the Emergency Department.Cureus · 2023Article
- Time to Renitrogenation After Maximal Denitrogenation in Healthy Volunteers in the Supine and Sitting Positions.The western journal of emergency medicine · 2022Article
- Comparison of the Glottic Views in a Head Elevated Laryngoscopy Position with the Patient in Supine or 25º Backup: An Observer-Blinded Randomised Clinical Trial.Turkish journal of anaesthesiology and reanimation · 2021Article
- Comparison of RAMP and New Modified RAMP Positioning in Laryngoscopic View During Intubation in Patients with Morbid Obesity: A Randomized Clinical Trial.Anesthesiology and pain medicine · 2021Article
- Impact of bed angle and height on intubation success during simulated endotracheal intubation in the ramped position.Journal of the American College of Emergency Physicians open · 2020Article
- Bed-up-head-elevated Position versus Supine Sniffing Position in Patients Undergoing Rapid Sequence Intubation Using Direct Laryngoscopy in the Emergency Department - A Randomized Controlled Trial.Journal of emergencies, trauma, and shockArticle
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe ramped position is often used during endotracheal intubation to improve oxygenation, improve laryngeal views, and reduce airway complications. We sought to compare the impact of ramp angle and bed height on intubation outcomes during simulated endotracheal intubation.
methodsWe enrolled emergency medicine residents and fourth-year medical students to perform simulated direct laryngoscopy and endotracheal intubation in random order with the mannequin in the following combinations of ramp angles and bed heights; ramp angles of 25° and 45° at bed heights including knee, mid-thigh, umbilicus, xiphoid, and nipple/intermammary fold. Our primary outcome was the reported percentage of glottic opening (POGO) score. Secondary outcomes included number of laryngoscopy attempts and intubation time.
resultsWe enrolled 25 participants. There was no difference in reported POGO scores at 25° between bed heights, but at 45°, the umbilicus bed height had an improved reported POGO score (20; 95% confidence interval [CI] 7-33,
conclusionThe umbilicus bed height resulted in the highest reported POGO at 45°. Nipple/inframammary fold height resulted in worse intubating conditions.
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