Evidence map›Paper›PMID 34674835›Full record

ArticleBritish journal of anaesthesia2022

Establishing quality indicators for pre-hospital advanced airway management: a modified nominal group technique consensus process.

Alexandre Kottmann, Andreas J Krüger, Geir A Sunde, Jo Røislien, John-Kenneth Heltne, Pierre-Nicolas Carron, David Lockey, Stephen J M Sollid

Abstract readConsensus Statement
PubMed Full text at PMC Publisher
In one paragraph

Article in British journal of anaesthesia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

22 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Observational
  5. Observational
  6. Article
  7. Article
  8. Observational
  9. Observational
  10. Non-invasive ventilation for preoxygenation during prehospital anaesthesia - a prospective observational study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025
    Observational
  11. Article
  12. Article
  13. The process of rapid sequence intubation in the prehospital setting: A scoping review.The Southern African journal of critical care : the official journal of the Critical Care Society · 2025
    Review
  14. Article
  15. Article
  16. Observational
  17. Article
  18. Article
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  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

8 authors.

Alexandre KottmannNorwegian Air Ambulance Foundation, Research and Development Department, Oslo, Norway; Lausanne University Hospital, Emergency Department, Lausanne, Switzerland; University of Stavanger, Faculty of Health Sciences, Department of Quality and Health Technology, Stavanger, Norway; Rega - Swiss Air Ambulance, Zürich, Switzerland. Electronic address: alex.kottmann@norskluftambulanse.no.
Andreas J KrügerNorwegian Air Ambulance Foundation, Research and Development Department, Oslo, Norway; St. Olav University Hospital, Department of Emergency Medicine and Pre-Hospital Services, Trondheim, Norway; Norwegian University of Science and Technology, Institute of Circulation and Medical Imaging, Trondheim, Norway.
Geir A SundeNorwegian Air Ambulance Foundation, Research and Development Department, Oslo, Norway; Haukeland University Hospital, Department of Anaesthesia and Intensive Care, Bergen, Norway; Helicopter Emergency Service, Bergen, Norway.
Jo RøislienNorwegian Air Ambulance Foundation, Research and Development Department, Oslo, Norway; University of Stavanger, Faculty of Health Sciences, Department of Quality and Health Technology, Stavanger, Norway.
John-Kenneth HeltneHaukeland University Hospital, Department of Anaesthesia and Intensive Care, Bergen, Norway; Helicopter Emergency Service, Bergen, Norway; University of Bergen, Department of Clinical Medicine, Bergen, Norway.
Pierre-Nicolas CarronLausanne University Hospital, Emergency Department, Lausanne, Switzerland.
David LockeyEmergency Medical Retrieval and Transfer Service, Dafen, UK; Royal College of Surgeons of Edinburgh, Faculty of Pre-hospital Care, Edinburgh, UK.
Stephen J M SollidNorwegian Air Ambulance Foundation, Research and Development Department, Oslo, Norway; University of Stavanger, Faculty of Health Sciences, Department of Quality and Health Technology, Stavanger, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPre-hospital advanced airway management is a complex intervention composed of numerous steps, interactions, and variables that can be delivered to a high standard in the pre-hospital setting. Standard research methods have struggled to evaluate this complex intervention because of considerable heterogeneity in patients, providers, and techniques. In this study, we aimed to develop a set of quality indicators to evaluate pre-hospital advanced airway management.

methodsWe used a modified nominal group technique consensus process comprising three email rounds and a consensus meeting among a group of 16 international experts. The final set of quality indicators was assessed for usability according to the National Quality Forum Measure Evaluation Criteria.

resultsSeventy-seven possible quality indicators were identified through a narrative literature review with a further 49 proposed by panel experts. A final set of 17 final quality indicators composed of three structure-, nine process-, and five outcome-related indicators, was identified through the consensus process. The quality indicators cover all steps of pre-hospital advanced airway management from preoxygenation and use of rapid sequence induction to the ventilatory state of the patient at hospital delivery, prior intubation experience of provider, success rates and complications.

conclusionsWe identified a set of quality indicators for pre-hospital advanced airway management that represent a practical tool to measure, report, analyse, and monitor quality and performance of this complex intervention.

Indexed as

Airway ManagementEmergency Medical ServicesIntubation, IntratrachealQuality Indicators, Health CareHumansairway managementcritical careemergency medicineintubationpre-hospitalquality improvementquality indicator

Identifiers

PMID34674835
PMCPMC8792832

What OpenQuestion holds

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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.