ReviewIntensive care medicine2022
How to improve intubation in the intensive care unit. Update on knowledge and devices.
Review in Intensive care medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled 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.
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, 3 syntheses or guidelines pooled it, 70 citations in OpenAlex.
- Anesthetic induction drugs during tracheal intubation in critically ill patients: a systematic review.Journal of anesthesia · 2026Pooled it
- Risk factors for bloodstream infection in COVID-19 patients in intensive care units: a systematic review and meta-analysis.BMC infectious diseases · 2025Pooled it
- Pooled it
- The hemodynamics of tracheal intubation in critically ill patients: a narrative review.Journal of intensive care · 2026Review
- Ten tips for a safe approach in airway management.Journal of anesthesia, analgesia and critical care · 2026Review
- The Pharmacology of Physiologically Difficult Airway Management and Impact on Hemodynamics: A Review.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2026Review
- Best practices in airway management in critically ill adults.Intensive care medicine · 2025Article
- Nomogram model for predicting post-intubation cardiac arrest in the emergency department: a retrospective study.Resuscitation plus · 2025Article
- Preoxygenation in the ICU.Journal of clinical medicine · 2025Review
- Making endotracheal intubation safe in intensive care units: Impact of a bundle on the complications related to endotracheal intubation: A quasi-experimental before-after study.Indian journal of anaesthesia · 2025Article
- Videolaryngoscopy for all: A global proposal for safer airway management.Indian journal of anaesthesia · 2025Article
- The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2024.Journal of intensive care · 2025Article
- Intubation bundle: A prospective observational tertiary cancer centre study of clinical practice and adverse events of tracheal intubation out of operation theatre.Northern clinics of Istanbul · 2025Article
- An Expiration Date for Etomidate?American journal of respiratory and critical care medicine · 2024Article
- Tracheal intubation in critically ill adults with a physiologically difficult airway. An international Delphi study.Intensive care medicine · 2024Article
- Video Versus Direct Laryngoscopy for Intubation: Updated Systematic Review and Meta-Analysis.Cureus · 2024Review
- Awake Tracheal Intubation Is Associated with Fewer Adverse Events in Critical Care Patients than Anaesthetised Tracheal Intubation.Journal of clinical medicine · 2023Article
- Oxygenation thresholds for invasive ventilation in hypoxemic respiratory failure: a target trial emulation in two cohorts.Critical care (London, England) · 2023Article
- The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2024.Acute medicine & surgeryArticle
- Incidence and Risk Factors for Adverse Events During Intubation among Critically Ill Patients in Nigeria.Nigerian medical journal : journal of the Nigeria Medical AssociationReview
Corrections and comments
- Commented on by
Authors and funding
4 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Tracheal intubation in the critically ill is associated with serious complications, mainly cardiovascular collapse and severe hypoxemia. In this narrative review, we present an update of interventions aiming to decrease these complications. MACOCHA is a simple score that helps to identify patients at risk of difficult intubation in the intensive care unit (ICU). Preoxygenation combining the use of inspiratory support and positive end-expiratory pressure should remain the standard method for preoxygenation of hypoxemic patients. Apneic oxygenation using high-flow nasal oxygen may be supplemented, to prevent further hypoxemia during tracheal intubation. Face mask ventilation after rapid sequence induction may also be used to prevent hypoxemia, in selected patients without high-risk of aspiration. Hemodynamic optimization and management are essential before, during and after the intubation procedure. All these elements can be integrated in a bundle. An airway management algorithm should be adopted in each ICU and adapted to the needs, situation and expertise of each operator. Videolaryngoscopes should be used by experienced operators.
Indexed as
Identifiers
What OpenQuestion holds
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.