Evidence map›Paper›PMID 40692385›Full record

Observational studyActa anaesthesiologica Scandinavica2025

Impact of Checklist Implementation on Endotracheal Intubation-Related Complications in Critically Ill Adults-A Retrospective Before and After Study.

Atosa Nejatian, Ida-Maria Forsberg, Ulrika Thorö, Albin Sjöblom, Jessica Kåhlin

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Acta anaesthesiologica Scandinavica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06791317 (Does Checklist Utilisation Decrease Complications Related to Intubation of the Critically Ill Adult? - a Two-phase Retrospective Study), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

NCT06791317 completednot on this map

Does Checklist Utilisation Decrease Complications Related to Intubation of the Critically Ill Adult? - a Two-phase Retrospective Study

Typeobservational_patient_registrySponsorKarolinska University HospitalRan2025 to 2025Enrolled60ConditionsCritical Illness, Respiratory Failure, UnconsciousnessArmsChecklist
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

5 authors.

Atosa NejatianPerioperative Medicine and Intensive Care, Karolinska University Hospital, Stockholm, Sweden.ORCID 0009-0002-9386-2795
Ida-Maria ForsbergPerioperative Medicine and Intensive Care, Karolinska University Hospital, Stockholm, Sweden.
Ulrika ThoröPerioperative Medicine and Intensive Care, Karolinska University Hospital, Stockholm, Sweden.
Albin SjöblomPerioperative Medicine and Intensive Care, Karolinska University Hospital, Stockholm, Sweden.ORCID 0000-0002-5526-4498
Jessica KåhlinPerioperative Medicine and Intensive Care, Karolinska University Hospital, Stockholm, Sweden.ORCID 0000-0001-5266-5272

Funding

Region Stockholm FoUI 520341Region Stockholm FoUI-973308Vetenskapsrådet 2024-02773
6 · The paper itself

Abstract

backgroundEndotracheal intubation is a common procedure in the intensive care. However, it is associated with a high incidence of complications, primarily hypotension and hypoxia. Although guidelines advocate the use of checklists for intubation, studies on their effectiveness are limited. The aim was to investigate whether the implementation of a checklist for intubation in an intensive care unit is associated with a reduction in immediate intubation-related complications. MATERIALS AND

methodsWe conducted an observational before and after study, implementing an intubation checklist before the second period. Adult patients intubated between December 2022 and August 2024 at Karolinska University Hospital were included. Data regarding intubations were collected from a quality registry. The primary outcome was a SpO

resultsA total of 97 patients were included. There was no significant difference in the primary outcomes of SpO

conclusionsIn this study on implementing a checklist for intubation of critically ill adults, we could not demonstrate a reduction in immediate intubation-related complications. However, the use of apnoeic oxygenation increased in the checklist period, highlighting the checklist's value as a cognitive aid when preparing for this common yet perilous procedure. EDITORIAL COMMENT: This time interrupted series analysis looked at implementation of a checklist for preparing and planning intubation of ICU patients, where it is recognized that there is risk for respiratory or circulatory adverse events. The findings here from one center showed that implementation of new, detailed checklist-based preparation can affect practice, and that when advanced non-invasive positive pressure ventilatory support is routinely applied, hypoxia can be less frequent then before these were routinely implemented.

trial registrationClinicaltrials.gov identifier: (NCT06791317).

Indexed as

ChecklistCritical IllnessIntubation, IntratrachealAdultAgedCritical CareFemaleHumansHypoxiaIntensive Care UnitsMaleMiddle AgedRetrospective Studiesadultairway managementchecklistcritical carecritical illnesshypotensionhypoxiaintensive care unitintubationintubation complications

Identifiers

PMID40692385
PMCPMC12281090

What OpenQuestion holds

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LicenceCC BY
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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.