Evidence map›Paper›PMID 40979764›Full record

ArticleIndian journal of anaesthesia2025

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.

Payal Jain, Sagar Shanmukhappa Maddani, Sunil Ravindranath, Souvik Chaudhuri, Shwethapriya Rao, H C Deepa, Vishwas Parampalli

Abstract read
In one paragraph

Article in Indian journal of anaesthesia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

7 authors.

Payal JainDepartment of Critical Care Medicine, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.ORCID https://orcid.org/0000-0002-2704-1043
Sagar Shanmukhappa MaddaniDepartment of Critical Care Medicine, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.ORCID https://orcid.org/0000-0003-0700-0532
Sunil RavindranathDepartment of Critical Care Medicine, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.ORCID https://orcid.org/0000-0003-4022-1492
Souvik ChaudhuriDepartment of Critical Care Medicine, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.ORCID https://orcid.org/0000-0001-8392-2366
Shwethapriya RaoDepartment of Critical Care Medicine, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.ORCID https://orcid.org/0000-0002-5635-5332
H C DeepaDepartment of Pathology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.ORCID https://orcid.org/0000-0002-6420-5705
Vishwas ParampalliDepartment of Critical Care Medicine, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.ORCID https://orcid.org/0000-0002-6149-9509

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Endotracheal intubation (ETI) in the intensive care unit (ICU) carries significant risks. Peri-intubation care bundles have been shown to reduce severe complications associated with ETI, but they are not routinely implemented due to equipment, drug shortages, and changes in local policies. Therefore, we developed an intubation bundle and assessed its impact on complications. Methods: This study was carried out over 18 months with adult patients requiring ETI in the ICU. The intubation practices and complication rates were evaluated during the pre-implementation phase (Phase I). The ETI bundle was developed based on an analysis of these complications and existing guidelines, and the ICU team was trained on its application. Afterwards, complications during ETI were documented in the post-implementation phase to evaluate the impact of the intubation bundle (Phase II). Results: The number of patients with major complications decreased significantly after the introduction of the bundle (45% vs 29%, Conclusion: Our study demonstrates that implementing an intubation bundle in ICU settings makes ETI practices safer by decreasing the incidence of life-threatening complications.

Indexed as

Airway evaluationairway managementendotracheal intubationhaemodynamic instabilityintensive care unitintubation bundleintubation complicationsMACOCHA score

Identifiers

PMID40979764
PMCPMC12445757

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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.