Evidence map›Paper›PMID 41957629›Full record

ArticleTrials2026

Community consultation and public disclosure for the Randomized Trial of Sedative Choice for Intubation.

Ariel A Lewis, Tiffany L Israel, Kevin P Seitz, Brian E Driver, Kevin W Gibbs, Adit A Ginde, Stacy A Trent, Derek W Russell, Matthew E Prekker, Aaron E Robinson and 18 more

Registry-linked trialAbstract read
In one paragraph

Article in Trials, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05277896 (The Randomized Trial of Sedative Choice for Intubation), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

NCT05277896 phase4completednot on this map

The Randomized Trial of Sedative Choice for Intubation

TypeinterventionalSponsorVanderbilt University Medical CenterRan2022 to 2025Enrolled2,367ConditionsAcute Respiratory FailureArmsKetamine, Etomidate
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

28 authors.

Ariel A LewisVanderbilt Institute for Clinical and Translational Research, Vanderbilt University Medical Center, Nashville, TN, USA.ORCID http://orcid.org/0009-0002-9555-6337
Tiffany L IsraelDepartment of Emergency Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Kevin P SeitzDivision of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Brian E DriverDepartment of Emergency Medicine, Hennepin County Medical Center, Minneapolis, MN, USA.
Kevin W GibbsDepartment of Medicine, Section of Pulmonary, Critical Care, Allergy and Immunologic Disease, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Adit A GindeDepartment of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO, USA.
Stacy A TrentDepartment of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO, USA.
Derek W RussellDepartment of Medicine, Division of Pulmonary, Allergy and Critical Care Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Matthew E PrekkerDepartment of Emergency Medicine, Hennepin County Medical Center, Minneapolis, MN, USA.
Aaron E RobinsonDepartment of Emergency Medicine, Hennepin County Medical Center, Minneapolis, MN, USA.
Jessica A PalakshappaDepartment of Medicine, Section of Pulmonary, Critical Care, Allergy and Immunologic Disease, Wake Forest School of Medicine, Winston-Salem, NC, USA.
John P GaillardDepartment of Anesthesiology-Critical Care, Wake Forest School of Medicine, Winston-Salem, NC, USA.
L Jane StewartDepartment of Anesthesiology, University of Colorado School of Medicine, Aurora, CO, USA.
Logan L BeachDepartment of Emergency Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Bradley D LloydVanderbilt Institute for Clinical and Translational Research, Vanderbilt University Medical Center, Nashville, TN, USA.
Stephanie C DeMasiDepartment of Emergency Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Margaret A HaysDivision of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Cori WithersDepartment of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO, USA.
Amy E SullivanDepartment of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO, USA.
Carolynn LyleDepartment of Emergency Medicine, Denver Health Medical Center, Denver, CO, USA.
Micah R WhitsonDepartment of Medicine, Division of Pulmonary, Allergy and Critical Care Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Barbara Gould, Denver, CO, USA.
Todd W RiceVanderbilt Institute for Clinical and Translational Research, Vanderbilt University Medical Center, Nashville, TN, USA.
Wesley H SelfVanderbilt Institute for Clinical and Translational Research, Vanderbilt University Medical Center, Nashville, TN, USA.
Jin H HanDepartment of Emergency Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Matthew W Semler *Vanderbilt Institute for Clinical and Translational Research, Vanderbilt University Medical Center, Nashville, TN, USA.
Jonathan D Casey *Vanderbilt Institute for Clinical and Translational Research, Vanderbilt University Medical Center, Nashville, TN, USA. jonathan.d.casey@vumc.org.
RSI investigators and the Pragmatic Critical Care Research Group

Funding

Bag-Mask Ventilation to PreVent Hypoxemia during Tracheal Intubation in the Emergency Department: A Clinical TrialK23HL153584 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI CASEY, JONATHAN DALE · 2020 to 2024
$900k
Intubation with Sedation Only to Prevent Hypoxemia during Emergency Tracheal Intubation of Critically Ill Adults: A Randomized Clinical TrialK23HL181100 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Stephanie Currin DeMasi · 2025 to 2026
$370k
Mode of Ventilation During Critical Illness at Multiple Centers: a Pragmatic Clinical TrialK23HL175246 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Kevin P Seitz · 2025 to 2026
$370k
NHLBI NIH HHS K23HL153584NHLBI NIH HHS K23 HL175246NHLBI NIH HHS K23 HL181100Patient-Centered Outcomes Research Institute BPS-2022C3-30021
6 · The paper itself

Abstract

backgroundRandomized trials evaluating emergency treatments may be conducted with Exception from Informed Consent (EFIC) when informed consent is infeasible. In EFIC trials, a period of community consultation and public disclosure precedes initiation of enrollment. The Randomized Trial of Sedative Choice for Intubation (RSI) was a 2,365-patient randomized trial conducted with EFIC in 14 emergency departments and intensive care units across the United States. This manuscript reports the approach to community consultation and public disclosure in the RSI trial.

methodsCommunity consultation and public disclosure were conducted locally in each region of enrolling sites. The coordinating center provided sites with templates and access to an engagement coordinator to assist with developing and executing site plans.

resultsCommunity consultation and public disclosure occurred at the coordinating center from February 2021-January 2022 and in the regions of the five additional enrolling sites from September 2023-June 2024. Community consultation included in-person surveys with 789 patients or family members in emergency department or intensive care unit waiting rooms and invitation of more than 200 local groups to town halls or Community Engagement Studios. Public disclosure included (i) social media advertisements viewed more than 1.2 million times, (ii) a trial website with more than 16,000 unique visitors, (iii) informational flyers in hospitals and public settings, and (iv) featured information in traditional media. Completing local community consultation and public disclosure required an average of 139 h of research personnel time and approximately $18,822 at each site, in addition to coordinating center effort and costs.

conclusionsPre-trial community consultation activities in the RSI trial engaged over 1,000 patients, families, and community members and public disclosure reached over 1.2 million community members. While the total cost and duration of activities at sites were substantially lower than reported in prior EFIC trials, these costs remained significant.

trial registrationClinicalTrials.gov; No.: NCT05277896; URL: www. CLINICALTRIALS: gov.

Indexed as

DisclosureHypnotics and SedativesInformed ConsentIntubation, IntratrachealReferral and ConsultationEmergency Service, HospitalHumansIntensive Care UnitsMulticenter Studies as TopicRandomized Controlled Trials as TopicUnited StatesHypnotics and Sedatives

Identifiers

PMID41957629
PMCPMC13173721

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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.