Factors associated with first pass success rate during intubation in the emergency department: a  systematic review

Ahmad Saad Alomari; Mohammed Abdullah Alghamdi; Raghad Abdullah Alshehri; Abdulrahman Hassan Shuraym; Sara Khalid Habib; Malak Khalid Alsugayer; Kholod Khalid Alsharari; Abdulwahab Abdulaziz Alhussain; Shatha Abdullah Almuyidi; Fatimah Abdulrahman Alhammad

doi:10.24911/IJMDC.51-1700547974

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Online Publishing Date:
13 / 12 / 2023

IJMDC. 2024; 8(1): 410-414

doi: 10.24911/IJMDC.51-1700547974

Factors associated with first pass success rate during intubation in the emergency department: a systematic review

Ahmad Saad Alomari, Mohammed Abdullah Alghamdi, Raghad Abdullah Alshehri, Abdulrahman Hassan Shuraym, Sara Khalid Habib, Malak Khalid Alsugayer, Kholod Khalid Alsharari, Abdulwahab Abdulaziz Alhussain, Shatha Abdullah Almuyidi, Fatimah Abdulrahman Alhammad.

Abstract
Many emergency departments are now evaluating the quality of airway management, with the first-pass success rate being a widely used indicator of competence that has been linked to adverse event rates. The present study aimed to quantify adverse events related to endotracheal intubation in emergency departments, focusing on the first-pass success rate.We conducted a thorough search of MEDLINE, EMBASE, and PubMed using keywords such as "multiple intubation attempts," "intubation," "first-pass success," and "learning curve" to identify relevant research. Our search was further expanded to include references from the identified articles. We collected and assessed citations spanning a twenty-year period from 2000 to 2020, involving emergency airway management by both prehospital and in-hospital clinicians.Eight articles were included in the final review. Among them, three trials evaluated the impact of the number of intubation attempts on the complication rate, yielding odds ratios of 6.7 (n = 2284), 4.7 (n = 1903), and 4.5 (n = 2616). Multiple intubation attempts were found to increase the risk of complications, a finding supported by a 2004 analysis of 2833 airway management incidents. In this analysis, more than one intubation attempt was associated with a fivefold increase in the overall complication rate.First-pass success rates varied between 71% and 87.5% for prehospital physicians and between 60% and 97% for in-hospital physicians. Achieving first-pass success was shown to reduce problems and increase the likelihood of sufficient oxygenation. Conversely, multiple intubation attempts were correlated with a higher rate of unfavorable outcomes.

Key words: First pass success, emergency department, intubation

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Pubmed Style

Alomari AS, Alghamdi MA, Alshehri RA, Shuraym AH, Habib SK, Alsugayer MK, Alsharari KK, Alhussain AA, Almuyidi SA, Alhammad FA. Factors associated with first pass success rate during intubation in the emergency department: a systematic review. IJMDC. 2024; 8(1): 410-414. doi:10.24911/IJMDC.51-1700547974

Web Style

Alomari AS, Alghamdi MA, Alshehri RA, Shuraym AH, Habib SK, Alsugayer MK, Alsharari KK, Alhussain AA, Almuyidi SA, Alhammad FA. Factors associated with first pass success rate during intubation in the emergency department: a systematic review. https://www.ijmdc.com/?mno=178206 [Access: March 26, 2024]. doi:10.24911/IJMDC.51-1700547974

AMA (American Medical Association) Style

Alomari AS, Alghamdi MA, Alshehri RA, Shuraym AH, Habib SK, Alsugayer MK, Alsharari KK, Alhussain AA, Almuyidi SA, Alhammad FA. Factors associated with first pass success rate during intubation in the emergency department: a systematic review. IJMDC. 2024; 8(1): 410-414. doi:10.24911/IJMDC.51-1700547974

Vancouver/ICMJE Style

Alomari AS, Alghamdi MA, Alshehri RA, Shuraym AH, Habib SK, Alsugayer MK, Alsharari KK, Alhussain AA, Almuyidi SA, Alhammad FA. Factors associated with first pass success rate during intubation in the emergency department: a systematic review. IJMDC. (2024), [cited March 26, 2024]; 8(1): 410-414. doi:10.24911/IJMDC.51-1700547974

Harvard Style

Alomari, A. S., Alghamdi, . M. A., Alshehri, . R. A., Shuraym, . A. H., Habib, . S. K., Alsugayer, . M. K., Alsharari, . K. K., Alhussain, . A. A., Almuyidi, . S. A. & Alhammad, . F. A. (2024) Factors associated with first pass success rate during intubation in the emergency department: a systematic review. IJMDC, 8 (1), 410-414. doi:10.24911/IJMDC.51-1700547974

Turabian Style

Alomari, Ahmad Saad, Mohammed Abdullah Alghamdi, Raghad Abdullah Alshehri, Abdulrahman Hassan Shuraym, Sara Khalid Habib, Malak Khalid Alsugayer, Kholod Khalid Alsharari, Abdulwahab Abdulaziz Alhussain, Shatha Abdullah Almuyidi, and Fatimah Abdulrahman Alhammad. 2024. Factors associated with first pass success rate during intubation in the emergency department: a systematic review. International Journal of Medicine in Developing Countries, 8 (1), 410-414. doi:10.24911/IJMDC.51-1700547974

Chicago Style

Alomari, Ahmad Saad, Mohammed Abdullah Alghamdi, Raghad Abdullah Alshehri, Abdulrahman Hassan Shuraym, Sara Khalid Habib, Malak Khalid Alsugayer, Kholod Khalid Alsharari, Abdulwahab Abdulaziz Alhussain, Shatha Abdullah Almuyidi, and Fatimah Abdulrahman Alhammad. "Factors associated with first pass success rate during intubation in the emergency department: a systematic review." International Journal of Medicine in Developing Countries 8 (2024), 410-414. doi:10.24911/IJMDC.51-1700547974

MLA (The Modern Language Association) Style

Alomari, Ahmad Saad, Mohammed Abdullah Alghamdi, Raghad Abdullah Alshehri, Abdulrahman Hassan Shuraym, Sara Khalid Habib, Malak Khalid Alsugayer, Kholod Khalid Alsharari, Abdulwahab Abdulaziz Alhussain, Shatha Abdullah Almuyidi, and Fatimah Abdulrahman Alhammad. "Factors associated with first pass success rate during intubation in the emergency department: a systematic review." International Journal of Medicine in Developing Countries 8.1 (2024), 410-414. Print. doi:10.24911/IJMDC.51-1700547974

APA (American Psychological Association) Style

Alomari, A. S., Alghamdi, . M. A., Alshehri, . R. A., Shuraym, . A. H., Habib, . S. K., Alsugayer, . M. K., Alsharari, . K. K., Alhussain, . A. A., Almuyidi, . S. A. & Alhammad, . F. A. (2024) Factors associated with first pass success rate during intubation in the emergency department: a systematic review. International Journal of Medicine in Developing Countries, 8 (1), 410-414. doi:10.24911/IJMDC.51-1700547974

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