Sergio Gomes retweetledi

Does first-pass success matter as an intubation outcome metric?
This study by April et al says yes.
Summary: When compared to FPS, every additional intubation attempt confers increased odds of a major adverse event.
2 attempts = aOR 4.3
3 attempts = aOR 7.4
4 attempts = aOR 13.9
5+ attempts = aOR 9.3
-Major events defined as esophageal intubation, bradycardia, cardiac arrest, hypotension, hypoxia, laryngospasm, pneumothorax, tachydysrhythmia
-15,079 patients analyzed
-89% FPS, 8% 2nd attempt, 2% 3rd attempt, <1% 4th attempt, <1% 5th attempt
sciencedirect.com/science/articl…
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