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Advanced statistics emulating clinical trial protocols from an ICU database did not identify consistent differences in 30-day mortality when ICU patients were intubated early (within 8 hours of admission) or late (after 48 hours).

Source
Emulating Target Trials Comparing Early and Delayed Intubation Strategies. Chest. 2023 Oct;164(4):885-891. doi: 10.1016/j.chest.2023.04.048. Epub 2023 May 5.

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Positioning, preoxygenation, medication selection, and other questions surrounding emergent rapid sequence intubation (RSI) are addressed by an expert panel.

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Using intubation videos, this group identified 13 key performance errors that occur during laryngoscopy. Read more to see what the proceduralists did wrong.

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Formula-based calculations for ETT depth in pediatric patients are based on a linear curve, despite children’s growth not being linear or uniform. Looking at age, height, and weight, these authors provide ETT depth recommendations based on calculated best-fit curves.

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Recommendations for endotracheal tube insertion depths in children. Emerg Med J. 2023. Aug;40(8):583-587. Doi: 10.1136/emermed-2022-212494.

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There is no association between the weight-based drug dose of etomidate or ketamine and post-intubation hypotension.

Source
Sedative Dose for Rapid Sequence Intubation and Postintubation Hypotension: Is There an Association? Ann Emerg Med. 2023 Jun 30;S0196-0644(23)00379-7. doi: 10.1016/j.annemergmed.2023.05.014. Online ahead of print.

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Emergency intubation in children has similar procedural success rates when directly or indirectly lifting the epiglottis. When indirectly lifting the epiglottis, engagement of the median glossoepiglottic fold is associated with better visualization and success.

Source
The Importance of Median Glossoepiglottic Fold Engagement on Laryngeal View and Tracheal Intubation Success in Children. Ann Emerg Med. 2023 Jun;81(6):658-666. doi: 10.1016/j.annemergmed.2022.12.027. Epub 2023 Feb 15.

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Video laryngoscopy (VL) was associated with higher rates of first attempt intubation success compared to direct laryngoscopy (DL) for critically ill patients in the ICU and ED. Furthermore, use of VL was associated with better views of the glottis and was especially helpful for clinicians with less intubation experience.

Source
Video versus Direct Laryngoscopy for Tracheal Intubation of Critically Ill Adults [published online ahead of print, 2023 Jun 16]. N Engl J Med. 2023;10.1056/NEJMoa2301601. doi:10.1056/NEJMoa2301601

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These authors propose that the definition of a successful first attempt during intubation should be placement of an endotracheal tube (ETT) in the trachea after a single insertion of a laryngoscope followed by a single ETT insertion.

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Defining successful intubation on the first attempt using both laryngoscope and endotracheal tube insertions: a secondary analysis of clinical trial data.  Ann Emerg Med. 2023 Apr 17;S0196-0644(23)00213-5.

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Implementation of video laryngoscope (VL) assisted coaching for intubation in the pediatric intensive care unit (PICU) was associated with reduced intubation-associated adverse events.

Source
Implementation of Video Laryngoscope Assisted Coaching Reduces Adverse Tracheal Intubation Associated Events in the PICU. Crit Care Med. 2023 Mar 27. doi: 10.1097/CCM.0000000000005847. Online ahead of print.

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A post hoc analysis of two RCTs found greater adjusted odds of a favorable glottic view and first-attempt success (with suboptimal view) when using video laryngoscopy (VL) vs. direct laryngoscopy (DL).

Source
Laryngoscopy and Tracheal Intubation: Does Use of a Video Laryngoscope Facilitate Both Steps of the Procedure? Ann Emerg Med. 2023 Apr 5;S0196-0644(23)00126-9. doi: 10.1016/j.annemergmed.2023.02.016. Online ahead of print.