A call for collaboration and consensus on training for endotracheal intubation in the medical intensive care unit

• Type of Material: Article
• Authors: Wade Brown, Vanderbilt University; Lekshmi Santhosh, University of California San Francisco; Anna K. Brady, Oregon Health & Science University; Joshua L. Denson, Tulane University; Abesh Niroula, Emory University; Meredith E. Pugh, Vanderbilt University; Wesley H. Self, Vanderbilt University; Aaron M. Joffe, University of Washington; P. O'Neal Maynord, Monroe Carell Jr Children's Hospital; W. Graham Carlos, Indiana University
• Language: English
• Date: 2020-10-22
• Publisher: BMC
• Publication Version: Final Published Version
• Copyright Statement: © The Author(s) 2020
• License: Creative Commons Attribution 4.0 International
• Final Published Version (URL): http://dx.doi.org/10.1186/s13054-020-03317-3
• Title of Journal or Parent Work: CRITICAL CARE
• Volume: 24
• Issue: 1
• Start Page: 621
• End Page: 621
• Grant/Funding Information: Wade Brown, MD, is supported by AHRQ grant 1 T32 HS026122-01.
• Keywords: Science & Technology; Anesthesiology; DIFFICULT AIRWAY; Critical Care Medicine; Critical care; Education; LEARNING-CURVE; Guideline; Consensus; Life Sciences & Biomedicine; Manikins; Intubation; SPECIALIST; Teaching; Emergency medicine; ANESTHESIOLOGIST; ICU; EMERGENCY-MEDICINE; INTERVENTION; Critical illness; Laryngoscopy; intratracheal; Learning curve; COMPLICATIONS; graduate; LARYNGOSCOPY; medical; General & Internal Medicine; AIRWAY MANAGEMENT
• Research Categories: Health Sciences, Education; Health Sciences, Medicine and Surgery; Health Sciences, Health Care Management

Abstract

Endotracheal intubation (EI) is a potentially lifesaving but high-risk procedure in critically ill patients. While the ACGME mandates that trainees in pulmonary and critical care medicine (PCCM) achieve competence in this procedure, there is wide variation in EI training across the USA. One study suggests that 40% of the US PCCM trainees feel they would not be proficient in EI upon graduation. This article presents a review of the EI training literature; the recommendations of a national group of PCCM, anesthesiology, emergency medicine, and pediatric experts; and a call for further research, collaboration, and consensus guidelines.