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ED intubation success high with videolaryngoscopy

Endotracheal intubation practices, success rates and adverse events in four Dutch emergency departments: a multicentre retrospective study
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine · Added 25 August 2026

Retrospective study of 1,250 ED intubations showed 93.8% first-pass success with videolaryngoscopy as primary technique, with hypotension and desaturation as most common adverse events.

Study type

Cohort

Design

Multicentre retrospective cohort at four Dutch teaching hospital EDs

Participants

1,250 intubations in four EDs, 2019–2023

Main finding

First-pass success 93.8%; videolaryngoscopy primary in 89.5%; adverse events in 14.5% (hypotension 6.5%, desaturation 4.7%); increasing age (OR 1.07/yr) and cardiac indication (OR 3.50) associated with hypotension; higher BMI (OR 1.08/point), younger age and multiple attempts (OR 2.9) with desaturation

Caveat

Retrospective design using registrations and codes; ED-based, not prehospital

Bottom line

Context only

Learning goal

Refine my first-pass intubation technique and recognise which patients are at risk of desaturation or hypotension.

More

• Topic: Airway & ventilation
• Daily scan: 25 August 2026

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