2018 Airway Article of the Year Announced
Airway Management Education Center, the creators of The Difficult Airway Course™, hosted the seventh annual “Airway Article of the Year” award show as a live webinar on January 10, 2019. Webinar host, Calvin Brown III, MD presented four articles as finalists. The nominees were selected from among all the articles covered during the Airway Management Research Update webinars held in 2018. The content and merits of each article were presented and the winner was chosen by a vote of the on-line audience during the show. The recorded show is available at www.airwayworld.com/webinars and as a podcast on iTunes.
The 2018 Nominees
The nominees for this honor were:
• Siddiqui, N et al. Ultrasound is Superior to Palpation in Identifying the Cricothyroid Membrane in Subjects with Poorly Defined Neck Landmarks. Anesthesiology. 2018 Dec;129(6):1132-1139.
• Jarvis, J et al. Implementation of a Clinical Bundle to Reduce Out-of-Hospital Peri-Intubation Hypoxia. Ann Emerg Med 2018 Sep;72(3):272-279.e1.
• Driver, B et al. Effect of Use of a Bougie vs Endotracheal Tube and Stylet on First-Attempt Intubation Success Among Patients with Difficult Airways Undergoing Emergency Intubation: A Randomized Clinical Trial. JAMA. 2018;319(21):2179-2189.
• April, M et al. Emergency Department Intubation Success with Succinylcholine Versus Rocuronium: A National Emergency Airway Registry Study. Ann Emerg Med. 2018 Dec;72(6):645-653.
The 2018 Winner
The winner of the “Airway Article of the Year” is Effect of Use of a Bougie vs Endotracheal Tube and Stylet on First-Attempt Intubation Success Among Patients with Difficult Airways Undergoing Emergency Intubation: A Randomized Clinical Trial by Brian Driver MD, Matthew Prekker MD, Lauren Klein MD, Robert Reardon MD, James Miner MD, Erik Fagerstrom BA, Mitchell Cleghorn BS, John McGill MD and Jon Cole MD.
In Driver’s study, researchers studied the difference in first-attempt success rate in emergency department intubations when using a bougie vs using an endotracheal tube and stylet. The randomized trial included 757 adult patients admitted to the emergency department at Hennepin County Medical Center in Minneapolis, Minnesota. These patients were intubated using a Macintosh laryngoscope blade and randomly assigned to undergo intubation using a bougie or endotracheal tube and stylet.
The study concluded that using a bougie along with a CMAC video laryngoscope resulted in significantly higher first-attempt intubation success. Patients saw a higher first-attempt intubation success rate when the bougie was used, with the greatest increase seen in those patients with a minimum of 1 difficult airway characteristic (96%) versus the endotracheal tube and stylet group (82%).
According to Dr. Brown, “I felt going into the awards show this was a strong candidate for Article of the Year. If you base your practice on the evidence, randomized controlled trials are the gold standard – and very hard to complete in emergency medicine, especially studying a procedure which, by nature, is being performed on compromised patients. Not only were the results robust but the community consent process was remarkable.” “This study could be practice changing,” Dr. Brown continued “since most emergency physicians do not use a bougie routinely on the first attempt.”
The audience agreed, and for the second year in a row selected Dr. Driver for this honor. Congratulations to Dr. Driver and his team!
The “Airway Article of the Year” award show and Quarterly Airway Management Research Update webinars can be viewed on Airway World at www.airwayworld.com/webinars. Both are also available as podcasts on Airway World or in the iTunes Store (Airway World Podcasts). Questions about Airway World or the Quarterly Airway Management Research Updates can be sent to Terry T. Steele at [email protected].
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