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Airway World Announces Winner of “Airway Article of the Year” Award

John Sakles et al’s “The importance of first pass success when performing orotracheal
intubation in the emergency department” wins best airway article of 2013.   

FARMINGTON, Connecticut.—Airway World®, the leading on-line knowledge center dedicated to airway management, hosted the second annual “Airway Article of the Year” award show as a live webinar on December 13, 2013. Calvin Brown III MD, guest hosting for Ron Walls MD, and co-presenters, Ali Raja, MD, MPH, MBA and Cheryl Lynn Horton, MD selected and presented four articles as finalists. The nominees were selected from among all of the articles covered during the Research Update webinars held in 2013. The content and merits of each article were discussed and debated by the panel and the winner was chosen by a vote of the on-line audience. The recorded show will be made available for viewing on and as a podcast on iTunes.

The 2013 Nominees

The nominees for this honor were:

  1. Hasegawa K et al. Association of prehospital advanced airway management with neurologic outcome and survival in patients with out-of-hospital cardiac arrest. JAMA 2013 Jan 16; 309:257.
  1. Sakles JC et al. The importance of first pass success when performing orotracheal intubation in the emergency department. Acad Emerg Med 2013 Jan; 20:71.
  1. Mittiga MR et al. The spectrum and frequency of critical procedures performed in a pediatric emergency department: Implications of a provider-level view. Ann Emerg Med 2013 Mar; 61:263.
  1. Gerstein NS et al. Efficacy of facemask ventilation techniques in novice providers. J Clin Anesth May 2013;25:193.

The 2013 Winner

The winner of the Airway Article of the Year is "The importance of first pass success when performing orotracheal intubation in the emergency department" by John Sakles MD, Stephen Chiu MD, Jarrod Mosier MD, Corrine Walker MD and Uwe Stolz, PhD, MPH.

In the study, the researchers reviewed data collected from 1,828 intubations performed at an academic emergency department in Arizona over 4 years to determine the association between adverse events and number of intubation attempts. They found that the incidence of adverse events increased with the number of attempts. Specifically, the incidence of adverse events went from 14% for the first attempt to 47%, 64%, and 71% for the second, third and fourth (or higher) attempts, respectively.  

According to Diane Birnbaumer, MD who reviewed this study for NEJM Journal Watch, this study underscores the “importance of maximizing the likelihood of success on the first attempt. Preoxygenation, proper patient positioning, appropriate equipment choice, and limiting the number of attempts by inexperienced trainees should be standard practice for every endotracheal intubation.”

View the Airway Article of the Year Award Show in its entirety.

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