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Similar Publications

A two-person verbal check to confirm tracheal intubation: evaluation of practice changes to prevent unrecognised oesophageal intubation.

Br J Anaesth

December 2024

Department of Anaesthesia and Intensive Care Medicine, Royal United Hospitals NHS Foundation Trust, Bath, UK; School of Medicine, University of Bristol, Bristol, UK. Electronic address:

Article Synopsis
  • Despite national efforts to highlight the importance of capnography for confirming tracheal intubation, deaths from unrecognized esophageal intubation persist, prompting the adoption of a two-person verbal check during the intubation process.
  • In a study across two hospitals, one implemented a one-step check and the other a two-step check, collecting feedback from anaesthetists and assistants via anonymous questionnaires throughout the process.
  • The majority of participants felt that the two-person checks enhanced communication and teamwork, with high support for continued use; 82% of intubators and 94% of assistants intended to use this method for future intubations.
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