Impact of an Anesthesiology Rotation on Subsequent Endotracheal Intubation Success

Abstract

Abstract Background Endotracheal intubation (ETI) is an essential skill that emergency medicine residents learn throughout their training. Objective To evaluate the effect of implementing a postgraduate year (PGY)-1 anesthesiology rotation on ETI success in the emergency department during PGY-2. Methods Residents in the study group completed a 4-week PGY-1 anesthesiology rotation. During the first 6 months of PGY-2, we compared ETI performance of the study group with a control group who did not experience a PGY-1 anesthesiology rotation. Data recorded included date, level of training, first- and second-attempt success, rescue devices used, major adverse events, and intubation scenario. A Pearson χ2 test was used to compare first-attempt success, overall success (≤2 attempts), and adverse events rates between the 2 groups. Results Overall success rate for the study groups was 95.7% (111 of 116), compared with 94.5% (137 of 145) for the controls (P  =  66). First-attempt success for the study group was 78.4...