One year ago we launched intubateCOVID and today we close our database to new data submissions. Thank you for all your hard work these past 12 months! With your help, we published a number of papers and letters, and there is another accepted manuscript due to be published soon!

Next up in our speaker line up for #GAMC2024 is @adamspink. He is an air traffic controller at Heathrow and also works in their operations department, introducing new equipment + conducting safety analyses. #HumanFactors #TeamResourceManagement Register👉 https://t.co/wUOn2bo9C1

We are indebted to the frontline workers around the world who faced down their fears during the pandemic and stepped up delivering vital interventions to care for COVID-19 patients in respiratory failure.

Huge thanks to @doctimcook for this thoughtful editorial & kind words on @IntubateCovid “…perhaps above all of this, the intubateCOVID study shows what we can do together.” I agree with you. @elboghdadly @dannyjnwong @dr_imranahmad

"Emergency Airway Management in Patients with COVID-19: A Prospective International Multicenter Cohort Study" our 2nd full paper is available free & open access 🔓: https://t.co/j1VFOf7UUg Analysis code: https://t.co/eJfxNOhL3G #FOAMmed #FOAMed #rstats #openaccess #OpenScience

We have now closed and archived our registry. Thank you all for taking part. There will be future opportunities to work together. Alone we can only achieve so much, but together we can overcome all obstacles!

@IntubateCovid @_Anesthesiology @elboghdadly @c_johnstone1980 @neumanmd @dr_imranahmad @GSTTanaesthesia @GSTTresearch @dasairway The code for the analysis can be found here: https://t.co/fhyPnU9YtQ

Thank you to the thousands of frontline clinicians looking after COVID-19 patients across the world who took part and submitted data to our registry. As we enter into the 3rd and 4th waves of this pandemic, we hope our data proves useful in caring for these high risk patients.

While we previously reported the risks to intubators of COVID-19 transmission in the days and weeks following performing the procedure, this time we report the risks to the patient for tracheal intubation failure and success. These must be considered when managing COVID-19.

Intubations performed in low- or middle-income countries were less likely to be successful at first attempt than in high-income countries (odds ratio, 0.57 [95% CI, 0.41 to 0.79]; P = 0.001).

Successful first attempt was more likely when performed by operators with more COVID-19 intubations recorded (odds ratio, 1.03 for each additional previous intubation [95% CI, 1.01 to 1.06]; P = 0.015).

Failed intubation (defined as emergency surgical airway, four or more attempts, or a supraglottic airway as the final device according to DAS guidelines) occurred in approximately 1 of 120 episodes (36 of 4,476).

Successful first-attempt tracheal intubation was achieved in 4,017/4,476 (89.7%) episodes, while 23 of 4,476 (0.5%) episodes required four or more attempts. Ten emergency surgical airways were reported—an approximate incidence of 1 in 450 (10 of 4,476).

For this paper we included 4,476 episodes of emergency tracheal intubation performed by 1,722 clinicians from 607 institutions across 32 countries in patients with suspected or confirmed COVID-19 requiring mechanical ventilation.

We have published our 2nd peer-reviewed full research article this week in @_Anesthesiology examining the success and failure of emergency tracheal intubations in patients with COVID-19. The uncorrected proof is now available at: https://t.co/MqSyTVjsjz

@IntubateCovid @dr_imranahmad @c_johnstone1980 @neumanmd @dannyjnwong 🚨This study was an impressive demonstration of teamwork from the core team/national leads/every participant. Humbled to have been able to work with so many incredible colleagues internationally. @dannyjnwong @dr_imranahmad @c_johnstone1980 @neumanmd 🙏

Thank you all for participating and without your help during these past months, we would never have been able to achieve so much! It has been such a great international collaboration!

We still have a manuscript that has been accepted for publication and is currently in process which we hope will shed more insights on the risks of intubation to patients with COVID-19, which will add to the literature around airway management in this high-risk patient group.

While our Canadian collaborators also wrote about their experience of this in their country based on the data submitted by their participants in @CJA_Journal: https://t.co/Rw3YnegZgE

Our collaborators in the USA published more on the trends of PPE use in their country using the data from our platform in @BJAJournals: https://t.co/KhiX0NNGE6

And raised the issue about risks to healthcare providers looking after COVID-19 patients: https://t.co/AdodWFe4vf