A call for collaboration and consensus on training for endotracheal intubation in the medical intensive care unit

Crit Care. 2020 Oct 22;24(1):621. doi: 10.1186/s13054-020-03317-3.


Endotracheal intubation (EI) is a potentially lifesaving but high-risk procedure in critically ill patients. While the ACGME mandates that trainees in pulmonary and critical care medicine (PCCM) achieve competence in this procedure, there is wide variation in EI training across the USA. One study suggests that 40% of the US PCCM trainees feel they would not be proficient in EI upon graduation. This article presents a review of the EI training literature; the recommendations of a national group of PCCM, anesthesiology, emergency medicine, and pediatric experts; and a call for further research, collaboration, and consensus guidelines.

Keywords: Anesthesiology; Consensus; Critical care; Critical illness; Education; Education, medical, graduate; Emergency medicine; Guideline; Intubation, intratracheal; Laryngoscopy; Learning curve; Manikins; Teaching.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Cooperative Behavior*
  • Education, Medical, Continuing / methods*
  • Humans
  • Intensive Care Units / organization & administration
  • Intensive Care Units / trends
  • Intubation, Intratracheal / methods*
  • Intubation, Intratracheal / trends