Adult airway management in ICU and regular floors: A prospective study as part of a healthcare improvement initiative in a tertiary care center

Implementing a standardized multidisciplinary protocol that includes highly experienced anesthesia providers and the use of muscle relaxants resulted in a very high first-attempt intubation success rate in critically ill patients, with the persistence of a high incidence of adverse events. Our successful approach may inform other policymakers about best practices for safe intubation in high-risk patients, highlighting the need for strategies to mitigate hemodynamic and respiratory complications and encouraging them to implement airway healthcare improvement initiatives in their institutions.