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Life
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Airway Management in Emergency and Intensive Care Medicine
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Airway Management in Emergency and Intensive Care Medicine

A special issue of Life (ISSN 2075-1729). This special issue belongs to the section "Medical Research".

Deadline for manuscript submissions: 31 December 2025 | Viewed by 4694

Special Issue Editors

Dr. Prashant Nasa

E-Mail Website
Guest Editor
Integrated Critical Care Unit, New Cross Hospital, The Royal Wolverhampton NHS Trust, Wolverhampton WV10 0QP, UK
Interests: airway; mechanical ventilation; IV fluids
Prof. Dr. Tonny V. Veenith

E-Mail
Guest Editor
Intensive Care and Acute Care Medicine, University of Wolverhampton, Wolverhampton, UK
Interests: neurocritical care

Special Issue Information

Dear Colleagues,

Airway management in critically ill patients is challenging, with the risk of complications such as hypoxemia, cardiovascular collapse, or even cardiac arrest. There has been considerable interest among researchers and clinicians in the field of airway management in emergency and intensive care medicine over the last several years. We are pleased to announce a Special Issue focusing on airway management in emergency and intensive care. This Special Issue will provide a comprehensive exploration of the latest advancements, challenges, and innovative approaches in managing airway in critically ill patients.

We invite the submission of original research, reviews, case studies, and expert opinions on topics including, but not limited to, the following:

  • Advances in airway management techniques and tools in critically ill patients in various settings—prehospital, emergency care, and the ICU.
  • Challenges in managing airways in trauma, shock, and cardiac arrest.
  • Physiologically difficult airways.

Contributions from multidisciplinary teams and global perspectives are highly encouraged. Submissions will undergo a rigorous peer review process to ensure the highest quality of content.

Dr. Prashant Nasa
Prof. Dr. Tonny V. Veenith
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Life is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • airway management
  • critical care
  • laryngoscopy
  • intubation, intratracheal
  • emergency treatment

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Further information on MDPI's Special Issue policies can be found here.

Published Papers (3 papers)

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Research

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14 pages, 1948 KB  
Article
A Comparison of Four Newer Supraglottic Airway Devices for Airway Management of Entrapped Trauma Patients with Difficult Access—A Randomised, Controlled Manikin Trial
by Dawid Aleksandrowicz and Tomasz Gaszyński
Life 2025, 15(12), 1904; https://doi.org/10.3390/life15121904 - 12 Dec 2025
Abstract
Background: Airway management forms the most important component of pre-hospital trauma patients’ care. In such a setting, the definitive airways may be difficult to establish. This study aimed to evaluate four newer supraglottic airway devices in a simulated condition of an entrapped trauma [...] Read more.
Background: Airway management forms the most important component of pre-hospital trauma patients’ care. In such a setting, the definitive airways may be difficult to establish. This study aimed to evaluate four newer supraglottic airway devices in a simulated condition of an entrapped trauma patient with restricted access. Methods: An intubation manikin with a cervical collar on was placed on the driver’s seat of a passenger car, which was positioned on its left side. The access to the manikin was only allowed from the front. The insertion to successful ventilation (Tiv) time was recorded. First-pass success and the ease of use were also evaluated. Results: The AuraGain device required the shortest median Tiv at 7.5 s (Interquartile Range, IQR 4) vs. 9.5 s (IQR 11), p < 0.001. The AuraGain achieved the highest first-pass success—90%. The Baska mask was the most user-friendly, achieving a mean score of 8.6. Conclusions: The AuraGain outperformed other studied devices concerning the Tiv as well as the first-pass success. The Baska mask was the easiest to use. Full article
(This article belongs to the Special Issue Airway Management in Emergency and Intensive Care Medicine)
13 pages, 267 KB  
Article
Standardized Rapid Sequence Intubation (RSI) Improves Effectiveness and Safety in Mixed Physician and Paramedic Hungarian EMS
by Béla Burány, Péter Temesvári, Márton Radnai, Ákos Sóti, Gábor Csukly and Gábor Élő
Life 2025, 15(11), 1725; https://doi.org/10.3390/life15111725 - 7 Nov 2025
Viewed by 646
Abstract
(1) Background: Ground Emergency Medical Services in Hungary are provided by the National Ambulance Service. Paramedics, physicians, and specialists in this service are competent in performing endotracheal intubation (ETI) on patients. The aim of this study is to evaluate the impact of the [...] Read more.
(1) Background: Ground Emergency Medical Services in Hungary are provided by the National Ambulance Service. Paramedics, physicians, and specialists in this service are competent in performing endotracheal intubation (ETI) on patients. The aim of this study is to evaluate the impact of the standardized Rapid Sequence Intubation (RSI) procedure on safety and effectiveness. (2) Methods: A retrospective observational study was conducted concerning the RSI procedure. Patient documentation from a 2-year implementation period was analyzed using a dedicated Case Report Form (CRF), where both RSI and non-RSI methods were used. Our primary endpoint was Definitive Airway Sans Hypoxia and Hypotension on First Attempt (DASH-1A). Our secondary endpoints included success on the first attempt; overall success; and hypoxia, hypotension, and cardiac arrest complications. (3) Results: In total, 6399 intubation cases were studied; non-RSI was used in 3236, and RSI was applied in 3163 cases. DASH-1A was attained in a significantly higher number of cases with RSI than non-RSI (55.0 vs. 68.5%, p < 0.0001). The DASH-1A results of the RSI group were significantly better in the paramedic (54.0 vs. 68.5%, p < 0.0001) and the physician (55.0 vs. 66.7%, p = 0.0017) subgroups. In the specialist subgroup, the difference was not statistically significant (64.5 vs. 69.7%, p = 0.1514). (4) Conclusions: Standardized RSI significantly increased effectiveness and safety in the paramedic and physician subgroups. Full article
(This article belongs to the Special Issue Airway Management in Emergency and Intensive Care Medicine)

Other

Jump to: Research

11 pages, 226 KB  
Protocol
Consensus Statements on Airway Clearance Interventions in Intubated Critically Ill Patients—Protocol for a Delphi Study
by Andrea A. Esmeijer, Prashant Nasa, George Ntoumenopoulos, Denise Battaglini, Deven Juneja, Lorenzo Ball, Stephan Ehrmann, Marcus J. Schultz, Frederique Paulus and Willemke Stilma
Life 2025, 15(8), 1292; https://doi.org/10.3390/life15081292 - 14 Aug 2025
Cited by 2 | Viewed by 3452
Abstract
Intubated critically ill patients are susceptible to secretion accumulation because of compromised airway clearance. Various airway clearance interventions are employed to prevent complications arising from mucus retention. This Delphi study aims to collect global opinions in an international expert panel of ICU professionals [...] Read more.
Intubated critically ill patients are susceptible to secretion accumulation because of compromised airway clearance. Various airway clearance interventions are employed to prevent complications arising from mucus retention. This Delphi study aims to collect global opinions in an international expert panel of ICU professionals on the usefulness of these various airway clearance interventions. A steering committee performed a literature search informing the formulation of statements. Statements are grouped into two distinct parts: (1) Humidification and Nebulization, and (2) Suctioning and Mucus mobilization techniques. For each part, a diverse panel of 30–40 experts will be selected, with concerted effort to involve experts from various medical specialties involved in airway clearance methods. Multiple choice questions (MCQs) or 7-point Likert-scale statements will be used in the iterative Delphi rounds to reach consensus on various airway clearance interventions. Rounds will continue until stability is achieved for all statements. Consensus will be deemed achieved when a choice in MCQs or a Likert-scale statement achieves ≥75% agreement or disagreement. Starting from the second round of the Delphi process, stability will be assessed using non-parametric χ2 tests or Kruskal–Wallis tests. Stability will be defined by a p-value of ≥0.05. Full article
(This article belongs to the Special Issue Airway Management in Emergency and Intensive Care Medicine)
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