title: Impact of an anesthesiology rotation on subsequent endotracheal intubation success.
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 χ(2) 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% (91 of 116), compared with 83.4% (121 of 145) for the control group; this was not statistically significant (P  = .30). Observed major and minor adverse events were similar: 19.0% for the study group (22 of 116) versus 24.8% (36 of 145) for the control group (P  = .26).
  
  
  CONCLUSIONS
  The addition of an anesthesiology rotation to the PGY-1 curriculum did not have a significant effect on ETI success or the rate of adverse events during the first 6 months of PGY-2. First-attempt overall success and adverse events of our PGY-2 study group were consistent with previously published studies.
authors.forename: Ted R
authors.initials: TR
authors.lastname: Clark
authors.forename: Edward J
authors.initials: EJ
authors.lastname: Brizendine
authors.forename: Joseph C
authors.initials: JC
authors.lastname: Milbrandt
authors.forename: Kevin G
authors.initials: KG
authors.lastname: Rodgers