LHP – E74 – What Even IS First Pass Success

The EMS Lighthouse Project

What even IS FPS? There's been a long running argument about the definition of FPS. And by argument, I mean mostly established in the literature with some people just not liking it. FPS is successful ET passage through the cords within 1 attempt at laryngoscopy or when the blade passes the teeth.

That definition worked well when we were using direct laryngoscopy where the hard part of intubation was visualization and the easy part of tube passage. But does it still hold in an age of VL where visualization is easy and tube passage is the hard part.

We discuss a paper on this episode that proposes a new definition, perhaps better meeting the needs of the VL era.

Citation:

Trent SA, Driver BE, Prekker ME, et al. Defining Successful Intubation on the First Attempt Using Both Laryngoscope and Endotracheal Tube Insertions: A Secondary Analysis of Clinical Trial Data. Annals of Emergency Medicine. Published online April 2023:S0196064423002135. doi:10.1016/j.annemergmed.2023.03.021

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