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Background <p>Rapid sequence intubation is a critical procedure in emergency medicine designed to secure the airway promptly while minimizing the risk of aspiration. However, the level of knowledge regarding rapid sequence intubation and its associated medications varies among physicians.</p> Methods <p>A practice-based survey was conducted across emergency departments in French-speaking Belgium. Physicians with and without anesthesia training were compared with respect to knowledge of rapid sequence intubation, clinical practice patterns, and pharmacologic understanding. Self-reported data were analyzed using descriptive statistics, Student’s t-test, and Fisher’s exact test.</p> Results <p>A total of 101 complete responses were analyzed. Succinylcholine was the primary neuromuscular blocking agent used. Nevertheless, its contraindications and adverse effects were poorly understood. Anesthesia training was associated with broader self-reported pharmacologic knowledge, greater familiarity with rapid sequence intubation principles, and with alternatives such as rocuronium and sugammadex.</p> Conclusion <p>Anesthesia exposure may contribute to improve emergency physicians’ understanding and safe application of rapid sequence intubation. Anesthesia rotations might be beneficial in promoting more standardized and improved clinical practice.</p>

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Impact of anesthesia training on knowledge and practice of rapid sequence intubation among emergency physicians: a survey study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年7月9日

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  • Louis Wery,
  • Frédéric Thys,
  • Philippe E. Dubois

摘要

Background

Rapid sequence intubation is a critical procedure in emergency medicine designed to secure the airway promptly while minimizing the risk of aspiration. However, the level of knowledge regarding rapid sequence intubation and its associated medications varies among physicians.

Methods

A practice-based survey was conducted across emergency departments in French-speaking Belgium. Physicians with and without anesthesia training were compared with respect to knowledge of rapid sequence intubation, clinical practice patterns, and pharmacologic understanding. Self-reported data were analyzed using descriptive statistics, Student’s t-test, and Fisher’s exact test.

Results

A total of 101 complete responses were analyzed. Succinylcholine was the primary neuromuscular blocking agent used. Nevertheless, its contraindications and adverse effects were poorly understood. Anesthesia training was associated with broader self-reported pharmacologic knowledge, greater familiarity with rapid sequence intubation principles, and with alternatives such as rocuronium and sugammadex.

Conclusion

Anesthesia exposure may contribute to improve emergency physicians’ understanding and safe application of rapid sequence intubation. Anesthesia rotations might be beneficial in promoting more standardized and improved clinical practice.