{
  "abstract": "Introduction ETI is commonly performed in Emergency Departments (ED); however, multiple attempts and complications can cause adverse patient outcomes. Consultant presence during ETI has been shown to increase safety but, with reduced staffing and floor coverage outside of regular hours (22:00–07:59), there is potential for more adverse outcomes during this period. We characterised the patient population, indications for intubation, and intubator details for intubations occurring overnight over 8 months (01/01/2025–04/08/2025), with the aim of guiding future staffing and airway training decisions.Methods ETI data from 01/01/2025–04/08/2025 at UHG was extracted from the EMAR-I database. First pass success (FPS), reported complications, indications for intubation, and intubator details were analysed for significant difference in proportion of distribution among daytime and overnight using Pearson-Chi Square and Fisher’s Exact Tests. Significant results underwent post-hoc analysis by Pairwise Z-test.Results A total of 66 intubations were analysed, with 16 (24.2%) occurring overnight and 50 (75.8%) daytime. Table 1 displays the analysed frequencies and percentages of the variables of interest. FPS was significantly lower overnight (81.3%) than daytime (98%); however, there was no difference in the proportion of reported complications, indication for intubations, patient age category, or intubator details (level of training and specialty).Abstract #34 Table 1Conclusion While FPS was significantly lower overnight than daytime, there was no significant difference found in proportion of complications reported, an important aspect of patient outcomes. No differences were found in indications for ETI or intubator details. Further analysis of what senior airway support is available for the primary intubator would be warranted, as this could affect FPS. Intensive Care support may be more comfortable with taking over an intubation due to unfamiliarity of personnel and environment, whereas an Emergency Physician may be more supportive to the primary intubator with the converse of the same context. *presenting author",
  "authors": [
    {
      "affiliations": [
        "University of Galway, Ireland"
      ],
      "name": "Celestina Tanase"
    },
    {
      "affiliations": [
        "University of Galway, Ireland",
        "University Hospital Galway, Ireland"
      ],
      "name": "Jimmy Lee"
    }
  ],
  "title": "#34 Putting patients to sleep at night: a retrospective observational study of overnight endotracheal intubation (ETI) in university hospital Galway (UHG) emergency department",
  "uid": "d592e230-b6a1-56a1-8d81-12de6d1a5669"
}