摘要BACKGROUND:Airway management is a core competence in emergency medicine.International registries have described indications,techniques,and outcomes of endotracheal intubation,yet contemporary data from German emergency departments(EDs)are scarce.We conducted a multicenter prospective registry study in Thuringia,to characterize indications,techniques,success rates,and complications of ED intubations.METHODS:From February 2023 to January 2024,six Thuringian EDs participated in a prospective observational registry(www.airwayregistry.eu).All consecutive intubations were documented anonymously using a standardized digital form.Demographics,indications,methods,equipment,operator characteristics,first pass success(FPS),overall success,and complications were captured.Descriptive statistics were used.RESULTS:We analyzed 117 intubations(63.2%male;mean age 68.4 years,range 2-98 years).FPS was 88.9%(104/117),second pass success was 4.3%and third pass success was 6.8%;overall success was 100%.Rapid sequence intubation(RSI)was used in 77.8%of intubations and delayed sequence intubation(DSI)in 21.4%;10.3%were performed without medication.Direct laryngoscopy(DL)was used in 65.0%and videolaryngoscopy(VL)in 34.2%.FPS was higher with VL than DL(92.5%vs.88.2%).The most common indications were cardiopulmonary resuscitation(14.5%)and stroke/ischemia(13.7%);intracranial hemorrhage accounted for 13.7%.Complications occurred in 39%of cases,most frequently hypotension(23.9%)and catecholamine requirement(12.0%).A difficult airway was anticipated in 30.8%.CONCLUSION:In this multicenter snapshot from German EDs,overall intubation success was high but complications—especially peri-intubation hypotension—were common.VL yielded higher FPS yet was used less frequently than DL.Standardized protocols,hemodynamic optimization,and broader VL adoption may improve safety and performance.