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INTUBE study - Call for center form
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Email *
INternational observational study To Understand the impact and BEst practices of airway management of critically ill patients
Institution name *
Type of hospital
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Department *
Address *
Post code *
City *
Country *
Number of ICUs of your institution
Total number of ICU beds
How many in-hospital endotracheal intubations of critically ill patients are performed in your institution in a week?
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Principal investigator
Title
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Last name *
First name *
Date of birth
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YYYY
Office phone
Mobile phone
E-mail *
Second contact person
Title
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Last name
First name
E-mail
I give my permission to publish my center name on the INTUBE study website (www.intubestudy.com) *
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