INTUBE study - Call for center form
Please fill in this form completely and press the "send" button at the end of this page (one application for each institution).
Email address *
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
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Last name *
First name *
Date of birth
Office phone
Mobile phone
E-mail *
Second contact person
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Last name
First name
I give my permission to publish my center name on the INTUBE study website ( *
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