- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT03035786
Airway Code Calls - Survey of Management
This is a survey of airway codes, which are emergency mobile phone requests for anaesthetic help to manage acute airway crises in the hospital (out of theatre, out of Surgical Intensive Care Unit, SICU).
The anaesthetists are doctors trained in advance airway management. Patients in the hospital may suffer airway crises e.g. airway obstruction or need for tracheal intubation (insertion of breathing tube) for various reasons. The on call SICU anaesthetists responds to the airway code by attending the patient in need and managing the patient at their own discretion.
Airway management will depend on the anaesthetist's knowledge, skills and experience. it will also depend on the available airway equipment.
We plan to evaluate airway codes for a 24 month period. Parameters include: type of incident; patient factors (including airway assessment); type of equipment used; anaesthetic drugs used; airway management chosen by the attending anaesthetist; and, airway complications.
Studieoversigt
Status
Betingelser
Detaljeret beskrivelse
Airway codes will be managed as standard care. These calls are taken and managed by anaesthetists on call on SICU. The audit form is filled in by the on call anaesthetist after the airway code has been managed. This is an audit looking at:
Primary outcome
•Evaluate the type of airway codes that the SICU anaesthetist is called for
Secondary outcomes:
- Patient factors (including airway assessment)
- Type of equipment used
- Type of anaesthetic drugs used
- Airway management chosen by the attending anaesthetist
- Airway complications.
Undersøgelsestype
Tilmelding (Forventet)
Kontakter og lokationer
Studiesteder
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Singapore, Singapore, 169608
- Rekruttering
- Singapore General Hospital
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Kontakt:
- Zihui Tan, MMED
- Telefonnummer: 63214220
- E-mail: zihui.tan@mohh.com.sg
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Singapore, Singapore, 308433
- Rekruttering
- Tan Tock Seng Hospital
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Kontakt:
- Jinbin Zhang, MMED
- Telefonnummer: 62566011
- E-mail: Jinbin_Zhang@ttsh.com.sg
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Prøveudtagningsmetode
Studiebefolkning
Beskrivelse
Inclusion Criteria:
- adults outside operating theatre and Surgical Intensive Care Unit requiring emergency anaesthetic airway support
Exclusion Criteria:
- Nil
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Survey the type of airway codes that the SICU anaesthetist is called for
Tidsramme: One hour post calling of airway code
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Cause of airway codes i.e. respiratory arrest or indication for formal airway management by anaesthetist
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One hour post calling of airway code
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Survey of types of equipment needed for airway management
Tidsramme: One hour post calling of airway code
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Type of equipment used include airway bag, bougie, videolaryngoscope
|
One hour post calling of airway code
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Number of participants with predictors of difficult airway
Tidsramme: One hour post calling of airway code
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Predictors of difficult airway include small mouth opening, short thyromental distance, prominent upper teeth, receding lower jaw, decreased neck movement, previous surgery, previous radiotherapy
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One hour post calling of airway code
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Samarbejdspartnere og efterforskere
Sponsor
Samarbejdspartnere
Efterforskere
- Ledende efterforsker: Patrick Wong, MBBS FRCA, Singapore General Hospital
Publikationer og nyttige links
Generelle publikationer
- Martin LD, Mhyre JM, Shanks AM, Tremper KK, Kheterpal S. 3,423 emergency tracheal intubations at a university hospital: airway outcomes and complications. Anesthesiology. 2011 Jan;114(1):42-8. doi: 10.1097/ALN.0b013e318201c415.
- Bowles TM, Freshwater-Turner DA, Janssen DJ, Peden CJ; RTIC Severn Group. Out-of-theatre tracheal intubation: prospective multicentre study of clinical practice and adverse events. Br J Anaesth. 2011 Nov;107(5):687-92. doi: 10.1093/bja/aer251. Epub 2011 Aug 8.
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Forventet)
Studieafslutning (Forventet)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Andre undersøgelses-id-numre
- 1607 Airway Code
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
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