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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.
Studie Overzicht
Toestand
Conditie
Gedetailleerde beschrijving
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.
Studietype
Inschrijving (Verwacht)
Contacten en locaties
Studie Locaties
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Singapore, Singapore, 169608
- Werving
- Singapore General Hospital
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Contact:
- Zihui Tan, MMED
- Telefoonnummer: 63214220
- E-mail: zihui.tan@mohh.com.sg
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Singapore, Singapore, 308433
- Werving
- Tan Tock Seng Hospital
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Contact:
- Jinbin Zhang, MMED
- Telefoonnummer: 62566011
- E-mail: Jinbin_Zhang@ttsh.com.sg
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Bemonsteringsmethode
Studie Bevolking
Beschrijving
Inclusion Criteria:
- adults outside operating theatre and Surgical Intensive Care Unit requiring emergency anaesthetic airway support
Exclusion Criteria:
- Nil
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Survey the type of airway codes that the SICU anaesthetist is called for
Tijdsspanne: 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
|
One hour post calling of airway code
|
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Survey of types of equipment needed for airway management
Tijdsspanne: One hour post calling of airway code
|
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
Tijdsspanne: 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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Medewerkers en onderzoekers
Sponsor
Medewerkers
Onderzoekers
- Hoofdonderzoeker: Patrick Wong, MBBS FRCA, Singapore General Hospital
Publicaties en nuttige links
Algemene publicaties
- 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.
Studie record data
Bestudeer belangrijke data
Studie start
Primaire voltooiing (Verwacht)
Studie voltooiing (Verwacht)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Schatting)
Updates van studierecords
Laatste update geplaatst (Schatting)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Andere studie-ID-nummers
- 1607 Airway Code
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
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