- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning 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.
Studieöversikt
Status
Betingelser
Detaljerad beskrivning
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.
Studietyp
Inskrivning (Förväntat)
Kontakter och platser
Studieorter
-
-
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Singapore, Singapore, 169608
- Rekrytering
- Singapore General Hospital
-
Kontakt:
- Zihui Tan, MMED
- Telefonnummer: 63214220
- E-post: zihui.tan@mohh.com.sg
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Singapore, Singapore, 308433
- Rekrytering
- Tan Tock Seng Hospital
-
Kontakt:
- Jinbin Zhang, MMED
- Telefonnummer: 62566011
- E-post: Jinbin_Zhang@ttsh.com.sg
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Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Testmetod
Studera befolkning
Beskrivning
Inclusion Criteria:
- adults outside operating theatre and Surgical Intensive Care Unit requiring emergency anaesthetic airway support
Exclusion Criteria:
- Nil
Studieplan
Hur är studien utformad?
Designdetaljer
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Survey the type of airway codes that the SICU anaesthetist is called for
Tidsram: One hour post calling of airway code
|
Cause of airway codes i.e. respiratory arrest or indication for formal airway management by anaesthetist
|
One hour post calling of airway code
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Survey of types of equipment needed for airway management
Tidsram: One hour post calling of airway code
|
Type of equipment used include airway bag, bougie, videolaryngoscope
|
One hour post calling of airway code
|
|
Number of participants with predictors of difficult airway
Tidsram: One hour post calling of airway code
|
Predictors of difficult airway include small mouth opening, short thyromental distance, prominent upper teeth, receding lower jaw, decreased neck movement, previous surgery, previous radiotherapy
|
One hour post calling of airway code
|
Samarbetspartners och utredare
Sponsor
Samarbetspartners
Utredare
- Huvudutredare: Patrick Wong, MBBS FRCA, Singapore General Hospital
Publikationer och användbara länkar
Allmänna 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.
Studieavstämningsdatum
Studera stora datum
Studiestart
Primärt slutförande (Förväntat)
Avslutad studie (Förväntat)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Uppskatta)
Uppdateringar av studier
Senaste uppdatering publicerad (Uppskatta)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Andra studie-ID-nummer
- 1607 Airway Code
Plan för individuella deltagardata (IPD)
Planerar du att dela individuella deltagardata (IPD)?
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