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.
研究概览
地位
条件
详细说明
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.
研究类型
注册 (预期的)
联系人和位置
学习地点
-
-
-
Singapore、新加坡、169608
- 招聘中
- Singapore General Hospital
-
接触：
- Zihui Tan, MMED
- 电话号码：63214220
- 邮箱：zihui.tan@mohh.com.sg
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Singapore、新加坡、308433
- 招聘中
- Tan Tock Seng Hospital
-
接触：
- Jinbin Zhang, MMED
- 电话号码：62566011
- 邮箱：Jinbin_Zhang@ttsh.com.sg
-
-
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
取样方法
研究人群
描述
Inclusion Criteria:
- adults outside operating theatre and Surgical Intensive Care Unit requiring emergency anaesthetic airway support
Exclusion Criteria:
- Nil
学习计划
研究是如何设计的？
设计细节
研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Survey the type of airway codes that the SICU anaesthetist is called for
大体时间：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
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Survey of types of equipment needed for airway management
大体时间：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
大体时间：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
|
合作者和调查者
调查人员
- 首席研究员：Patrick Wong, MBBS FRCA、Singapore General Hospital
出版物和有用的链接
一般刊物
- 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.
研究记录日期
研究主要日期
学习开始
初级完成 (预期的)
研究完成 (预期的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
其他研究编号
- 1607 Airway Code
计划个人参与者数据 (IPD)
计划共享个人参与者数据 (IPD)？
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