Initiation of Airway Code: The Role of the Airway Team in Unexpected

Status Recruiting

Clinical Trial Summary

The aim of our study is to observationally examine our unexpected difficult airway incidence and intervention times. In addition, it is aimed to discuss the clinical effect of a team specialized in airway intervention intervening in cases by call on the success of airway intervention. In this discussion, it is aimed to use the opinion-opposition method.

Clinical Trial Description

Initiation of Airway Code: The Role of the Airway Team in Unexpected Difficult Airways The incidence of difficult airway is approximately 1 in 1000 cases and poses a significant perioperative risk to patients(1). Various classifications, guidelines, and approaches have been developed to identify patients with difficult airways. However, even the most well-known classifications are not 100% successful in predicting difficult airways(2). Consequently, some unexpected difficult airway cases are encountered, and their management continues to be a subject of new research in the literature(3). In situations involving difficult airways, having the same team respond to every case may pose a potential obstacle to the distribution of experience and responsibilities among other clinical staff(4,5). However, it is undeniable that experienced anesthetists are more successful in airway management, and the importance of airway-related training cannot be overstated. Similar to the code blue protocol used during cardiac arrests, the intervention of a trained external team in crisis situations, utilizing familiar equipment and applying data from previous cases for quality improvement, can provide significant benefits in airway management akin to those seen in cardiac arrests(6,7). This approach could also potentially enhance patient safety in internal medicine and surgical wards, as well as in certain intensive care units, where familiarity with airway management is limited. This study aims to discuss the positive and negative impacts of the airway team's intervention in unexpected difficult airway situations within the operating room, using a pro-con debate method. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details

NCT number	NCT06448377
Study type	Observational
Source	Kocaeli City Hospital
Contact	Ahmet YUKSEK, MD
Phone	05326580351
Email	mdayuksek@hotmail.com
Status	Recruiting
Phase
Start date	March 15, 2024
Completion date	October 15, 2024

View Details

See also
Status	Clinical Trial	Phase
Completed	`NCT03908411` - The Effect of Paratracheal Pressure on the Glottic View	N/A
Completed	`NCT04564105` - Simulation Training and Teamwork Concerning Intubation on the Icu	N/A
Completed	`NCT02988336` - TMHT - New Method of Difficult Intubation Prediction	N/A
Completed	`NCT03002857` - Comparison of I-gel LMA, Classical LMA With a New Supraglottic Airway the Baska Mask® in Urological Surgery	N/A
Recruiting	`NCT06337006` - Laryngeal Mask Airway Failure in Pediatric Patients
Completed	`NCT03443219` - RCT- LMA Supreme™ Versus the Spritztube® Tracheal Cannula in Anesthetized Adult Patients	N/A
Completed	`NCT05044416` - VieScope in Patients With an Expected Difficult Airway	N/A
Not yet recruiting	`NCT05534451` - Comparison Among Three Different Video Scope Guided Nasotracheal Intubation.	N/A
Recruiting	`NCT06073977` - Risk Factors for Pediatric Difficult Supraglottic Airway Placement and Ventilation
Not yet recruiting	`NCT03687385` - The Effect of High-flow Nasal Oxygenation to the Saturation During Analgo-sedation in Different ASA Risk Class Patients	N/A
Not yet recruiting	`NCT03687424` - Can High-flow Nasal Oxygenation Improve Oxygen Saturation During Analgo-sedation in Obese Adults?	N/A
Enrolling by invitation	`NCT05055401` - Airway Management Skills Amongst Anesthesia Providers
Not yet recruiting	`NCT02920879` - Airway Effects of PEEP During Anesthesia Induction.	N/A
Terminated	`NCT02644837` - AuraGain and iGel Crossover Comparison	N/A
Completed	`NCT02263300` - Spatial Orientation and Fiberoptic Intubation Skills in the Novice: A Randomized Controlled Trial
Completed	`NCT01718561` - The Difficult Airway Management Trial: "The DIFFICAIR-Trial"	N/A
Completed	`NCT01635660` - Out-of-Hospital Randomized Comparison of Video-assisted Endotracheal Intubation	N/A
Completed	`NCT00956592` - Clinical Evaluation of the Storz CMAC Laryngoscope	N/A
Completed	`NCT00892671` - Airway Management and Vascular Access Simulation	N/A
Completed	`NCT03848559` - Airway Management With Simulated Microgravity Using a Submerged Model	N/A

Clinical trials are conducted in a series of steps, called phases - each phase is designed to answer a separate research question.

Phase 1: Researchers test a new drug or treatment in a small group of people for the first time to evaluate its safety, determine a safe dosage range, and identify side effects.
Phase 2: The drug or treatment is given to a larger group of people to see if it is effective and to further evaluate its safety.
Phase 3: The drug or treatment is given to large groups of people to confirm its effectiveness, monitor side effects, compare it to commonly used treatments, and collect information that will allow the drug or treatment to be used safely.
Phase 4: Studies are done after the drug or treatment has been marketed to gather information on the drug's effect in various populations and any side effects associated with long-term use.