Intensive Care Unit Clinical Trial
Official title:
Adult Airway Management in the Intensive Care Units and Regular Floors: A Prospective Observational Study in a Tertiary Care Center
The goal of this descriptive observational study is to assess the success rate of endotracheal intubation at first attempt outside the operating room with direct laryngoscopy or with the use of an assisting device and identify adverse events; mainly hypoxemia (SpO2 < 85%), hypotension (SBP < 80 mmHg), and cardiac arrest in patients requiring elective or emergent endotracheal intubation. The main question it aims to answer is whether endotracheal intubation outside the OR at AUBMC has higher success rates and lower complication rates as compared to the literature. Participants will be evaluated according to the inclusion criteria and data extraction will be performed from the electronic health record (EHR). Researchers will compare success and complication rates with previous literature and international benchmarks.
Compared with airway management inside the OR, airway management outside the OR is associated with a higher rate of complications. This higher rate of complications outside the OR shows that even despite multiple guidelines for the management of difficult airway, there is still a lot of room for improvement. This descriptive observational study will be conducted at the American University of Beirut Medical Center (AUBMC) on regular floors and in the ICU, on patients requiring elective or emergent endotracheal intubation. The primary outcome is to assess the success rate of endotracheal intubation at first attempt outside the OR with direct laryngoscopy or the use of an assisting device. Secondary outcomes will identify adverse events mainly hypoxemia, hypotension, and cardiac arrest. The hypothesis is that endotracheal intubation outside the OR at AUBMC has higher success rates and lower complication rates as compared to the literature. ;
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