Intubation Clinical Trial
Official title:
Prospective Observational Study of the Effect of Upright Patient Positioning on Intubation Success Rates at Two Academic Emergency Departments
Verified date | August 2016 |
Source | Indiana University |
Contact | n/a |
Is FDA regulated | No |
Health authority | United States: Institutional Review Board |
Study type | Observational |
Endotracheal intubation is most commonly taught and performed with the patient supine. Recent literature suggests that elevating the patient's head to a more upright position may decrease peri-intubation complications. However, there is little data on success rates of upright intubation in the emergency department. The goal of this study was to measure the association of head positioning with intubation success rates among emergency medicine residents.
Status | Completed |
Enrollment | 232 |
Est. completion date | July 2016 |
Est. primary completion date | July 2016 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Adult medical intubations in which the intubating resident and supervising faculty both consented to study participation. Exclusion Criteria: - Pediatric patients - Obstetric patients - Trauma patients |
Observational Model: Cohort, Time Perspective: Prospective
Country | Name | City | State |
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n/a |
Lead Sponsor | Collaborator |
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Indiana University |
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* Note: There are 22 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | First Pass Success | An attempt was defined as anytime the laryngoscope blade was placed in the patient's mouth. At the beginning of the study residents, faculty, and RTs were educated on this definition. | Immediately at the time of the procedure | No |
Secondary | overall success rate of orotracheal intubation overall success rate of orotracheal intubation overall success rate of intubation | endotracheal tube in place | Immediately at the time of the procedure | No |
Secondary | Time required for successful intubation | endotracheal tube in place | Immediately at the time of the procedure | No |
Secondary | esophageal intubation | endotracheal tube determined to be positioned in esophagus rather | Immediately at the time of the procedure | No |
Secondary | cardiac arrest within 30 minutes of the intubation attempt | cardiac arrest within 30 minutes of intubation | No | |
Secondary | decrease in oxygen saturation during the procedure | Immediately at the time of the procedure | No | |
Secondary | best Cormack-Lehane view | Cormack-Lehane view is a scale that is used to describe the amount of vocal cords visualized during the procedure | Immediately at the time of the procedure | No |
Secondary | best Percent of Glottic Opening (POGO) | Percent of glottis opening refers to the percentage of vocal cords and surrounding anatomy which can be seen during the procedure | obtained during the procedure | No |
Secondary | Resident Satisfaction with Positioning | survey completed following the procedure by provider regarding satisfaction | following procedure | No |
Secondary | death in ED | While in the emergency department (1 hour up to 1 day) | No | |
Secondary | death within 5 days of intubation | any cause of death within 5 days after intubation | Death within 5 days following intubation | No |
Secondary | New pneumonia | new pneumonia developed within 5 days following an intubation. Not present on admission. | within 5 days following intubation | No |
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