Rapid Sequence Induction Czech Republic: Survey

Rapid Sequence Induction Clinical Trial

— RSICZ  

Official title:

Rapid Sequence Induction in Czech Republic: Survey

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02985970
• Other study ID #: RSI 2016CZ
• Status: Completed
• Phase: N/A
• First received: November 30, 2016
• Last updated: April 21, 2017
• Start date: December 2016
• Est. completion date: April 2017

Study information

• Verified date: April 2017
• Source: Brno University Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Rapid sequence induction (RSI) is a common part of routine anesthesiology practice.However several steps of RSI are not based on evidence based data (EBM) and are considered controversial. In an electronic evaluation form that will be send to Czech society of anesthesiology, resuscitation and intensive care (ČSARIM) members, the investigators bring 4 clinical scenarios in which RSI should be used. In the questionnaire the participants have to choose RSI or no and they have to describe all the next steps on anesthesia induction process in each single clinical scenario.

Description:

Rapid sequence induction (RSI) is a common part of routine anesthesiology practice.However several steps of RSI are not based on evidence based data (EBM) and are considered controversial. In an electronic evaluation form that will be send to Czech society of anesthesiology, resuscitation and intensive care (ČSARIM) members, the investigators bring 4 clinical scenarios in which RSI should be used. In the questionnaire the participants have to choose RSI or no and they have to describe all the next steps on anesthesia induction process in each single clinical scenario.

• 1st. scenario - adult patient with acute abdomen in the OR to be anesthetized

• 2nd. scenario - 4 years old child with acute abdomen in the OR scheduled for an acute surgery

• 3rd. scenario - pregnant women scheduled for an elective caesarean section in the OR

• 4th. scenario - geriatric patient with hiatal hernia scheduled for an elective laparoscopic cholecystectomy.

In each scenario the several steps of the RSI sequence has to be answered:

Is RSI indicated? Y N

Peripheral vein line before induction? Y N

Nasogastric tube before/after induction or without?

Patients position: neutral, head-up, head-down?

Preoxygenation - 3/5minutes, breaths, (CPAP)/Positive end-expiratory pressure (PEEP)?

Sellick manoeuver? Y N

Drugs for induction (order with the number in the row) - propofol, etomidate, ketamine, thiopental, midazolam, suxamethonium, rocuronium, cisatracurium, atracurium, vecuronium

Manual hand-bag ventilation after induction: with limited pressure/contraindicated

Airway: tracheal tube with the cuff/without cuff/laryngeal mask

Comments

Recruitment information / eligibility

• Status: Completed
• Enrollment: 164
• Est. completion date: April 2017
• Est. primary completion date: February 2017
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 4 Years to 80 Years

Eligibility

Inclusion Criteria:

• all members of CSARIM and www.akutne.cz

Exclusion Criteria:

• not members of CSARIM and www.akutne.cz

Related Conditions & MeSH terms

• Rapid Sequence Induction

Intervention

Other:
• questionnaire
The questionnaire will be send to all members of CSARIM with the selected 4 controversial clinical scenarios in which the RSI should be used

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Brno University Hospital

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	RSI practice in Czech Republic - questionnaire	Evaluation of the clinical practice of the RSI in Czech Republic	one month