Airway Management Clinical Trial
Official title:
Initiation of Airway Code: The Role of the Airway Team in Unexpected Difficult Airways
NCT number | NCT06448377 |
Other study ID # | 2025-25 |
Secondary ID | |
Status | Recruiting |
Phase | |
First received | |
Last updated | |
Start date | March 15, 2024 |
Est. completion date | October 15, 2024 |
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.
Status | Recruiting |
Enrollment | 48 |
Est. completion date | October 15, 2024 |
Est. primary completion date | September 15, 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 65 Years |
Eligibility | Inclusion Criteria: 1. Patients who will be operated under general anesthesia at Kocaeli City Hospital or who require perioperative endotracheal intubation will be included in our study. 2. Operations performed within the study time period will be taken 3. Patients whose anesthesiologists call for help for difficult airway will be included in the study. 4. Patients between the ages of 18-65 will be included in the study. Exclusion Criteria: - 1. Expected difficult airway patients (mallampati 3-4) and other patients with high difficult airway scores will not be included in the study. 2. Patients with difficult airway conditions but who will be awakened by giving up endotracheal intubation will not be included in the study. |
Country | Name | City | State |
---|---|---|---|
Turkey | Kocaeli City Hospital | Kocaeli | Izmit |
Lead Sponsor | Collaborator |
---|---|
Kocaeli City Hospital |
Turkey,
Karamchandani K, Wheelwright J, Yang AL, Westphal ND, Khanna AK, Myatra SN. Emergency Airway Management Outside the Operating Room: Current Evidence and Management Strategies. Anesth Analg. 2021 Sep 1;133(3):648-662. doi: 10.1213/ANE.0000000000005644. — View Citation
Koh W, Kim H, Kim K, Ro YJ, Yang HS. Encountering unexpected difficult airway: relationship with the intubation difficulty scale. Korean J Anesthesiol. 2016 Jun;69(3):244-9. doi: 10.4097/kjae.2016.69.3.244. Epub 2016 Jun 1. — View Citation
Mark LJ, Herzer KR, Cover R, Pandian V, Bhatti NI, Berkow LC, Haut ER, Hillel AT, Miller CR, Feller-Kopman DJ, Schiavi AJ, Xie YJ, Lim C, Holzmueller C, Ahmad M, Thomas P, Flint PW, Mirski MA. Difficult airway response team: a novel quality improvement program for managing hospital-wide airway emergencies. Anesth Analg. 2015 Jul;121(1):127-139. doi: 10.1213/ANE.0000000000000691. — View Citation
Pandian V, Ghazi TU, He MQ, Isak E, Saleem A, Semler LR, Capellari EC, Brenner MJ. Multidisciplinary Difficult Airway Team Characteristics, Airway Securement Success, and Clinical Outcomes: A Systematic Review. Ann Otol Rhinol Laryngol. 2023 Aug;132(8):938-954. doi: 10.1177/00034894221123124. Epub 2022 Oct 2. — View Citation
Penketh J, Nolan JP. Airway management during cardiac arrest. Curr Opin Crit Care. 2023 Jun 1;29(3):175-180. doi: 10.1097/MCC.0000000000001033. Epub 2023 Mar 28. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Successful endotracheal intubation rate in difficult airway | The primary outcome of our study is the rate of complication-free and successful endotracheal intubation performed by specialists or the airway team in unexpected difficult airway cases. | During the intraoperative period of difficult intubation case | |
Secondary | The response time of the airway team to the case and the tools they used | In this section, the interventions performed by the airway team will be compared with the control group. The duration of the intervention and the different airway tools used will be compared numerically. | During the intraoperative period of difficult intubation case | |
Secondary | airway intervention equipment | To determine the most commonly used assistive devices in airway intervention and to compare their frequencies in two different defined groups. | During the intraoperative period of difficult intubation case |
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