Emergency Medicine Clinical Trial
— SMURIDSOfficial title:
Quality of Tracheal Intubation in Prehospital Emergency Setting and Measurement of Risk Factors of Difficult Intubation in This Context
In prehospital emergency setting, tracheal intubation is a frequent procedure (8% of interventions). Its objective is to control and protect upper airways and to optimize ventilation and oxygenation in patients with life-threatening distress. Intubation is a technical procedure which is associated with few difficulties with, in rare cases, the impossibility to do it. There are specificities of the out-of-hospital emergency with some risk factors that have been recognized in this context as well as the impossibility of assessing predictive factors of difficult intubation linked to the patient. The objective of the investigators was to describe the quality of tracheal intubation in prehospital emergency setting.
Status | Recruiting |
Enrollment | 1200 |
Est. completion date | September 1, 2018 |
Est. primary completion date | May 31, 2018 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 10 Years and older |
Eligibility |
Inclusion Criteria: - all patients intubated by Emergency Medical System (EMS) team Exclusion Criteria: |
Country | Name | City | State |
---|---|---|---|
France | CHU DE BORDEAUX- Hôpital PELLEGRIN - SAMU-SMUR 33 | Bordeaux | |
France | Aphp, Hopital Raymond Poincare - Samu-Smur 92 | Garches | |
France | Ch Garges Les Gonesses | Garges-lès-Gonesse | |
France | Chu de Grenoble - Samu-Smur 38 | Grenoble | |
France | Ch de Perigueux - Samu-Smur 24 | Périgueux |
Lead Sponsor | Collaborator |
---|---|
University Hospital, Bordeaux |
France,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Difficult intubation rate | Difficult intubation is defined with an Intubation Difficult Scale score > 5; Intubation Difficult Sale (IDS) is ranged from 0 (easy intubation) to infinity (impossibility to intubate trachea). | One hour | |
Secondary | Risk factors of difficult intubation | Circumstances of intubation (outside/inside), patient on the floor or not, cardiac arrest or not and if yes resuscitation during the intubation or not, nature of the drugs for sedation during rapid sequence induction, pharyngeal or laryngeal hemorrhage. | one hour | |
Secondary | Patient characteristics | sex , age, body mass index, acute disease (trauma or medical), criteria associated with difficult airway access (mouth opening, thyroid-chin distance, neck circumference), pharyngeal or laryngeal tumor. | one hour | |
Secondary | Events during and after intubation | desaturation, vomiting, low blood pressure, tachycardia or bradycardia, cardiac arrest, others. | one hour |
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