Airway Code Calls - Survey of Management

Intubation; Difficult Clinical Trial

Official title:

Airway Code Calls - Survey of Management

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT03035786
• Other study ID #: 1607 Airway Code
• Status: Recruiting
• Phase: N/A
• First received: January 24, 2017
• Last updated: January 26, 2017
• Start date: November 2016
• Est. completion date: November 2018

Study information

• Verified date: January 2017
• Source: Singapore General Hospital
• Contact: Patrick Wong, MBBS FRCA
• Phone: +6563214220
• Email: patrick.wong[@]singhealth.com.sg
• Is FDA regulated: No
• Study type: Observational [Patient Registry]

Clinical Trial Summary

This is a survey of airway codes, which are emergency mobile phone requests for anaesthetic help to manage acute airway crises in the hospital (out of theatre, out of Surgical Intensive Care Unit, SICU).

The anaesthetists are doctors trained in advance airway management. Patients in the hospital may suffer airway crises e.g. airway obstruction or need for tracheal intubation (insertion of breathing tube) for various reasons. The on call SICU anaesthetists responds to the airway code by attending the patient in need and managing the patient at their own discretion.

Airway management will depend on the anaesthetist's knowledge, skills and experience. it will also depend on the available airway equipment.

We plan to evaluate airway codes for a 24 month period. Parameters include: type of incident; patient factors (including airway assessment); type of equipment used; anaesthetic drugs used; airway management chosen by the attending anaesthetist; and, airway complications.

Description:

Airway codes will be managed as standard care. These calls are taken and managed by anaesthetists on call on SICU. The audit form is filled in by the on call anaesthetist after the airway code has been managed. This is an audit looking at:

Primary outcome

•Evaluate the type of airway codes that the SICU anaesthetist is called for

Secondary outcomes:

• Patient factors (including airway assessment)

• Type of equipment used

• Type of anaesthetic drugs used

• Airway management chosen by the attending anaesthetist

• Airway complications.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 300
• Est. completion date: November 2018
• Est. primary completion date: November 2018
• Accepts healthy volunteers: No
• Gender: All
• Age group: 1 Year to 100 Years

Eligibility

Inclusion Criteria:

• adults outside operating theatre and Surgical Intensive Care Unit requiring emergency anaesthetic airway support

Exclusion Criteria:

Related Conditions & MeSH terms

• Intubation; Difficult

Locations

Country	Name	City	State
Singapore	Singapore General Hospital	Singapore
Singapore	Tan Tock Seng Hospital	Singapore

Sponsors (2)

Lead Sponsor	Collaborator
Singapore General Hospital	Tan Tock Seng Hospital

Country where clinical trial is conducted

Singapore, 

References & Publications (2)

Bowles TM, Freshwater-Turner DA, Janssen DJ, Peden CJ; RTIC Severn Group.. Out-of-theatre tracheal intubation: prospective multicentre study of clinical practice and adverse events. Br J Anaesth. 2011 Nov;107(5):687-92. doi: 10.1093/bja/aer251. — View Citation

Martin LD, Mhyre JM, Shanks AM, Tremper KK, Kheterpal S. 3,423 emergency tracheal intubations at a university hospital: airway outcomes and complications. Anesthesiology. 2011 Jan;114(1):42-8. doi: 10.1097/ALN.0b013e318201c415. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Survey the type of airway codes that the SICU anaesthetist is called for	Cause of airway codes i.e. respiratory arrest or indication for formal airway management by anaesthetist	One hour post calling of airway code
Secondary	Survey of types of equipment needed for airway management	Type of equipment used include airway bag, bougie, videolaryngoscope	One hour post calling of airway code
Secondary	Number of participants with predictors of difficult airway	Predictors of difficult airway include small mouth opening, short thyromental distance, prominent upper teeth, receding lower jaw, decreased neck movement, previous surgery, previous radiotherapy	One hour post calling of airway code