Intubation;Difficult Clinical Trial
Official title:
Evaluation of Prophylactic Endotracheal Intubation in the Patients With Upper Gastrointestinal Bleeding Undergoing Urgent Endoscopy: A Prospective Observational Study
Verified date | May 2022 |
Source | University of Texas Southwestern Medical Center |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
Upper gastrointestinal (GI) bleeding is defined as patients who either presented with hematemesis or presented with melena along with evidence of hemodynamic compromise. These patients have risk of aspiration of blood along with gastric content. The mortality rate can be 15% to 20% in the cases with variceal bleeding. From a practical standpoint, it is widely accepted that the best way to secure an airway during upper GI bleeding is prophylactic endotracheal intubation (PEI). The aim of this study is to determine the incidence of complications among critically ill patients with upper GI bleeding and received urgent endoscopy.
Status | Completed |
Enrollment | 65 |
Est. completion date | July 9, 2021 |
Est. primary completion date | December 6, 2018 |
Accepts healthy volunteers | |
Gender | All |
Age group | 18 Years to 80 Years |
Eligibility | Inclusion Criteria: - Age 18 years and older - Presence of upper gastrointestinal bleeding either presented with hematemesis or melena along with evidence of hemodynamic compromise. - Received procedural (conscious) sedation - Undergoing urgent upper gastrointestinal endoscopy procedures Exclusion Criteria: - Intubation other than airway protection - Prior tracheostomy before onset of gastrointestinal bleeding - Subjects intubated before transfer to gastrointestinal suite - Subjects without hemodynamic instability - Subjects with a diagnosis of pneumonia, acute respiratory distress syndrome, myocardial infarction, pulmonary edema, arrhythmia, or cardiac arrest before endoscopy - Endoscopy done for other than upper gastrointestinal bleeding - Pregnant subjects |
Country | Name | City | State |
---|---|---|---|
United States | Parkland Health Hospital System | Dallas | Texas |
Lead Sponsor | Collaborator |
---|---|
University of Texas Southwestern Medical Center |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Cardiovascular unplanned event | The number of cardiovascular unplanned event after upper gastrointestinal endoscopy, up to 48 hours | Postoperative up to 48 hours | |
Secondary | Pulmonary unplanned event | The number of pulmonary unplanned event after upper gastrointestinal endoscopy, up to 48 hours. | Postoperative up to 48 hours |
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