Intubation Clinical Trial
— PHASTEROfficial title:
PHASTER - Pre-Hospital Advanced Airway Management STudying Expedited Routines
NCT number | NCT04206566 |
Other study ID # | PHASTER-01 |
Secondary ID | |
Status | Completed |
Phase | |
First received | |
Last updated | |
Start date | March 1, 2020 |
Est. completion date | September 1, 2021 |
Verified date | November 2021 |
Source | Karolinska Institutet |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
In the Scandinavian and Swiss HEMS critical care teams, the prehospital tracheal intubations (TI) are performed by airway experts with high success rates and low rates of complications. Due to environmental conditions these are today frequently performed in-cabin before take-off. There are so far no published data on comparing outside and in-cabin TI under these circumstances. This will therefore be the first prospective study comparing prehospital TIs outside or incabin, performed by airway experts.
Status | Completed |
Enrollment | 430 |
Est. completion date | September 1, 2021 |
Est. primary completion date | September 1, 2021 |
Accepts healthy volunteers | No |
Gender | All |
Age group | N/A and older |
Eligibility | Inclusion Criteria: - Patients in need of prehospital drug-assisted intubation. Exclusion Criteria: - All cases where prehospital TI is performed without the use of any drugs. |
Country | Name | City | State |
---|---|---|---|
Sweden | HEMS VGR | Gothenburg | VästraGötaland |
Sweden | HEMS Dalarna | Mora | Dalarna |
Lead Sponsor | Collaborator |
---|---|
Karolinska Institutet |
Sweden,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | First pass success rate on prehospital tracheal intubation | Successful intubation is defined as the endotracheal tube verified in the trachea. Prehospital intubations are performed outside the hospitals by ambulance helicopter personnel. | While handling the patient in need for tracheal intubation | |
Secondary | Tracheal intubation performed outside or in-cabin (in helicopter or in ambulance) | The location of the procedure | While handling the patient case | |
Secondary | Number of tracheal intubation attempts | While handling the patient case | ||
Secondary | Perceived difficulty of tracheal intubation | Measured on a numeric analogue scale | While handling the patient case | |
Secondary | Time to perform tracheal intubation | Time from first passing teeth with laryngoscope to tube verification with ETCO2 and lung auscultation. | While handling the patient case | |
Secondary | Complications related to the drug assisted intubation | While handling the patient case | ||
Secondary | Prehospital mortality | While handling the patient case | ||
Secondary | Scene time 1 | Measured from entering patient zone (<3 m) to starting to move the patient from the scene to the helicopter (if intubation in-ambulance, time from entering patient zone until starting to move the patient to the helicopter). | While handling the patient case | |
Secondary | Scene time 2 | Measured from entering patient zone (<3 m) to declaring pilot can switch on helicopter motors. | While handling the patient case | |
Secondary | Ground time | Mesaured from physician leaves helicopter to declaring pilot can switch on helicopter motors. | While handling the patient case |
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