Tracheal Intubation Clinical Trial
Official title:
Current State of Endotracheal Intubation Among the Critically Ill and Exploring Risk Factors for Immediate Complications of Endotracheal Intubation: a Prospective, Observational Multi-center Study (HEMAIR)
In order to examine the current endotracheal intubation practice among critically ill patients, a prospective observational multicenter study of adult critically ill patients was conducted from July 2015 to January 2017 involving 20 ICUs. In this study, the primary aim was to describe, through a prospective observational multicenter study, the current intubation practice of adult critically ill patients undergoing endotracheal intubations with a focus on deriving and validating a prediction model for both immediate airway and hemodynamic complications.
Aim 1: To derive and validate a prediction model for difficult airway (three or more attempts
at laryngoscopy to place an endotracheal tube and/or the need for another operator among the
critically ill) [37].
Aim 2: To derive and validate a prediction model for hemodynamic compromise, i.e.,
post-intubation hypotension [defined as a decrease at any point in mean arterial pressure
less than 65 mmHg; systolic blood pressure less than 80 mm Hg and/or a reduction in systolic
blood pressure of 40% from baseline; or the initiation of, or increase in infusion dosage of,
any vasopressor medication (bolus or infusion) during the 30 minute period following
intubation] [38-39].
Aim3: To derive and validate a predication model for hypoxemia (decrease in pulse oximetry to
oxygen saturation less than 88% during the procedure).
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