Comparison of Intubation Duration Between Rapid Sequence Intubation (RSI) Technique and Non-RSI Technique

Study Overview
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Brief Summary
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The purpose of this study is to evaluate intubation duration between rapid sequence intubation technique (RSI) and non-rapid sequence intubation technique (non-RSI) performed by emergency medicine residents in Siriraj hospital.

Detailed Description
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A prospective cohort study was conducted in the non-traumatic emergency department (ED).

Official Title
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Comparison of Intubation Duration Between Rapid Sequence Intubation Technique and Non- Rapid Sequence Intubation Technique in Siriraj Hospital by Emergency Medicine Residences

Conditions
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Tracheal Intubation Morbidity

Intervention / Treatment
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* Drug: RSI


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: patients required airway control by tracheal intubation Exclusion Criteria: cardiac arrest

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: RSI technique<br>Intubation with RSI technique. RSI technique includes the administration of inductive and neuromuscular blocking agents to facilitate an intubation. In this study, we have no restriction of medication use. Physicians can chose any of medication as an individual judgement. | Drug: RSI<br>* All medications are administered only one dose before intubation Anesthetics: Propofol 2-2.5 mg/kg Thiopental 3-5mg/kg Etomidate 1-2mg/kg Neuromuscular blocking agents: Succinylcholine 1-1.5mg/kg Rocuronium 0.9mg/kg Opioid: Fentanyl 1-2ug/kg<br>* Other names: Rapid Sequence Intubation;|
| No Intervention: Non-RSI<br>Intubation without RSI technique. No any medication use during intubation period. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The overall intubation duration | The overall intubation duration is recorded on the decision to intubation patient and corresponds to the time of confirmation the endotracheal position by chest auscultation | Participants will be followed for the overall intubation duration until confirmation the endotracheal position, an expected average of 2 minutes | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| the intubation duration | The intubation duration (Ti), it is defined from application the laryngoscope into the patient's mouth to the time of confirmation an endotracheal position | Participants will be followed for the intubation duration until confirmation the endotracheal position, an expected average of 5 minutes | 
| Complication | Complications occur during and after intubation peroid are recorded and monitored until patients are discharged fromt the hospital. | Participants will be followed in the period of staying in the emergency room and hospital, an expected average of 4 weeks |