Airway Management in the Intensive Care and Regular Hospital Units

Study Overview
=================
Brief Summary
-----------------
The goal of this descriptive observational study is to assess the success rate of endotracheal intubation at first attempt outside the operating room with direct laryngoscopy or with the use of an assisting device and identify adverse events; mainly hypoxemia (SpO2 < 85%) and hypotension (SBP < 80 mmHg) in patients requiring elective or emergent endotracheal intubation. The main question it aims to answer is whether endotracheal intubation outside the OR at AUBMC has higher success rates and lower complication rates as compared to the literature. Participants will be evaluated according to the inclusion criteria and data extraction will be performed from the electronic health record (EHR). Researchers will compare success and complication rates with previous literature and international benchmarks.

Detailed Description
-----------------
Compared with airway management inside the OR, airway management outside the OR is associated with a higher rate of complications. This higher rate of complications outside the OR shows that even despite multiple guidelines for the management of difficult airway, there is still a lot of room for improvement. This descriptive observational study will be conducted at the American University of Beirut Medical Center (AUBMC) on regular floors and in the ICU, on patients requiring elective or emergent endotracheal intubation. The primary outcome is to assess the success rate of endotracheal intubation at first attempt outside the OR with direct laryngoscopy or the use of an assisting device. Secondary outcomes will identify adverse events mainly hypoxemia and hypotension. The hypothesis is that endotracheal intubation outside the OR at AUBMC has higher success rates and lower complication rates as compared to the literature.

Official Title
-----------------
Airway Management in the Intensive Care and Regular Hospital Units: A Prospective Observational Study

Conditions
-----------------
Airway Management, Intensive Care Unit

Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Patients undergoing elective or emergent intubation on regular floors or ICU or COVID patients. Patients above 18 years of age. Intubation done by an anesthesia provider with at least 2 years of experience Exclusion Criteria: Patients in the ED. Patients intubated by non-anesthesia providers.

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------
What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The success rate of endotracheal intubation at first attempt | The success rate of endotracheal intubation at first attempt outside the OR with direct laryngoscopy or the use of an assisting device | During endotracheal intubation | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Adverse events (Hypoxemia) | Hypoxemia (SpO2 < 85%) | During the procedure | 
| Adverse events (Hypotension) | Hypotension (SBP < 80 mmHg) | During the procedure |