Frequency of Airway Complications During General Anaesthesia After Introducing Five Handling Adaptations

Study Overview
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Brief Summary
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The purpose of this study is to determine if five simple adaptations in airway management of patients undergoing general anaesthesia can reduce minor and major airway complications. After a first detection of causes of airway complications during general anaesthesia investigators initiated five different interventions in airway management, which were: immediate bag-valve mask ventilation after administering of muscle relaxants, optimized preoxygenation, introducing of a preinterventional checklist, increased usage of video laryngoscopy and immediate change of provider in case of failed intubation. In a second phase of this observational study investigators want to evaluate if these five interventions can reduce minor and major airway complications during general anaesthesia. Additionally, investigators want to record how many critical incidents (CIRS) occur during this observational period and how many of them will be reported by the involved stuff.

Official Title
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Frequency of Airway Complications During General Anaesthesia After Introducing Five Handling Adaptations

Conditions
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Airway Complications

Intervention / Treatment
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* Procedure: Introducing five different treating adaptations


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Must receive a general anaesthesia with any form of airway management Exclusion Criteria: Anaesthesia without airway management Patients who do not give or who withdraw general consent
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

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


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Before interventions<br>Only observational activity for this arm, to record the frequency and triggering factors of airway complications during general anaesthesia. | |
| Experimental: After interventions<br>After introducing five different treating adaptations in airway management we want to record the frequency of airway complications during general anaesthesia. | Procedure: Introducing five different treating adaptations<br>* Immediate Bag-valve mask ventilation after administering of muscle relaxants, optimized preoxygenation, introducing of a preinterventional checklist, increased usage of video laryngoscopy and immediate hand alternately if frustrated intubation.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Reduction of airway complications after introducing five treatment adaptations |  | 2 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Postoperative side effects after routinely general anaesthesia |  | 2 months | 
| Frequency of reporting critical incident (CIRS) |  | 2 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Airway management, General anaesthesia, Critical incidents, Complications