Rapid Sequence Induction Czech Republic: Survey

Study Overview
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Brief Summary
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Rapid sequence induction (RSI) is a common part of routine anesthesiology practice.However several steps of RSI are not based on evidence based data (EBM) and are considered controversial. In an electronic evaluation form that will be send to Czech society of anesthesiology, resuscitation and intensive care (ČSARIM) members, the investigators bring 4 clinical scenarios in which RSI should be used. In the questionnaire the participants have to choose RSI or no and they have to describe all the next steps on anesthesia induction process in each single clinical scenario.

Detailed Description
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Rapid sequence induction (RSI) is a common part of routine anesthesiology practice.However several steps of RSI are not based on evidence based data (EBM) and are considered controversial. In an electronic evaluation form that will be send to Czech society of anesthesiology, resuscitation and intensive care (ČSARIM) members, the investigators bring 4 clinical scenarios in which RSI should be used. In the questionnaire the participants have to choose RSI or no and they have to describe all the next steps on anesthesia induction process in each single clinical scenario. 1st. scenario - adult patient with acute abdomen in the OR to be anesthetized 2nd. scenario - 4 years old child with acute abdomen in the OR scheduled for an acute surgery 3rd. scenario - pregnant women scheduled for an elective caesarean section in the OR 4th. scenario - geriatric patient with hiatal hernia scheduled for an elective laparoscopic cholecystectomy. In each scenario the several steps of the RSI sequence has to be answered: Is RSI indicated? Y N Peripheral vein line before induction? Y N Nasogastric tube before/after induction or without? Patients position: neutral, head-up, head-down? Preoxygenation - 3/5minutes, breaths, (CPAP)/Positive end-expiratory pressure (PEEP)? Sellick manoeuver? Y N Drugs for induction (order with the number in the row) - propofol, etomidate, ketamine, thiopental, midazolam, suxamethonium, rocuronium, cisatracurium, atracurium, vecuronium Manual hand-bag ventilation after induction: with limited pressure/contraindicated Airway: tracheal tube with the cuff/without cuff/laryngeal mask Comments

Official Title
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Rapid Sequence Induction in Czech Republic: Survey

Conditions
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Rapid Sequence Induction

Intervention / Treatment
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* Other: questionnaire


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: all members of ČSARIM and www.akutne.cz Exclusion Criteria: not members of ČSARIM and www.akutne.cz

Ages Eligible for Study
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Minimum Age: 4 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| ČSARIM - questionnaire<br>Members of Czech society of anesthesiology, resuscitation and intensive care will obtain the questionnaire | Other: questionnaire<br>* The questionnaire will be send to all members of ČSARIM with the selected 4 controversial clinical scenarios in which the RSI should be used<br>* Other names: survey;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| RSI practice in Czech Republic - questionnaire | Evaluation of the clinical practice of the RSI in Czech Republic | one month | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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crush induction, RSI