Clinical trial NCT03545620: Evaluation of Intubation Rescue Techniques on Management of Difficult Airway
Official title: Evaluation of Rescue Techniques After Failed Direct Laryngoscopy: A Multicentered Prospective Observational Study
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Difficult Intubation
Difficult Airway
Keywords: difficult airway
difficult intubation
videolaryngoscope
exchange catheter
fiberoptic bronchoscope
Laryngeal subglottic airway device
tracheostomy
Lead sponsor: Derince Training and Research Hospital
Sponsor class: OTHER
First posted: 2018-06-04
Enrollment: 92
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: CASE_ONLY
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: patients who underwent surgery under general anesthesia over 18 years old

Brief summary: When difficult airway/intubation occurs in the OR the anesthesiologist needs rescue techniques and equipment. The algorithms about management of the difficult airway don't provide adequate data. In current study researchers aim to determine most preferred rescue techniques and success rate of the chosen technique.

Detailed description: In anesthesia setting Failed tracheal intubation, leading mortality and morbidity is very important. In operation room when a Difficult intubation occured with concurrent difficult mask ventilation rapid manipulation and quick decision are lifesaving. The Presence of assistant medical personnel or rescue equipment and crisis management of physician is crucial. In anesthesia practice when difficult airway occured rescue techniques are used to facilitate the intubation but difficult airway algorithms do not provide adequate information which rescue technique should be used in a state of emergency in OR thereby current trial was designed to determine which rescue techniques are used in everyday practice to manage difficult intubation, success and complication rates of chosen techniques.

Aim of the study

1. Most preferred rescue technique of the anesthesiologist When a difficult airway or difficult intubation ventilation occured
2. success rate of the chosen technique
3. Incidence of possible complications
4. Most preferred rescue technique of the anesthesiologist on presence of the difficult mask ventilation

Eligibility criteria: Inclusion Criteria:

* aged over 18 years
* patient underwent surgery under general anesthesia

Exclusion Criteria:

* pediatric patients
* patients who will intubate due to rapid serial intubation protocol

Primary outcomes:
measure: which rescue technique will be chosen by the anesthesiologist after failed direct laryngoscopy
timeFrame: Participants will be followed for the duration of anesthesia and after induction, an expected average of 1 hour
Secondary outcomes:
measure: the success rate of chosen technique for providing an intact airway
timeFrame: Participants will be followed for the duration of anesthesia and after induction, an expected average of 1 hour
measure: Complications due to intubation
timeFrame: Participants will be followed for the duration of anesthesia and after induction, an expected average of 12 hour
measure: Determination of the most preferred rescue technique for the anesthesiologists during difficult airway management.
timeFrame: Participants will be followed for the duration of anesthesia and after induction, an expected average of 1 hour
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Haydarpasa Numune Researh and Training Hospital
city: Istanbul
country: Turkey
facility: Marmara University School of Medicine
city: Kocaeli
country: Turkey
facility: Derince Research and Training Hospital
city: Kocaeli
country: Turkey
facility: Kocaeli University School of Medicine
Study officials:
affiliation: Sağlık Bilimleri Üniversitesi Kocaeli Derince Eğitim ve Araştırma Hastanesi
name: mehmet yilmaz
role: STUDY_DIRECTOR
References: