Clinical trial NCT02985970: Rapid Sequence Induction Czech Republic: Survey
Official title: Rapid Sequence Induction in Czech Republic: Survey
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Rapid Sequence Induction
Keywords: crush induction, RSI
Lead sponsor: Brno University Hospital
Sponsor class: OTHER
First posted: 2016-12-07
Enrollment: 164
Sex: ALL
Minimum age (years): 4
Maximum age (years): 80
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: OTHER
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Anesthesiologists - members of the ČSARIM and www.akutne.cz

Brief summary: 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: 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

Eligibility criteria: Inclusion Criteria:

* all members of ČSARIM and www.akutne.cz

Exclusion Criteria:

* not members of ČSARIM and www.akutne.cz

Primary outcomes:
measure: RSI practice in Czech Republic - questionnaire
timeFrame: one month
Secondary outcomes:
Other outcomes:
Locations:
Study officials:
affiliation: University Hospital Brno
name: Petr Štourač, doc.MD.Ph.D
role: STUDY_CHAIR
References: