Awake Tracheal Intubation is Associated With Fewer Adverse Events in Critical Care Patients Than Standard Tracheal Intubation
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Videolaryngoscopy
- Sponsor
- Johannes Gutenberg University Mainz
- Enrollment
- 140
- Locations
- 1
- Primary Endpoint
- desaturation
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
Tracheal intubation in critical care is a high-risk procedure requiring significant expertise and airway strategy modifications, such as awake intubation with video laryngoscope or flexible endoscope intubation. Furthermore, delayed sequence intubation can be used by experts in certain high-risk subgroups. The investigators hypothesise that awake tracheal intubation is associated with a lower incidence of severe adverse events than standard tracheal intubation in critical care patients.
Detailed Description
Intubation records from 2020 to 2022 were acquired to examine all tracheal intubations of critical care patients at a tertiary hospital. Each awake tracheal intubation (awake) case - all of which were performed using a videolaryngoscope with a hyperangulated blade - was propensity matched with two controls (1:2 ratio; standard intubation videolaryngoscopy (VL) and direct laryngoscopy (DL) undergoing general anaesthesia), with similar comorbidities and intubations performed after the induction of anaesthesia (asleep).
Investigators
Marc Kriege, MD
Principal Investigator
Johannes Gutenberg University Mainz
Eligibility Criteria
Inclusion Criteria
- •Data for all critical care patients requiring tracheal intubation during the study period
Exclusion Criteria
- •included incomplete data reports
Outcomes
Primary Outcomes
desaturation
Time Frame: during intubation procedure (within 30 Minutes)
defined as SpO2 \< 80% after sufficient preoxygenation
Hypotension
Time Frame: during intubation procedure (within 30 Minutes)
defined as a mean arterial pressure \< 55 mmHg
cardiac arrest
Time Frame: during intubation procedure (within 30 Minutes)
defined as a peri-interventional cardiac arrest
Secondary Outcomes
- Airway Injury(during intubation procedure (< 120 seconds))
- other adverse events(during intubation procedure (< 120 seconds))
- Cormack and Lehane classification (Class I-IV)(during intubation procedure (< 120 seconds))
- FPS(during intubation procedure (< 120 seconds))