Rapid Sequence Induction Czech Republic: Survey

Completed

• Conditions: Rapid Sequence Induction
• Interventions: Other: questionnaire

• Registration Number: NCT02985970
• Lead Sponsor: Brno University Hospital

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

Study Timeline

• Study First Submitted: 2016-11-30
• Study Start: 2016-12
• Study First Submitted QC: 2016-12-06
• Study First Posted: 2016-12-07
• Primary Completion: 2017-02
• Status Verified: 2017-04
• Study Completion: 2017-04
• Last Update Submitted: 2017-04-21
• Last Update Posted: 2017-04-24

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 164

Inclusion Criteria

• all members of ČSARIM and www.akutne.cz

Exclusion Criteria

• not members of ČSARIM and www.akutne.cz

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
ČSARIM - questionnaire	questionnaire	Members of Czech society of anesthesiology, resuscitation and intensive care will obtain the questionnaire

Primary Outcome Measures

Name	Time	Method
RSI practice in Czech Republic - questionnaire	one month	Evaluation of the clinical practice of the RSI in Czech Republic