Evaluation of Intubation Rescue Techniques on Management of Difficult Airway

Completed

• Conditions: Difficult Airway; Difficult Intubation
• Interventions: Device: rescue technique

• Registration Number: NCT03545620
• Lead Sponsor: Derince Training and Research Hospital

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

Study Timeline

• Study Start: 2017-12-03
• Study First Submitted: 2018-04-18
• Study First Submitted QC: 2018-05-22
• Status Verified: 2018-06
• Primary Completion: 2018-06-01
• Study Completion: 2018-06-01
• Study First Posted: 2018-06-04
• Last Update Submitted: 2018-06-20
• Last Update Posted: 2018-06-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 92

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

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Difficult intubation,	rescue technique	Patients who underwent surgery under general anesthesia will be follow up. Patients predicted difficult intubation/airway or established difficult intubation/airway after anesthesia induction will be included. Which rescue technique will be used after unsuccessful direct laryngoscopy will be recorded.

Primary Outcome Measures

Name	Time	Method
which rescue technique will be chosen by the anesthesiologist after failed direct laryngoscopy	Participants will be followed for the duration of anesthesia and after induction, an expected average of 1 hour	In case of a difficult airway situation after anesthesia induction patients will be enrolled to the study. Researchers will observe the case and record the chosen rescue technique such as video laryngoscope, supraglottic airway device, fiberoptic intubation or tracheostomy. Here the researchers aim to observe the preferred rescue method of providing an intact airway.

Secondary Outcome Measures

Name	Time	Method
Determination of the most preferred rescue technique for the anesthesiologists during difficult airway management.	Participants will be followed for the duration of anesthesia and after induction, an expected average of 1 hour	The researchers aim to determine the most preferred rescue technique for the anesthesiologists during difficult airway management.Researchers will observe the case and record the chosen rescue technique such as video laryngoscope, supraglottic airway device, fiberoptic intubation or tracheostomy. Here the researchers aim to observe the preferred rescue method of providing an intact airway.
the success rate of chosen technique for providing an intact airway	Participants will be followed for the duration of anesthesia and after induction, an expected average of 1 hour	Tracheal intubation or supraglottic airway device insertion period will be observed. When end tidal CO2 will be seen on the monitor patient's airway will be accepted as successfully provided. .
Complications due to intubation	Participants will be followed for the duration of anesthesia and after induction, an expected average of 12 hour	intubation period will be observed and patients will be followed up for complications including throat pain, trauma (pharyngeal, laryngeal, teeth, palate) hypoxemia, death,

Trial Locations

Locations (4)

Marmara University School of Medicine; 🇹🇷 Istanbul, Turkey

Kocaeli University School of Medicine; 🇹🇷 Kocaeli, Turkey

Haydarpasa Numune Researh and Training Hospital; 🇹🇷 Istanbul, Turkey

Derince Research and Training Hospital; 🇹🇷 Kocaeli, Turkey