An Observational Study of Intubating Conditions Comparing Intraosseous Vascular Access With Peripheral Intravenous Access for Drug Delivery in Rapid Sequence Intubation
概览
- 阶段
- 不适用
- 干预措施
- 未指定
- 疾病 / 适应症
- Airway Control
- 发起方
- Vidacare Corporation
- 入组人数
- 4
- 试验地点
- 2
- 主要终点
- Time From First Drug Delivery to Operator-perceived Sufficient Relaxation to Perform Endotracheal Tube Placement
- 状态
- 终止
- 最后更新
- 3个月前
概览
简要总结
This study will evaluate using intraosseous vascular access and intravenous vascular access to give patients the necessary medications to perform rapid sequence intubation, for patients with airway difficulties. The investigators think the device operator will find the intraosseous and intravenous routes equal for drug delivery.
详细描述
This observational study will evaluate the intubating conditions of patients receiving rapid sequence intubation when receiving paralytic drug delivery via intravenous or intraosseous vascular access from the perspective of the medical professional performing rapid sequence intubation. The investigators believe that medical professionals will find equal intubating conditions for intravenous and intraosseous drug delivery.
研究者
入排标准
入选标准
- •Requires rapid sequence intubation
- •Succinylcholine is chosen paralytic agent
- •Intravenous (IV) or Intraosseous (IO) access has been established for rapid sequence intubation
- •For IV access patients, their rapid sequence intubation case is the next occurring IV rapid sequence intubation case following an enrolled IO Rapid Sequence Intubation (RSI) case.
排除标准
- •Vascular access other than IV or IO has been established
结局指标
主要结局
Time From First Drug Delivery to Operator-perceived Sufficient Relaxation to Perform Endotracheal Tube Placement
时间窗: during rapid sequence intubation procedure, average expected time frame 30 minutes
Time measured in seconds from first drug delivery to the time of operator-perceived sufficient relaxation to perform endotracheal tube placement
Intubation Difficulty Scale
时间窗: during rapid sequence intubation procedure, average expected time frame 30 minutes
Intubation Difficulty Scale (IDS) provides a numerical Total score describing the difficulty of the intubation procedure based upon the summation of the following individual sub-scores: number of attempts (each additional attempt adds (+)1 point, minimum score=0, no maximum), number of operators (each additional +1 point, minimum score=0, no maximum), use of alternative techniques (each alternative technique +1 point, minimum score=0, no maximum), cormack grade for first oral attempt (measures the quality of the view of the larynx using grades 1 - 4 where higher number means poorer visibility; successful blind intubation=0. minimum score=0, maximum=4), lifting force required (normal=0 or increased=1), laryngeal pressure (not applied=0 or applied=1), vocal cord mobility (abduction=0 or adduction=1). Total IDS minimum score=0, no maximum score. Score 0=Easy; Score 1 - 5 =slight difficulty; Score \>5 =moderate to major difficulty Score infinite =Failed/Impossible intubation
Operator Satisfaction With Intubating Conditions Using Visual Analog Scale
时间窗: during rapid sequence intubation procedure, average expected time frame 30 minutes
Operator reported level of satisfaction with intubating conditions regarding adequacy of sedation and adequacy of muscular relaxation. This is reported using a 100 mm visual analog scale from 0 - 100 where higher numbers indicate greater satisfaction.
Failure Rate of Endotracheal Intubation and Requirement for Alternative Airway Management Methods
时间窗: during rapid sequence intubation procedure, average time frame 30 minutes
Failure rate of endotracheal intubation and requirement for alternative airway management methods
次要结局
- Incidence of Short-term Catheter Related Complications for Each Technique(during emergency department stay, average time frame 24 hours)