Evaluation of Intubation Rescue Techniques on Management of Difficult Airway

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.

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Key information

Conditions

Difficult Intubation Difficult Airway

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Haydarpasa Numune Researh and Training Hospital, Istanbul, Turkey (Türkiye)

About this study

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

Most preferred rescue technique of the anesthesiologist When a difficult airway or difficult intubation ventilation occured
success rate of the chosen technique
Incidence of possible complications
Most preferred rescue technique of the anesthesiologist on presence of the difficult mask ventilation

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

rescue technique

Device

which rescue technique will be preferred while established/predicted difficult airway/intubation occurs in the operation room after failed direct laryngoscopy

Primary outcomes

which rescue technique will be chosen by the anesthesiologist after failed direct laryngoscopy

Time frame: 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 outcomes

the success rate of chosen technique for providing an intact airway

Time frame: 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

Time frame: 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,
Determination of the most preferred rescue technique for the anesthesiologists during difficult airway management.

Time frame: 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.

Sponsors and collaborators

Lead sponsor

Derince Training and Research Hospital

Other

Registry information

Official study title

Evaluation of Rescue Techniques After Failed Direct Laryngoscopy: A Multicentered Prospective Observational Study

Important dates

Study start: 2017
Primary completion: 2018
Study completion: 2018
First posted: Jun 4, 2018
Registry last updated: Jun 21, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.

Completed