ED Airway Management in the Netherlands.
ConditionEndotracheal Intubation
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
AgeNot listed
SponsorFrisius Medisch Centrum
About this trial
Airway management is one of the resuscitative procedures patients may undergo in the Emergency Department (ED). While this is a high risk procedure, to date there is no data available on airway management practices, success or safety in EDs in the Netherlands. The objective of this study is to describe airway management in the Netherlands.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
All patients who undergo airway management in the ED.
Disqualifiers
ED patients that undergo airway management outside of the ED (e.g. operation room), will be excluded
Trial population
All patiënts who require endotracheal intubation will be included. Population will therefore be limited to those needing airway management.
Trial design
Design model
Cohort
Time perspective
Prospective
Treatments tested in this trial
Endotracheal intubation
Procedure/SurgeryOver the course of several years as many as possible ED centres in the Netherlands will be included in the collection of all data involving airway management. Airway management is defined as the process of planning, preparation and execution of endotracheal intubation.
Treatment groups
1,000 Participants
are divided into 1 treatment groupGroup A: Patient in need of airway management.1 intervention
Trial outcomes
Primary outcomes
1
Adverse events during or after endotracheal intubation
The occurrence of adverse events peri-intubation, the following adverse events are defined: * Desaturation, defined as a decrease of SpO2 of 10% or more * Hypotension, defined as a systolic blood pressure of \<90mmHg AND a decrease of 20% or more. In case of suspected raised intracranial pressure hypotension is defined as a systolic blood pressure of \<120mmHg AND a decrease of 20% or more. * Hypertension * Bradycardia * Tachycardia * Cardiac arrest * Aspiration * Oesophageal intubation * Mainstem intubation * Dental trauma * Airway bleeding due to intubation attempt * Other adverse event, further specified by provider
Time frame
Within 10 minutes after start of procedure. The data has to reported within 24 hours of endotracheal intubation.Secondary outcomes
1
First pass success
The percentage of patients that are successfully intubated during the first attempt of endotracheal intubation. An attempt is defined as an attempt to visualize the larynx and an attempt ends when the laryngoscope blade is removed from the mouth.
Time frame
Peri-intubation. The data has to reported within 24 hours of endotracheal intubation.2
Indications for intubation
The underlying pathology that led to the decision to intubate, these are defined as: * Pulmonary * Cardiac * Neurologic * Cardiac arrest * Post-cardiac arrest * Intoxication * Metabolic derangement * Trauma * Shock * Airway obstruction * Other
Time frame
Peri-intubation. The data has to reported within 24 hours of endotracheal intubation.Sponsors and contacts
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Source ClinicalTrials.gov