INTUPROS 2-3: Improving First-Pass Intubation Success and Reducing Complications in ICU Patients

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorSpanish Society of Critical Care Medicine and Coronary Units

About this trial

This national, multicenter, prospective cohort study aims to determine the prevalence and risk factors associated with major peri-intubation complications in critically ill adult patients undergoing tracheal intubation in intensive care units (ICUs), and to compare these findings with those previously reported in the INTUPROS 1 study. Additionally, the study will evaluate the impact of a structured educational intervention on airway management practices and clinical outcomes through a pre- and post-intervention design

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients undergoing tracheal intubation in ICU

Disqualifiers

Intubation outside ICU

Cardiac arrest at time of intubation

Trial population

Patients intubated in the ICU

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

No trial groups listed

Trial outcomes

Primary outcomes

1

Major peri-intubation complications

Number and proportion of patients experiencing at least one major peri-intubation complication during tracheal intubation in the intensive care unit. Major peri-intubation complications include cardiovascular instability, severe hypoxemia, cardiac arrest requiring resuscitation, and death. Risk factors independently associated with major peri-intubation complications will also be analyzed, and the results will be compared with those previously reported in the INTUPROS 1 study.

Time frame
Within 30 minutes from the start of the tracheal intubation procedure.

Secondary outcomes

1

First-pass intubation success

Number and proportion of patients in whom successful tracheal intubation is achieved on the first intubation attempt. The first-pass intubation success rate will be compared with that previously reported in the INTUPROS 1 study.

Time frame
During the tracheal intubation procedure, at the first intubation attempt.
2

Use of videolaryngoscopy and type of videolaryngoscope

Number and proportion of tracheal intubations in which videolaryngoscopy is used. The type of videolaryngoscope used and its order of use during the intubation procedure will also be recorded.

Time frame
During the tracheal intubation procedure.
3

Pharmacological agents used to facilitate tracheal intubation

Number and proportion of patients receiving each pharmacological agent used to facilitate tracheal intubation. The agents used and their doses will be recorded, and patterns of pharmacological agent use will be compared with those previously reported in the INTUPROS 1 study.

Time frame
During the tracheal intubation procedure.
4

Predictive performance of the INTUPROS difficult airway prediction score

Predictive performance for difficult tracheal intubation of the difficult airway prediction score derived from the INTUPROS 1 database. The prediction score does not include the MACOCHA score.

Time frame
During the tracheal intubation procedure.

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Spanish Society of Critical Care Medicine and Coronary Units

Lead sponsor

Hospitales Universitarios Virgen del Rocío

Collaborator

Henares University Hospital

Collaborator

Hospital San Juan de Dios del Aljarafe de Sevilla

Collaborator

Hospital Mutua de Terrassa

Collaborator

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