Health Condition 1: 8- Other Procedures
Conditions
Interventions
Intervention1: Nil: NA
Control Intervention1: Nil: NA
Sponsors
Tata Memorial Hospital
Eligibility
Inclusion criteria
Inclusion criteria: 1. All consecutive adult critically ill patients (age > 18 years) requiring endotracheal intubation, unless they meet exclusion criteria
Exclusion criteria
Exclusion criteria: 1. Pregnant patients 2. Patients intubated for resuscitation due to cardiac arrest 3. Patients with known difficult airway (ventilation/laryngoscopy/intubation) 4. Patients with anterior mediastinal mass 5. Patients with SVC syndrome
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Composite end point comprising of one of the following, within 45 min of endotracheal intubation: a.Severe hypotension: Mean arterial pressure 65 mmHg recorded at least one time and/or Systolic blood pressure 90 mmHg lasting 5 mins, despite fluid loading and/or requiring introduction or increase in dose of vasopressor), b.Severe hypoxia (SpO2 80%), or c.Cardiac arrest. Timepoint: Within 45 min of intubation | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Airway assessment method 2. Experience of person performing intubation 3. Preoxygenation method 4. Drugs administered for intubation 5. Whether Rapid Sequence intubation or Delayed Sequence Intubation 6. Cricoid pressure applied or not 7. Type of laryngoscope used 8. Whether external manipulation required for intubation 9. Adjuncts used for achieving intubation 10. Number of attempts required for successful intubation 11. Method of confirmation of successful intubation 12. No. of attempts for successful intubation 13. Difficult intubation i.e., 2 attempts at laryngoscopy; 14. Esophageal intubation; 15. Aspiration of gastric contents 16. Cardiac arrhythmias 17. Dangerous agitation 18. Dental injuries 19. Other injuries to lips and/or structures oral cavity such as tonsillar pillars 20. Risk factors predicting complications of tracheal intubation 21. ICU outcome at discharge or 28 days 22. Hospital outcome at discharge or 28 days Timepoint: 1. At 45 min of intubation 2. At 28 days | — |
Countries
India
Contacts
Public ContactDr Atul Kulkarni
Tata Memorial Hospital
Outcome results
None listed