Airway Control
Conditions
Brief summary
This study will evaluate using intraosseous vascular access and intravenous vascular access to give pediatric patients the necessary medications to perform rapid sequence intubation, for patients with airway difficulties.
Interventions
None listed
Sponsors
Vidacare Corporation
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* subjects requiring rapid sequence intubation for whom rocuronium is chosen as the paralytic agent. * the operator chooses to place a peripheral intravenous or powered intraosseous catheter to permit rapid sequence intubation.
Exclusion criteria
* subjects in whom vascular access for rapid sequence intubation drug administration was established prior to arrival to the emergency department.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time from determination of need for vascular access for rapid sequence intubation to administration of first does of paralytic agent. | during rapid sequence intubation procedure, average expected time frame 30 minutes | Time from determination of need for vascular access for rapid sequence intubation to administration of first does of paralytic agent. |
| Time from vascular access to intubation first attempt, as indicated by the first attempt to visualize the larynx with the laryngoscope. | during rapid sequence intubation procedure, average expected time frame 30 minutes | Time from vascular access to intubation first attempt, as indicated by the first attempt to visualize the larynx with the laryngoscope. |
| time from vascular access to successful intubation | during rapid sequence intubation procedure, average expected time frame 30 minutes | time from vascular access to successful intubation |
| number of attempts necessary for successful intubation | during rapid sequence intubation procedure, average expected time frame 30 minutes | number of attempts necessary for successful intubation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Intubation difficulty | during rapid sequence intubation procedure, average time frame 30 minutes | The Intubation Difficulty Scale is a validated tool used to grade the difficulty with which a patient was intubated for airway managment during rapid sequence intubation. |
| operator satisfaction with intubating conditions | during rapid sequence intubation procedure, average time frame 30 minutes | operator satisfaction with intubating conditions |
| failure rate of endotracheal intubation | during rapid sequence intubation procedure, average time frame 30 minutes | failure rate of endotracheal intubation and requirement for alternative airway management. |
| Time from presentation of patient to vascular access established | during rapid sequence intubation procedure, average time frame 30 minutes | Time from presentation of patient to vascular access established |
| Determine the incidence of short term catheter related complications for each technique | during emergency department stay, average time frame 24 hours | Determine the incidence of short term catheter related complications for each technique |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATOREdward Truemper, MD
University of Nebraska
Outcome results
None listed