Difficult Airway, Difficult Intubation
Conditions
Keywords
difficult airway, difficult intubation, videolaryngoscope, exchange catheter, fiberoptic bronchoscope, Laryngeal subglottic airway device, tracheostomy
Brief summary
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.
Detailed description
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 1. Most preferred rescue technique of the anesthesiologist When a difficult airway or difficult intubation ventilation occured 2. success rate of the chosen technique 3. Incidence of possible complications 4. Most preferred rescue technique of the anesthesiologist on presence of the difficult mask ventilation
Interventions
DEVICErescue technique
which rescue technique will be preferred while established/predicted difficult airway/intubation occurs in the operation room after failed direct laryngoscopy
Sponsors
Derince Training and Research Hospital
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| which rescue technique will be chosen by the anesthesiologist after failed direct laryngoscopy | 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
| Measure | Time frame | Description |
|---|---|---|
| the success rate of chosen technique for providing an intact airway | 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 | 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. | 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. |
Countries
Turkey (Türkiye)
Outcome results
None listed