In emergency airway scenarios may be hindered by poor visualization of the glottis. This can reduce first-pass success rates and increase the risk of complications. such as hypoxemia, hypotension, or aspiration. endotracheal intubation, head elevated position
Conditions
Interventions
Participants are adult patients with suspected respiratory failure who require intubation and are randomized into either a 25 degree head elevation or supine sniffing position then receive preoxygenat
Active Comparator Procedure/Surgery
Head elevated position vs conventional supine postition
Sponsors
None listed
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. Age more than 18 years 2. Respiratory failure that need for intubation by using Rapid Sequence Intubation method
Exclusion criteria
Exclusion criteria: 1. Trauma patient 2. Pregnancy 3. History of Difficult intubation 4. History of allergy to medications used for RSI 5. Predicted to have difficult intubation based on the LEMON assessment more than 1 criteria is exclusion 6. BMI more than 40 7. Cardiac arrest 8. Crash airway 9. Inability to make a decision within 10 minutes or clinical deterioration
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Percentage of glottic opening (POGO) score immediately percentage of POGO score | — |
Secondary
| Measure | Time frame |
|---|---|
| first pass success rate immediately time,time to intubation immediately minutes and seconds,Number of attempts immediately time,modified Cormack-Lehane grading immediately grade,Visual analog scale immediately score,complications of intubation thirty minutes category | — |
Countries
Thailand
Contacts
Public ContactWichayada Rangabpai
Siriraj hospital
Outcome results
None listed