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A Comparative Retrospective-Prospective Study of First-Attempt Success Rates of Endotracheal Intubation Between Rapid Sequence Intubation using Neuromuscular Blocking Agents and Intubation Without Neuromuscular Blocking Agents in Prehospital Patient

A Comparative Retrospective-Prospective Study of First-Attempt Success Rates of Endotracheal Intubation Between Rapid Sequence Intubation using Neuromuscular Blocking Agents and Intubation Without Neuromuscular Blocking Agents in Prehospital Patient

Status
Recruiting
Phases
Unknown
Study type
Observational
Source
TCTR
Registry ID
TCTR20260604003
Enrollment
100
Registered
2026-06-04
Start date
2026-06-04
Completion date
Unknown
Last updated
2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Airway Obstuction Respirantory Failure Cardiac Arrest Emergency Intubation Intubation Intratracheal Rapid Sequence Intubation Neuromuscular Blocking Agents Emergency Medical Services Airway Management

Interventions

Patients undergoing endotracheal intubation using rapid sequence intubation technique with administration of a sedative agent and neuromuscular blocking agent.,Patients undergoing endotracheal intubat
Other,Other
Rapid Sequence Intubation (RSI),Non-RSI Intubation

Sponsors

Faculty of medicine, Chulalongkorn University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 99 Years

Inclusion criteria

Inclusion criteria: 1. Patients older than 18 years. 2. Patients who underwent endotracheal intubation in the prehospital setting by the Emergency Medical Service (EMS) team of King Chulalongkorn Memorial Hospital. 3. Cases occurring between January 1, 2023, and December 31, 2025.

Exclusion criteria

Exclusion criteria: 1. Patients with cardiac arrest. 2. Patients identified as having a difficult airway based on the LEMON assessment (difficult direct laryngoscopy) or MOAN assessment (difficult bag-mask ventilation). 3. Patients undergoing crash airway management with endotracheal intubation performed without sedative and/or neuromuscular blocking agents.

Design outcomes

Primary

MeasureTime frame
First-pass intubation success rate During the intubation procedure Proportion of patients successfully intubated on the first attempt, confirmed by capnograph detection and bilateral chest rise.

Secondary

MeasureTime frame
Outcome Name: Intubation-related complications During and within 30 minutes after intubation Incidence of hypoxemia, hypotension, bradycardia, aspiratetion, or cardiacarrest

Countries

Thailand

Contacts

Public ContactPaveenon Karavapong

Faculty of Medicine, Chulalongkorn University

emtchulacu@gmail.com0870935587

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 10, 2026