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Frequency of Airway Complications During General Anaesthesia After Introducing Five Handling Adaptations

NCT ID: NCT02743767

Last Updated: 2016-11-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

7455 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-05-31

Study Completion Date

2016-09-30

Brief Summary

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The purpose of this study is to determine if five simple adaptations in airway management of patients undergoing general anaesthesia can reduce minor and major airway complications.

After a first detection of causes of airway complications during general anaesthesia investigators initiated five different interventions in airway management, which were: immediate bag-valve mask ventilation after administering of muscle relaxants, optimized preoxygenation, introducing of a preinterventional checklist, increased usage of video laryngoscopy and immediate change of provider in case of failed intubation.

In a second phase of this observational study investigators want to evaluate if these five interventions can reduce minor and major airway complications during general anaesthesia.

Additionally, investigators want to record how many critical incidents (CIRS) occur during this observational period and how many of them will be reported by the involved stuff.

Detailed Description

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Conditions

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Airway Complications

Keywords

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Airway management General anaesthesia Critical incidents Complications

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Before interventions

Only observational activity for this arm, to record the frequency and triggering factors of airway complications during general anaesthesia.

Group Type NO_INTERVENTION

No interventions assigned to this group

After interventions

After introducing five different treating adaptations in airway management we want to record the frequency of airway complications during general anaesthesia.

Group Type EXPERIMENTAL

Introducing five different treating adaptations

Intervention Type PROCEDURE

Immediate Bag-valve mask ventilation after administering of muscle relaxants, optimized preoxygenation, introducing of a preinterventional checklist, increased usage of video laryngoscopy and immediate hand alternately if frustrated intubation.

Interventions

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Introducing five different treating adaptations

Immediate Bag-valve mask ventilation after administering of muscle relaxants, optimized preoxygenation, introducing of a preinterventional checklist, increased usage of video laryngoscopy and immediate hand alternately if frustrated intubation.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Must receive a general anaesthesia with any form of airway management

Exclusion Criteria

* Anaesthesia without airway management
* Patients who do not give or who withdraw general consent
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Insel Gruppe AG, University Hospital Bern

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Robert Greif, MD MME FERC

Role: STUDY_CHAIR

Insel Gruppe AG, University Hospital Bern

Locations

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University Hospital

Bern, Canton of Bern, Switzerland

Site Status

Countries

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Switzerland

References

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Huber M, Greif R, Pedersen TH, Theiler L, Kleine-Brueggeney M. Risk patterns of consecutive adverse events in airway management: a Bayesian network analysis. Br J Anaesth. 2023 Mar;130(3):368-378. doi: 10.1016/j.bja.2022.11.007. Epub 2022 Dec 22.

Reference Type DERIVED
PMID: 36564247 (View on PubMed)

Pedersen TH, Ueltschi F, Hornshaw T, Greif R, Theiler L, Huber M, Kleine-Brueggeney M. Optimisation of airway management strategies: a prospective before-and-after study on events related to airway management. Br J Anaesth. 2021 Nov;127(5):798-806. doi: 10.1016/j.bja.2021.07.030. Epub 2021 Sep 15.

Reference Type DERIVED
PMID: 34535275 (View on PubMed)

Other Identifiers

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PAPAYA

Identifier Type: -

Identifier Source: org_study_id