Rapid Sequence Induction Czech Republic: Survey

NCT ID: NCT02985970

Last Updated: 2017-04-24

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 164 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2016-12-31
• Study Completion Date: 2017-04-30

Brief Summary

Rapid sequence induction (RSI) is a common part of routine anesthesiology practice.However several steps of RSI are not based on evidence based data (EBM) and are considered controversial. In an electronic evaluation form that will be send to Czech society of anesthesiology, resuscitation and intensive care (ČSARIM) members, the investigators bring 4 clinical scenarios in which RSI should be used. In the questionnaire the participants have to choose RSI or no and they have to describe all the next steps on anesthesia induction process in each single clinical scenario.

Detailed Description

Rapid sequence induction (RSI) is a common part of routine anesthesiology practice.However several steps of RSI are not based on evidence based data (EBM) and are considered controversial. In an electronic evaluation form that will be send to Czech society of anesthesiology, resuscitation and intensive care (ČSARIM) members, the investigators bring 4 clinical scenarios in which RSI should be used. In the questionnaire the participants have to choose RSI or no and they have to describe all the next steps on anesthesia induction process in each single clinical scenario.

• 1st. scenario - adult patient with acute abdomen in the OR to be anesthetized
• 2nd. scenario - 4 years old child with acute abdomen in the OR scheduled for an acute surgery
• 3rd. scenario - pregnant women scheduled for an elective caesarean section in the OR
• 4th. scenario - geriatric patient with hiatal hernia scheduled for an elective laparoscopic cholecystectomy.

In each scenario the several steps of the RSI sequence has to be answered:

Is RSI indicated? Y N

Peripheral vein line before induction? Y N

Nasogastric tube before/after induction or without?

Patients position: neutral, head-up, head-down?

Preoxygenation - 3/5minutes, breaths, (CPAP)/Positive end-expiratory pressure (PEEP)?

Sellick manoeuver? Y N

Drugs for induction (order with the number in the row) - propofol, etomidate, ketamine, thiopental, midazolam, suxamethonium, rocuronium, cisatracurium, atracurium, vecuronium

Manual hand-bag ventilation after induction: with limited pressure/contraindicated

Airway: tracheal tube with the cuff/without cuff/laryngeal mask

Comments

Conditions

Rapid Sequence Induction

Study Design

• Observational Model Type: OTHER
• Study Time Perspective: PROSPECTIVE

Study Groups

ČSARIM - questionnaire

Members of Czech society of anesthesiology, resuscitation and intensive care will obtain the questionnaire

questionnaire

Intervention Type: OTHER

The questionnaire will be send to all members of ČSARIM with the selected 4 controversial clinical scenarios in which the RSI should be used

Interventions

questionnaire

The questionnaire will be send to all members of ČSARIM with the selected 4 controversial clinical scenarios in which the RSI should be used

Intervention Type: OTHER

Other Intervention Names

survey

Eligibility Criteria

Inclusion Criteria

• all members of ČSARIM and www.akutne.cz

Exclusion Criteria

• not members of ČSARIM and www.akutne.cz

• Minimum Eligible Age: 4 Years
• Maximum Eligible Age: 80 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Brno University Hospital

OTHER

Sponsor Role: lead

Responsible Party

Petr Štourač, MD

Doc.MD.Ph.D

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Petr Štourač, doc.MD.Ph.D

Role: STUDY_CHAIR

University Hospital Brno

Other Identifiers

RSI 2016CZ

Identifier Type: -

Identifier Source: org_study_id