Airway Code Calls - Survey of Management

NCT ID: NCT03035786

Last Updated: 2017-01-30

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

UNKNOWN

Total Enrollment

300 participants

Study Classification

OBSERVATIONAL

Study Start Date

2016-11-30

Study Completion Date

2018-11-30

Brief Summary

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This is a survey of airway codes, which are emergency mobile phone requests for anaesthetic help to manage acute airway crises in the hospital (out of theatre, out of Surgical Intensive Care Unit, SICU).

The anaesthetists are doctors trained in advance airway management. Patients in the hospital may suffer airway crises e.g. airway obstruction or need for tracheal intubation (insertion of breathing tube) for various reasons. The on call SICU anaesthetists responds to the airway code by attending the patient in need and managing the patient at their own discretion.

Airway management will depend on the anaesthetist's knowledge, skills and experience. it will also depend on the available airway equipment.

We plan to evaluate airway codes for a 24 month period. Parameters include: type of incident; patient factors (including airway assessment); type of equipment used; anaesthetic drugs used; airway management chosen by the attending anaesthetist; and, airway complications.

Detailed Description

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Airway codes will be managed as standard care. These calls are taken and managed by anaesthetists on call on SICU. The audit form is filled in by the on call anaesthetist after the airway code has been managed. This is an audit looking at:

Primary outcome

•Evaluate the type of airway codes that the SICU anaesthetist is called for

Secondary outcomes:

* Patient factors (including airway assessment)
* Type of equipment used
* Type of anaesthetic drugs used
* Airway management chosen by the attending anaesthetist
* Airway complications.

Conditions

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Intubation; Difficult

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* adults outside operating theatre and Surgical Intensive Care Unit requiring emergency anaesthetic airway support

Exclusion Criteria

* Nil
Minimum Eligible Age

1 Year

Maximum Eligible Age

100 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Singapore General Hospital

OTHER

Sponsor Role lead

Tan Tock Seng Hospital

OTHER

Sponsor Role collaborator

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Patrick Wong, MBBS FRCA

Role: PRINCIPAL_INVESTIGATOR

Singapore General Hospital

Locations

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Singapore General Hospital

Singapore, Singapore, Singapore

Site Status RECRUITING

Tan Tock Seng Hospital

Singapore, Singapore, Singapore

Site Status RECRUITING

Countries

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Singapore

Central Contacts

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Patrick Wong, MBBS FRCA

Role: CONTACT

+6563214220

Jinbin Zhang, MBBS MMED

Role: CONTACT

+6563577772

Facility Contacts

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Patrick Wong, FRCA

Role: primary

Zihui Tan, MMED

Role: backup

Jinbin Zhang, MMED

Role: primary

References

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Bowles TM, Freshwater-Turner DA, Janssen DJ, Peden CJ; RTIC Severn Group. Out-of-theatre tracheal intubation: prospective multicentre study of clinical practice and adverse events. Br J Anaesth. 2011 Nov;107(5):687-92. doi: 10.1093/bja/aer251. Epub 2011 Aug 8.

Reference Type BACKGROUND
PMID: 21828342 (View on PubMed)

Martin LD, Mhyre JM, Shanks AM, Tremper KK, Kheterpal S. 3,423 emergency tracheal intubations at a university hospital: airway outcomes and complications. Anesthesiology. 2011 Jan;114(1):42-8. doi: 10.1097/ALN.0b013e318201c415.

Reference Type BACKGROUND
PMID: 21150574 (View on PubMed)

Other Identifiers

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1607 Airway Code

Identifier Type: -

Identifier Source: org_study_id

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