Effect of Upright Patient Positioning on Intubation Success

NCT02885298 | Completed

• 1 other identifier: 1405954059
• Study Type: observational
• Target: 232
• Locations: 0 countries
• Sites: N/A

Brief Summary

Endotracheal intubation is most commonly taught and performed with the patient supine. Recent literature suggests that elevating the patient's head to a more upright position may decrease peri-intubation complications. However, there is little data on success rates of upright intubation in the emergency department. The goal of this study was to measure the association of head positioning with intubation success rates among emergency medicine residents.

Conditions

Intubation

Outcome Measures

Primary Outcomes (1)

• First Pass Success

  An attempt was defined as anytime the laryngoscope blade was placed in the patient's mouth. At the beginning of the study residents, faculty, and RTs were educated on this definition.

  Immediately at the time of the procedure

Secondary Outcomes (11)

• overall success rate of orotracheal intubation overall success rate of orotracheal intubation overall success rate of intubation

  Immediately at the time of the procedure

• Time required for successful intubation

  Immediately at the time of the procedure

• esophageal intubation

  Immediately at the time of the procedure

• cardiac arrest within 30 minutes of the intubation attempt

  cardiac arrest within 30 minutes of intubation

• decrease in oxygen saturation during the procedure

  Immediately at the time of the procedure

Study Arms (3)

Supine intubations (0-10 degrees)

Intubations performed with patient positioned 0-10 degrees. Patient supine.

Procedure: Upright intubation

Inclined (11-44 degrees)

Intubations performed with 11-44 degrees of elevation.

Procedure: Upright intubation

Upright (45 degrees or greater)

intubations performed with patient elevated to 45 degrees or greater

Procedure: Upright intubation

Interventions

Upright intubation PROCEDURE

Upright Intubation procedure performed with patient elevated above the supine position. Defined as upright greater to or equal to 45 degrees or inclined 10-44 degrees

Inclined (11-44 degrees); Supine intubations (0-10 degrees); Upright (45 degrees or greater)

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Intubation events that were eligible for enrollment included adult medical intubations performed at participating hospitals in which the intubating resident and supervising faculty both consented to study participation.

You may qualify if:

• Adult medical intubations in which the intubating resident and supervising faculty both consented to study participation.

You may not qualify if:

• Pediatric patients
• Obstetric patients
• Trauma patients

Sponsors & Collaborators

• Indiana University: lead

Related Publications (22)

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Study Officials

• Joseph Turner, MD

  Indiana University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor of Clinical Emergency Medicine

Study Record Dates

• First Submitted: August 24, 2016
• First Posted: August 31, 2016
• Study Start: July 1, 2014
• Primary Completion: July 1, 2016
• Study Completion: July 1, 2016
• Last Updated: August 31, 2016

Record last verified: 2016-08

Data Sharing

• IPD Sharing: Will not share