Airway Code Calls - Survey of Management

NCT03035786 | Unknown

• 1 other identifier: 1607 Airway Code
• Study Type: observational
• Target: 300
• Locations: 1 country
• Sites: 2

Brief Summary

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.

Conditions

Intubation; Difficult

Outcome Measures

Primary Outcomes (1)

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

  Cause of airway codes i.e. respiratory arrest or indication for formal airway management by anaesthetist

  One hour post calling of airway code

Secondary Outcomes (2)

• Survey of types of equipment needed for airway management

  One hour post calling of airway code

• Number of participants with predictors of difficult airway

  One hour post calling of airway code

Eligibility Criteria

• Age: 1 Year - 100 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

All 'airway code' requests for emergency anaesthetic airway support for adults outside operating theatre and Surgical Intensive Care Unit.

You may qualify if:

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

You may not qualify if:

• Nil

Sponsors & Collaborators

• Singapore General Hospital: lead
• Tan Tock Seng Hospital: collaborator

Study Sites (2)

Singapore General Hospital

Singapore, Singapore, 169608, Singapore

RECRUITING

Tan Tock Seng Hospital

Singapore, Singapore, 308433, Singapore

RECRUITING

Related Publications (2)

• 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.

  PMID: 21828342 BACKGROUND

• 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.

  PMID: 21150574 BACKGROUND

Study Officials

• Patrick Wong, MBBS FRCA

  Singapore General Hospital

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Patrick Wong, MBBS FRCA

CONTACT

+6563214220; patrick.wong@singhealth.com.sg

Jinbin Zhang, MBBS MMED

CONTACT

+6563577772; jinbin_zhang@ttsh.com.sg

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Target Duration: 1 Day
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 24, 2017
• First Posted: January 30, 2017
• Study Start: November 1, 2016
• Primary Completion: November 1, 2018
• Study Completion: November 1, 2018
• Last Updated: January 30, 2017

Record last verified: 2017-01

Data Sharing

• IPD Sharing: Will not share

Locations

SG (2)