Community Medical Center, Continuous Quality Improvement Project, Rapid Sequence Intubation

NCT05505799 | Active Not Recruiting

• 1 other identifier: 22-020
• Study Type: interventional
• Target: 700
• Locations: 1 country
• Sites: 1

Brief Summary

To assess the ongoing continuous quality improvement of rapid sequence intubation in our emergency department. Ongoing assessment will address standardization of the process and protocol driven measures that will improve the overall quality of the intervention.

Conditions

Intubation, Intratracheal; Rapid Sequence Induction and Intubation; Checklist

Outcome Measures

Primary Outcomes (1)

• First Pass Success Rate

  Proportion of intubations where the trachea is successfully intubated on the first attempt

  At time of intubation

Secondary Outcomes (11)

• Aspiration rate

  At time of intubation

• Cardiac arrest

  At time of intubation

• Cuff Leak

  At time of intubation

• Dental trauma

  At time of intubation

• Dysrhythmia

  At time of intubation

Study Arms (2)

Preintervention

ACTIVE COMPARATOR

Normal clinician intubation process

Other: Standard Care

Postintervention

EXPERIMENTAL

Clinician intubation process after implementation and clinician education with a procedural checklist

Other: Intubation Checklist

Interventions

Intubation Checklist OTHER

A preprocedure checklist will be made available to clinicians, and they will be educated on proper use of the checklist

Postintervention

Standard Care OTHER

Clinicians will intubate as per their usual practice

Preintervention

Eligibility Criteria

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

You may qualify if:

• Any patient undergoing endotracheal intubation in the Emergency department

You may not qualify if:

• Age \< 18 years old

Sponsors & Collaborators

• Community Medical Center, Toms River, NJ: lead

Study Sites (1)

Community Medical Center

Toms River, New Jersey, 08755, United States

Location

Related Publications (8)

• Sakles JC, Augustinovich CC, Patanwala AE, Pacheco GS, Mosier JM. Improvement in the Safety of Rapid Sequence Intubation in the Emergency Department with the Use of an Airway Continuous Quality Improvement Program. West J Emerg Med. 2019 Jul;20(4):610-618. doi: 10.5811/westjem.2019.4.42343. Epub 2019 Jun 3.

  PMID: 31316700 BACKGROUND

• Turner JS, Bucca AW, Propst SL, Ellender TJ, Sarmiento EJ, Menard LM, Hunter BR. Association of Checklist Use in Endotracheal Intubation With Clinically Important Outcomes: A Systematic Review and Meta-analysis. JAMA Netw Open. 2020 Jul 1;3(7):e209278. doi: 10.1001/jamanetworkopen.2020.9278.

  PMID: 32614424 BACKGROUND

• Park L, Zeng I, Brainard A. Systematic review and meta-analysis of first-pass success rates in emergency department intubation: Creating a benchmark for emergency airway care. Emerg Med Australas. 2017 Feb;29(1):40-47. doi: 10.1111/1742-6723.12704. Epub 2016 Oct 27.

  PMID: 27785883 BACKGROUND

• Sakles JC, Chiu S, Mosier J, Walker C, Stolz U. The importance of first pass success when performing orotracheal intubation in the emergency department. Acad Emerg Med. 2013 Jan;20(1):71-8. doi: 10.1111/acem.12055.

  PMID: 23574475 BACKGROUND

• Bernhard M, Becker TK, Gries A, Knapp J, Wenzel V. The First Shot Is Often the Best Shot: First-Pass Intubation Success in Emergency Airway Management. Anesth Analg. 2015 Nov;121(5):1389-93. doi: 10.1213/ANE.0000000000000891. No abstract available.

  PMID: 26484464 BACKGROUND

• Sakles JC, Mosier JM, Patanwala AE, Arcaris B, Dicken JM. First Pass Success Without Hypoxemia Is Increased With the Use of Apneic Oxygenation During Rapid Sequence Intubation in the Emergency Department. Acad Emerg Med. 2016 Jun;23(6):703-10. doi: 10.1111/acem.12931. Epub 2016 May 13.

  PMID: 26836712 BACKGROUND

• Gopinath B, Sachdeva S, Kumar A, Kumar G. Advancing emergency airway management by reducing intubation time at a high-volume academic emergency department. BMJ Open Qual. 2021 Jul;10(Suppl 1):e001448. doi: 10.1136/bmjoq-2021-001448.

  PMID: 34344738 BACKGROUND

• Weingart SD, Levitan RM. Preoxygenation and prevention of desaturation during emergency airway management. Ann Emerg Med. 2012 Mar;59(3):165-75.e1. doi: 10.1016/j.annemergmed.2011.10.002. Epub 2011 Nov 3.

  PMID: 22050948 BACKGROUND

MeSH Terms

Interventions

Standard of Care

Intervention Hierarchy (Ancestors)

Quality Indicators, Health Care; Quality of Health Care; Health Services Administration; Health Care Quality, Access, and Evaluation

Study Officials

• Josesph Roarty, MD

  Robert Wood Johnson Barnabas Health Community Medical Center

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SEQUENTIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Sub-Investigator, Clinical Professor

Model Details: Before and After study of a Checklist Intervention

Study Record Dates

• First Submitted: August 16, 2022
• First Posted: August 18, 2022
• Study Start: July 7, 2022
• Primary Completion: June 30, 2024
• Study Completion: June 30, 2025
• Last Updated: February 12, 2025

Record last verified: 2024-02

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)