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Airway Code Calls - Survey of Management

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ClinicalTrials.gov Identifier: NCT03035786
Recruitment Status : Unknown
Verified January 2017 by Singapore General Hospital.
Recruitment status was:  Recruiting
First Posted : January 30, 2017
Last Update Posted : January 30, 2017
Sponsor:
Collaborator:
Tan Tock Seng Hospital
Information provided by (Responsible Party):
Singapore General Hospital

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.


Condition or disease
Intubation; Difficult

Detailed Description:

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.

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Study Type : Observational [Patient Registry]
Estimated Enrollment : 300 participants
Observational Model: Cohort
Time Perspective: Prospective
Target Follow-Up Duration: 1 Day
Official Title: Airway Code Calls - Survey of Management
Study Start Date : November 2016
Estimated Primary Completion Date : November 2018
Estimated Study Completion Date : November 2018



Primary Outcome Measures :
  1. Survey the type of airway codes that the SICU anaesthetist is called for [ Time Frame: One hour post calling of airway code ]
    Cause of airway codes i.e. respiratory arrest or indication for formal airway management by anaesthetist


Secondary Outcome Measures :
  1. Survey of types of equipment needed for airway management [ Time Frame: One hour post calling of airway code ]
    Type of equipment used include airway bag, bougie, videolaryngoscope

  2. Number of participants with predictors of difficult airway [ Time Frame: One hour post calling of airway code ]
    Predictors of difficult airway include small mouth opening, short thyromental distance, prominent upper teeth, receding lower jaw, decreased neck movement, previous surgery, previous radiotherapy



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Ages Eligible for Study:   1 Year to 100 Years   (Child, Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
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.
Criteria

Inclusion Criteria:

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

Exclusion Criteria:

  • Nil

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03035786


Contacts
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Contact: Patrick Wong, MBBS FRCA +6563214220 patrick.wong@singhealth.com.sg
Contact: Jinbin Zhang, MBBS MMED +6563577772 jinbin_zhang@ttsh.com.sg

Locations
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Singapore
Singapore General Hospital Recruiting
Singapore, Singapore, 169608
Contact: Patrick Wong, FRCA    63214220    patrick.wong@singhealth.com.sg   
Contact: Zihui Tan, MMED    63214220    zihui.tan@mohh.com.sg   
Tan Tock Seng Hospital Recruiting
Singapore, Singapore, 308433
Contact: Jinbin Zhang, MMED    62566011    Jinbin_Zhang@ttsh.com.sg   
Sponsors and Collaborators
Singapore General Hospital
Tan Tock Seng Hospital
Investigators
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Principal Investigator: Patrick Wong, MBBS FRCA Singapore General Hospital