NCT03916224

Adverse Events in the Tracheal Intubation in the Intensive Care Unit

Clinical Practice and Risk Factors for Major Adverse Events in the Tracheal Intubation in the Intensive Care Unit: A Prospective Multicentre Study

• Status: Completed
• Phase: —
• Study type: Observational
• Enrollment: 1,800 (actual)
• Sponsor: Spanish Network for Research in Infectious Diseases · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

The airway management is essential in the Critical Care setting, both normal and difficult airway patients. Intubation is a risk procedure in which a great number of complications may occur, including death. The poor physiological reserve of critical patients may suppose an additional handicap to carry out successfully intubation. The purpose of this study is to analyze the prevalence and risk factors for major complications in the intubation process in the Intensive Care Unit (ICU). In addition, the investigators will assess the impact of preoxygenation and the use of videolaryngoscope on the occurrence of major and minor complications. Finally, this study will review the drug protocols used in each participant ICU during intubation process.

Detailed description

The correct airway and difficult airway management are essential in the Critical Care setting. Intubation is a procedure frequently carried out by intensivist and a great number of complications have been related. Serious complications can occur, including the development of severe hypoxemia, arrhythmias, cardiac arrest with permanent anoxic brain damage or death. Additionally the poor physiological reserve of critically ill patients and the variable operator experience, means that this technique must be considered a risk event in critical patients. In recent years, it has been taken more and more importance of preoxygenation as a strategy that can avoid major complications in the intubation process. Similarly, the use of devices that facilitate intubation such as videolaryngoscopy, has been included in difficult airway management protocols. If the use of videolaryngoscopy compared with traditional laryngoscopy is associated with a higher success rate and a lower incidence of complications, still remains controversial. The investigators want to know the prevalence and risk factors for major complications in the intubation process of patients admitted to Intensive Care Unit (ICU). In addition, this study will try to assess the use and impact of both preoxygenation and videolaryngoscope in the intubation process.

Conditions

• Intubation; Difficult or Failed
• Intubation Complication
• Intubation

Timeline

• Start date: 2019-04-15
• Primary completion: 2020-10-31
• Completion: 2020-10-31
• First posted: 2019-04-16
• Last updated: 2021-04-02

Locations

1 site across 1 country: Spain