Airway Management in the Intensive Care and Regular Hospital Units During COVID-19 Pandemic
Study Details
Study Description
Brief Summary
The aim of this descriptive observational study is to evaluate endotracheal intubation during COVID-19 pandemic at the AUBMC outside the OR (excluding the Emergency Department (ED)) and compare the success and complication rates with previous literature and international benchmarks. The investigators will assess the rate of successful endotracheal intubations at first attempt, the total number of attempts at endotracheal intubation, the devices used for endotracheal intubation (direct laryngoscopy, video laryngoscopy, endotracheal boogie, Fiber optic etc.…), the anesthetic drugs given before intubation, the Cormack-Lehane score (compared with previous score if present for the same patient), the MACOCHA score in addition to the complication rates including but not limited to events of hypotension (SBP < 80 mmHg), severe hypoxemia (SpO2 < 85%), respiratory or cardiac arrest.
The investigators hypothesize that endotracheal intubation outside the OR at AUBMC has higher success rates and lower complication rates as compared to the literature. The investigators believe this is due to the fact that the devices and teams available for intubation outside the OR are highly efficient and very versatile compared to other facilities.
The primary outcome of this study is to assess the success rate of endotracheal intubation at first attempt outside the operating room with direct laryngoscopy or with the use of an assisting device. The secondary outcomes will identify adverse events; mainly hypoxemia (SpO2 < 85%) and hypotension (SBP < 80 mmHg).
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
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Study Design
Outcome Measures
Primary Outcome Measures
- The success rate of endotracheal intubation at first attempt [During endotracheal intubation]
The success rate of endotracheal intubation at first attempt outside the OR with direct laryngoscopy or the use of an assisting device
Secondary Outcome Measures
- Adverse events (Hypoxemia) [During the procedure]
Hypoxemia (SpO2 < 85%)
- Adverse events (Hypotension) [During the procedure]
Hypotension (SBP < 80 mmHg)
Eligibility Criteria
Criteria
Inclusion Criteria:
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Patients undergoing elective or emergent intubation on regular floors or ICU or COVID patients.
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Patients above 18 years of age.
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Intubation done by an anesthesia provider with at least 2 years of experience
Exclusion Criteria:
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Patients in the ED.
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Patients intubated by non-anesthesia providers.
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | AUBMC | Beirut | Lebanon |
Sponsors and Collaborators
- American University of Beirut Medical Center
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- BIO-2020-0049