Airway Code Calls - Survey of Management
Study Details
Study Description
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 | Intervention/Treatment | Phase |
|---|---|---|
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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:
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Patient factors (including airway assessment)
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Type of equipment used
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Type of anaesthetic drugs used
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Airway management chosen by the attending anaesthetist
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Airway complications.
Study Design
Outcome Measures
Primary Outcome Measures
- Survey the type of airway codes that the SICU anaesthetist is called for [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
- Survey of types of equipment needed for airway management [One hour post calling of airway code]
Type of equipment used include airway bag, bougie, videolaryngoscope
- Number of participants with predictors of difficult airway [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
Eligibility Criteria
Criteria
Inclusion Criteria:
- adults outside operating theatre and Surgical Intensive Care Unit requiring emergency anaesthetic airway support
Exclusion Criteria:
- Nil
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Singapore General Hospital | Singapore | Singapore | 169608 | |
| 2 | Tan Tock Seng Hospital | Singapore | Singapore | 308433 |
Sponsors and Collaborators
- Singapore General Hospital
- Tan Tock Seng Hospital
Investigators
- Principal Investigator: Patrick Wong, MBBS FRCA, Singapore General Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
- 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.
- 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.
- 1607 Airway Code