RSICZ: Rapid Sequence Induction Czech Republic: Survey
Study Details
Study Description
Brief Summary
Rapid sequence induction (RSI) is a common part of routine anesthesiology practice.However several steps of RSI are not based on evidence based data (EBM) and are considered controversial. In an electronic evaluation form that will be send to Czech society of anesthesiology, resuscitation and intensive care (ČSARIM) members, the investigators bring 4 clinical scenarios in which RSI should be used. In the questionnaire the participants have to choose RSI or no and they have to describe all the next steps on anesthesia induction process in each single clinical scenario.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
Rapid sequence induction (RSI) is a common part of routine anesthesiology practice.However several steps of RSI are not based on evidence based data (EBM) and are considered controversial. In an electronic evaluation form that will be send to Czech society of anesthesiology, resuscitation and intensive care (ČSARIM) members, the investigators bring 4 clinical scenarios in which RSI should be used. In the questionnaire the participants have to choose RSI or no and they have to describe all the next steps on anesthesia induction process in each single clinical scenario.
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1st. scenario - adult patient with acute abdomen in the OR to be anesthetized
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2nd. scenario - 4 years old child with acute abdomen in the OR scheduled for an acute surgery
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3rd. scenario - pregnant women scheduled for an elective caesarean section in the OR
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4th. scenario - geriatric patient with hiatal hernia scheduled for an elective laparoscopic cholecystectomy.
In each scenario the several steps of the RSI sequence has to be answered:
Is RSI indicated? Y N
Peripheral vein line before induction? Y N
Nasogastric tube before/after induction or without?
Patients position: neutral, head-up, head-down?
Preoxygenation - 3/5minutes, breaths, (CPAP)/Positive end-expiratory pressure (PEEP)?
Sellick manoeuver? Y N
Drugs for induction (order with the number in the row) - propofol, etomidate, ketamine, thiopental, midazolam, suxamethonium, rocuronium, cisatracurium, atracurium, vecuronium
Manual hand-bag ventilation after induction: with limited pressure/contraindicated
Airway: tracheal tube with the cuff/without cuff/laryngeal mask
Comments
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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ČSARIM - questionnaire Members of Czech society of anesthesiology, resuscitation and intensive care will obtain the questionnaire |
Other: questionnaire
The questionnaire will be send to all members of ČSARIM with the selected 4 controversial clinical scenarios in which the RSI should be used
Other Names:
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Outcome Measures
Primary Outcome Measures
- RSI practice in Czech Republic - questionnaire [one month]
Evaluation of the clinical practice of the RSI in Czech Republic
Eligibility Criteria
Criteria
Inclusion Criteria:
- all members of ČSARIM and www.akutne.cz
Exclusion Criteria:
- not members of ČSARIM and www.akutne.cz
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Brno University Hospital
Investigators
- Study Chair: Petr Štourač, doc.MD.Ph.D, University Hospital Brno
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- RSI 2016CZ