Impact of the Bougie on the Prehospital Setting Intubation Quality.
NCT05173220 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 500
Last updated 2021-12-29
Summary
Tracheal intubation in an out-of-hospital setting is a frequent and potentially difficult procedure. The risk of adverse events increases dramatically with the number of attempts. The failure rate of the first intubation attempt ranges from 5 to 32% and the risk factors are unclear.
In recent study, the prevalence of a failed first intubation attempt was 31.4% \[95% CI = 30.2-32.6\] among 1546 patients managed in an out-of-hospital setting. In this multicenter study, our center (N=462) had a rate of 36% of failure of the first attempt. Seven variables were independently associated with a failed first intubation attempt. Some of the associated factors can be improved (operator training and experience), but most cannot. Moreover some of them can not be anticipated in this context. A randomized control trial performed in an emergency department and a prospective, observational, pre-post study design showed that systematic use of a bougie during the first intubation attempt improved the success rate.
Our objective is to measure the impact of a modification of our intubation modalities introducing the incitation of the use of the bougie on the first intubation attempt in the prehospital setting.
Conditions
- Tracheal Intubation Morbidity
- Prehospital Emergency
Sponsors & Collaborators
-
Bruno Simonnet
collaborator UNKNOWN -
University Hospital, Bordeaux
lead OTHER
Principal Investigators
-
MICHEL GALINSKI, M.D, Ph.D · University Hospital, Bordeaux
-
BRUNO SIMONNET, M.D · University Hospital, Bordeaux
Eligibility
- Min Age
- 15 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-05-20
- Primary Completion
- 2022-05-20
- Completion
- 2022-05-20
Countries
- France
Study Locations
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