Rapid Sequence Intubation and Hemodynamic Disorders in the Operating Room: a Prospective Multicenter Observational Study

Launched by NANTES UNIVERSITY HOSPITAL · Dec 21, 2023

Keywords

ClinConnect Summary

This clinical trial is studying how anesthesiologists in France manage a procedure called rapid sequence intubation, which is a method used to quickly place a breathing tube in patients who need general anesthesia. The researchers want to see how well doctors are following the latest expert guidelines and how they handle problems related to blood pressure and heart rhythms that can happen during this process. They will be looking at various practices, equipment, and medications used, as well as any complications that arise within the first 10 minutes after intubation.

To participate in this study, individuals must be at least 18 years old and scheduled for a procedure requiring general anesthesia where rapid sequence intubation will be used. However, people who have certain conditions, such as severe breathing difficulties or low blood pressure before surgery, will not be eligible. If you join the study, you can expect to have your health information monitored closely during and shortly after the intubation process to help improve safety and care in the future.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Age ≥ 18 years' old
• • Procedure requiring general anesthesia with oro or nasotracheal intubation
• • Anesthetic management with indication of rapid sequence induction
• • No objection after oral and written information to the patient
• Exclusion Criteria:
• • Age \< 18 years' old
• • Impossible intubation planned
• • Preoperative respiratory distress (SpO2 \< 90% in ambient air)
• • Preoperative shock (MBP≤ 65 mmHg or vasopressive amines)
• • Preoperative coma defined by a Glasgow score ≤ 12/15
• • Patient in cardiopulmonary arrest
• • Patients under guardianship or curatorship