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The purpose of this study is to evaluate intubation duration between rapid sequence intubation technique (RSI) and non-rapid sequence intubation technique (non-RSI) performed by emergency medicine residents in Siriraj hospital.
A prospective cohort study was conducted in the non-traumatic emergency department (ED).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| RSI technique | Experimental | Intubation with RSI technique. RSI technique includes the administration of inductive and neuromuscular blocking agents to facilitate an intubation. In this study, we have no restriction of medication use. Physicians can chose any of medication as an individual judgement. |
|
| Non-RSI | No Intervention | Intubation without RSI technique. No any medication use during intubation period. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| RSI | Drug | All medications are administered only one dose before intubation Anesthetics: Propofol 2-2.5 mg/kg Thiopental 3-5mg/kg Etomidate 1-2mg/kg Neuromuscular blocking agents: Succinylcholine 1-1.5mg/kg Rocuronium 0.9mg/kg Opioid: Fentanyl 1-2ug/kg |
| Measure | Description | Time Frame |
|---|---|---|
| The overall intubation duration | The overall intubation duration is recorded on the decision to intubation patient and corresponds to the time of confirmation the endotracheal position by chest auscultation | Participants will be followed for the overall intubation duration until confirmation the endotracheal position, an expected average of 2 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| the intubation duration | The intubation duration (Ti), it is defined from application the laryngoscope into the patient's mouth to the time of confirmation an endotracheal position | Participants will be followed for the intubation duration until confirmation the endotracheal position, an expected average of 5 minutes |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mingkwan Wongyingsinn, M.D. | Siriraj Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Siriraj Hospital | Bangkok | Bangkok | 10700 | Thailand |
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| ID | Term |
|---|---|
| D000079603 | Rapid Sequence Induction and Intubation |
| ID | Term |
|---|---|
| D007442 | Intubation, Intratracheal |
| D058109 | Airway Management |
| D013812 | Therapeutics |
| D007440 | Intubation |
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|
| Complication |
Complications occur during and after intubation peroid are recorded and monitored until patients are discharged fromt the hospital. |
| Participants will be followed in the period of staying in the emergency room and hospital, an expected average of 4 weeks |
| D008919 |
| Investigative Techniques |