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High flow oxygen results in better oxygenation in emergency cases needing rapid sequence induction for anaesthesia. Secondary outcome measure is time for any desaturation.
The investigators intend to do the study using high flow oxygen for all emergency cases needing rapid sequence induction. As part of the study the Investigators will measure the oxygen levels in the blood gas sample of the patient and the heart rate of anesthetist in charge of the airway management. After the airway is secured the time for desaturation will be noted.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Face mask group | Active Comparator | Patients will be given oxygen via face mask as per routine practice, blood gas sample taken after airway is secured, heart rate of anaesthetist monitored and time for desaturation noted. |
|
| THRIVE group | Active Comparator | Patients will be given oxygen via high flow oxygen in Optiflo, blood gas sample taken after airway is secured, heart rate of anaesthetist monitored and time for desaturation noted. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| face mask oxygen | Device | oxygen given by face mask as per routine practice |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Oxygen levels in blood gas sample | Oxygen levels in blood gas sample after the airway is secured | intraoperative |
| Measure | Description | Time Frame |
|---|---|---|
| time to desaturation | after airway is secured time will be noted for oxygen levels to fall to 92% before the ventilation is started. | intraoperative or 10 minutes after intubation |
| heart rate of anaesthetist performing the intubation |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Lucy Parker | Contact | 0208 266 6397 | 6397 | lparker@sgul.ac.uk |
| Name | Affiliation | Role |
|---|---|---|
| Fauzia Mir | St Georges hospital NHS trust | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| St Georges Hospital NHS Trust | Recruiting | London | sw17 0qt | United Kingdom |
As per guidelines
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| High flow oxygen |
| Device |
High flow oxygen given via optiflo machine / device |
|
| During the process of induction of anaesthesia and intubation upto 5 minutes post intubation |