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| Name | Class |
|---|---|
| Tan Tock Seng Hospital | OTHER |
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This is a survey of airway codes, which are emergency mobile phone requests for anaesthetic help to manage acute airway crises in the hospital (out of theatre, out of Surgical Intensive Care Unit, SICU).
The anaesthetists are doctors trained in advance airway management. Patients in the hospital may suffer airway crises e.g. airway obstruction or need for tracheal intubation (insertion of breathing tube) for various reasons. The on call SICU anaesthetists responds to the airway code by attending the patient in need and managing the patient at their own discretion.
Airway management will depend on the anaesthetist's knowledge, skills and experience. it will also depend on the available airway equipment.
We plan to evaluate airway codes for a 24 month period. Parameters include: type of incident; patient factors (including airway assessment); type of equipment used; anaesthetic drugs used; airway management chosen by the attending anaesthetist; and, airway complications.
Airway codes will be managed as standard care. These calls are taken and managed by anaesthetists on call on SICU. The audit form is filled in by the on call anaesthetist after the airway code has been managed. This is an audit looking at:
Primary outcome
•Evaluate the type of airway codes that the SICU anaesthetist is called for
Secondary outcomes:
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| Measure | Description | Time Frame |
|---|---|---|
| Survey the type of airway codes that the SICU anaesthetist is called for | Cause of airway codes i.e. respiratory arrest or indication for formal airway management by anaesthetist | One hour post calling of airway code |
| Measure | Description | Time Frame |
|---|---|---|
| Survey of types of equipment needed for airway management | Type of equipment used include airway bag, bougie, videolaryngoscope | One hour post calling of airway code |
| Number of participants with predictors of difficult airway |
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Inclusion Criteria:
Exclusion Criteria:
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All 'airway code' requests for emergency anaesthetic airway support for adults outside operating theatre and Surgical Intensive Care Unit.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Patrick Wong, MBBS FRCA | Contact | +6563214220 | patrick.wong@singhealth.com.sg | |
| Jinbin Zhang, MBBS MMED | Contact | +6563577772 | jinbin_zhang@ttsh.com.sg |
| Name | Affiliation | Role |
|---|---|---|
| Patrick Wong, MBBS FRCA | Singapore General Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Singapore General Hospital | Recruiting | Singapore | Singapore | 169608 | Singapore |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 21828342 | Background | Bowles TM, Freshwater-Turner DA, Janssen DJ, Peden CJ; RTIC Severn Group. Out-of-theatre tracheal intubation: prospective multicentre study of clinical practice and adverse events. Br J Anaesth. 2011 Nov;107(5):687-92. doi: 10.1093/bja/aer251. Epub 2011 Aug 8. | |
| 21150574 | Background | Martin LD, Mhyre JM, Shanks AM, Tremper KK, Kheterpal S. 3,423 emergency tracheal intubations at a university hospital: airway outcomes and complications. Anesthesiology. 2011 Jan;114(1):42-8. doi: 10.1097/ALN.0b013e318201c415. |
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Predictors of difficult airway include small mouth opening, short thyromental distance, prominent upper teeth, receding lower jaw, decreased neck movement, previous surgery, previous radiotherapy
| One hour post calling of airway code |
| Tan Tock Seng Hospital | Recruiting | Singapore | Singapore | 308433 | Singapore |
|