Comparison of Standard rapi̇d Sequential Intubation Protocol With Rocuronium in Emergency Department

Ankara City Hospital

Status

Completed

Conditions

Rapid Sequence Induction and Intubation

Rocuronium

Treatments

Drug: priming with rocuronium

Study type

Observational

Funder types

Other

Identifiers

NCT05343702

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Details and patient eligibility

About

Airway management and advanced airway management are the issues that are applied every day in emergency services and that the emergency physician should know best. Rapid sequential intubation is one of the most frequently used techniques in advanced airway management. However, anesthetic agents and paralytic agents have some concerns with some side effects. In our study, This study aimed to compare the effect of standard rapid sequential intubation protocol and application of rocuronium priming technique on the procedure time and hemodynamic profile.

Full description

This study is a prospective, observational and randomized study conducted between 15.07.2021 and 01.12.2021 in Ankara City Hospital Emergency Medicine Clinic, which is a third-level emergency department with approximately 450,000 patient admissions per year. Patients who applied to the emergency department and needed rapid sequential intubation were included in our study. Randomization was done according to the order of arrival of the cases. The demographic characteristics of the patients included in the study and the presence of diabetes mellitus were recorded. Routine rapid sequential intubation was performed in the standard group. In the priming group, 10% of the rocuronium dose was administered approximately 3 minutes before the induction agent. Intubation time, amount of drug used, vital signs before and after intubation, and end tidal carbon dioxide level to confirm intubation were recorded.

Enrollment

52 patients

Sex

All

Ages

18+ years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

Be over the age of 18
Need for advanced airway
To give consent or consent to participate in the study consent of relatives of those who are unable to give

Exclusion criteria

Have an indication of a crush (rescue) airway
Have one of the difficult airway predictor Look, Evaluate, Obstruction, Neck mobility criteria
maxillofacial anomaly or trauma
detected during laryngoscopy with a cormack-lehane score of 3 and 4 patients
Those who have inconveniences in applying ketamine to the clinic of the patient
with a rocuronium or ketamine allergy