Actively Recruiting

Age: 18Years +
All Genders
ID05412823

Post Intubation Neurologic Outcomes in Critically Ill Adults

Led by King Abdulaziz University · Updated on 2022-08-16

1000

Participants Needed

1

Research Sites

8 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are investigating the impact of oxygen desaturation during emergency intubation on brain function in critically ill, non-trauma adult patients. This observational study aims to understand whether low oxygen levels during intubation affect neurological outcomes, helping guide clinical practice to reduce these risks. The brain's sensitivity to oxygen deprivation makes this an important focus, especially since emergency intubation can cause varying degrees of oxygen drop. Participants are grouped based on whether they experience hypoxia during intubation after induction but before the placement of the endotracheal tube. The study observes patients in emergency departments, critical care units, and inpatient floors undergoing emergent intubations as determined by their treating physicians. There are no investigational treatments given as this is an observational study. During the study, researchers assess neurological function using the Modified Rankin Scale up to 30 days post-intubation. They also monitor in-hospital mortality, ICU and hospital stay lengths, aspiration incidents within 14 days, and complications occurring within 24 hours of intubation. This comprehensive follow-up helps evaluate the consequences of hypoxia during emergency intubation in critically ill adults.

CONDITIONS

Brief Title

Neurologic Function Post Intubation

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adults older than 17 years
  • Good baseline neurologic function with Modified Rankin Scale score between 1 and 3
  • Undergoing emergent intubation as determined by treating physician
  • Intubations occurring in emergency departments, critical care units, or inpatient floors
Not Eligible

You will not qualify if you...

  • Pediatric patients 17 years old or younger
  • Pregnant patients
  • Intubations occurring in the operating room
  • Prisoners
  • Trauma patients
  • Patients with status epilepticus
  • Patients with primary intracranial pathology
  • Patients who had cardiopulmonary arrest
  • Poor baseline neurologic function with Modified Rankin Scale score 4 or 5
  • Patients intubated before hospital arrival (pre-hospital intubation)

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Diagnostic Evaluation

Duration - Day of intubation

Participants undergo emergent endotracheal intubation and are observed for oxygen desaturation during the procedure.

1 visit (in-person)

Long-term Monitoring

Duration - Up to 30 days

Participants are monitored for neurologic function and other outcomes following intubation.

Follow-up visits up to 30 days post-intubation

Trial Site Locations

Total: 1 location

1

King Abdulaziz University Hospital

Jeddah, Saudi Arabia

Actively Recruiting

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Research Team

A

Abdullah Bakhsh

A

Asseil Bossei

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

2

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Published Research Related To This Trial

The effectiveness of rapid sequence intubation (RSI) versus non-RSI in emergency department: an analysis of multicenter prospective observational study.

Masashi Okubo, Koichiro Gibo, Yusuke Hagiwara...

https://pubmed.ncbi.nlm.nih.gov/28124199

Does apneic oxygenation prevent desaturation during emergency airway management? A systematic review and meta-analysis.

Edmund Tan, Osama Loubani, Nelofar Kureshi...

https://pubmed.ncbi.nlm.nih.gov/29687359