This study will evaluate using intraosseous vascular access and intravenous vascular access to give patients the necessary medications to perform rapid sequence intubation, for patients with airway difficulties. The investigators think the device operator will find the intraosseous and intravenous routes equal for drug delivery.
This observational study will evaluate the intubating conditions of patients receiving rapid sequence intubation when receiving paralytic drug delivery via intravenous or intraosseous vascular access from the perspective of the medical professional performing rapid sequence intubation. The investigators believe that medical professionals will find equal intubating conditions for intravenous and intraosseous drug delivery.
Study Type
OBSERVATIONAL
Enrollment
4
Christus Spohn Hospital Corpus Christi
Corpus Christi, Texas, United States
Texas Tech University Health Science Center El Paso
El Paso, Texas, United States
Time From First Drug Delivery to Operator-perceived Sufficient Relaxation to Perform Endotracheal Tube Placement
Time measured in seconds from first drug delivery to the time of operator-perceived sufficient relaxation to perform endotracheal tube placement
Time frame: during rapid sequence intubation procedure, average expected time frame 30 minutes
Intubation Difficulty Scale
Intubation Difficulty Scale (IDS) provides a numerical Total score describing the difficulty of the intubation procedure based upon the summation of the following individual sub-scores: number of attempts (each additional attempt adds (+)1 point, minimum score=0, no maximum), number of operators (each additional +1 point, minimum score=0, no maximum), use of alternative techniques (each alternative technique +1 point, minimum score=0, no maximum), cormack grade for first oral attempt (measures the quality of the view of the larynx using grades 1 - 4 where higher number means poorer visibility; successful blind intubation=0. minimum score=0, maximum=4), lifting force required (normal=0 or increased=1), laryngeal pressure (not applied=0 or applied=1), vocal cord mobility (abduction=0 or adduction=1). Total IDS minimum score=0, no maximum score. Score 0=Easy; Score 1 - 5 =slight difficulty; Score \>5 =moderate to major difficulty Score infinite =Failed/Impossible intubation
Time frame: during rapid sequence intubation procedure, average expected time frame 30 minutes
Operator Satisfaction With Intubating Conditions Using Visual Analog Scale
Operator reported level of satisfaction with intubating conditions regarding adequacy of sedation and adequacy of muscular relaxation. This is reported using a 100 mm visual analog scale from 0 - 100 where higher numbers indicate greater satisfaction.
Time frame: during rapid sequence intubation procedure, average expected time frame 30 minutes
Failure Rate of Endotracheal Intubation and Requirement for Alternative Airway Management Methods
Failure rate of endotracheal intubation and requirement for alternative airway management methods
Time frame: during rapid sequence intubation procedure, average time frame 30 minutes
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Incidence of Short-term Catheter Related Complications for Each Technique
Incidence of short-term catheter related complications for each technique (IO vs IV)
Time frame: during emergency department stay, average time frame 24 hours