Observational Study of Rapid Sequence Intubation (RSI) Drug Delivery Using Intraosseous (IO) and Intravenous (IV) Access in Pediatric Patients

Vidacare Corporation

Overview

This study will evaluate using intraosseous vascular access and intravenous vascular access to give pediatric patients the necessary medications to perform rapid sequence intubation, for patients with airway difficulties.

Study Type

OBSERVATIONAL

Conditions

Airway Control

Eligibility

Sex: ALL

Medical Language ↔ Plain English

Inclusion Criteria: * subjects requiring rapid sequence intubation for whom rocuronium is chosen as the paralytic agent. * the operator chooses to place a peripheral intravenous or powered intraosseous catheter to permit rapid sequence intubation. Exclusion Criteria: * subjects in whom vascular access for rapid sequence intubation drug administration was established prior to arrival to the emergency department.

Locations (1)

Omaha Children's Hospital and Medical Center

Omaha, Nebraska, United States

Outcomes

Primary Outcomes

Time from determination of need for vascular access for rapid sequence intubation to administration of first does of paralytic agent.

Time frame: during rapid sequence intubation procedure, average expected time frame 30 minutes

Time from vascular access to intubation first attempt, as indicated by the first attempt to visualize the larynx with the laryngoscope.

Time frame: during rapid sequence intubation procedure, average expected time frame 30 minutes

time from vascular access to successful intubation

Time frame: during rapid sequence intubation procedure, average expected time frame 30 minutes

number of attempts necessary for successful intubation

Time frame: during rapid sequence intubation procedure, average expected time frame 30 minutes

Secondary Outcomes

Intubation difficulty

The Intubation Difficulty Scale is a validated tool used to grade the difficulty with which a patient was intubated for airway managment during rapid sequence intubation.

Time frame: during rapid sequence intubation procedure, average time frame 30 minutes

operator satisfaction with intubating conditions

Time frame: during rapid sequence intubation procedure, average time frame 30 minutes

failure rate of endotracheal intubation

failure rate of endotracheal intubation and requirement for alternative airway management.

Time frame: during rapid sequence intubation procedure, average time frame 30 minutes

Time from presentation of patient to vascular access established

Data from ClinicalTrials.gov

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