All adult patients with spontaneous cardiac activity and requiring tracheal intubation in the pre hospital emergency context will be included in order to compare the use of succinylcholine vs Rocuronium for prehospital emergency intubation.
All adult patients with spontaneous cardiac activity and requiring tracheal intubation in the pre hospital emergency context will be included. All intubation will be performed by an emergency physician or a nurse specialized in anesthesia. For patients with spontaneous cardiac activity, rapid sequence intubation will be performed to allow intubation. Comparisons studied will be : Intubation success rate at the first laryngoscopy, glottis exposure assessed by Cormack and Lehane classification, difficult intubation rate assessed by the Intubation Difficult Score (IDS), the conditions of intubation assessed by the Copenhagen score, the need for alternative airway techniques and the immediate post intubation complications rate as vomiting, dental trauma, pulmonary inhalation, arterial desaturation , hypotension episodes and cardiac arrest occurrence.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
1,321
CHU de La Réunion
Saint-Denis, La Réunion, France
CHU de la Réunion
Saint-Pierre, La Réunion, France
CHU Avicenne
Bobigny, France
First-pass intubation success rate
Measured by the proportion of successful intubation in the first laryngoscopy.
Time frame: between 1 hour to 3 hours after inclusion
Incidence of difficult intubation
measured by the Intubation Difficulty Scale
Time frame: between 1 hour to 3 hours after inclusion
Intubation conditions assessment
using the Copenhagen score
Time frame: between 1 hour to 3 hours after inclusion
Need for alternate airway devices
Time frame: between 1 hour to 3 hours after inclusion
early intubation-related complications
complications : esophageal intubation, mainstem intubation, vomiting, pulmonary aspiration, dental trauma, bronchospasm or laryngospasm, ventricular tachycardia, arterial desaturation, hypotension, or cardiac arrest
Time frame: between 1 hour to 3 hours after inclusion
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
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