Utah Study Evaluating Apneic Oxygenation for Emergency Department Intubation (USE AP OX)
Primary Purpose
Intubation
Status
Unknown status
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Apneic oxygenation
Pre-oxgenation with NRB, NIPPV, BVM
Sponsored by
About this trial
This is an interventional supportive care trial for Intubation focused on measuring hypoxemia, intubation, apneic oxygenation
Eligibility Criteria
Inclusion Criteria:
- Patients requiring emergent Rapid Sequence or Delayed Sequence endotracheal intubation with administration of a neuromuscular blocker (Succinylcholine, Rocuronium)
Exclusion Criteria:
- Known prisoners
- Patients in cardiac arrest
- Patients who are intubated without the use of neuromuscular blockade (i.e., cardiac arrest, awake intubation).
Sites / Locations
- Intermountain Medical CenterRecruiting
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
Apneic oxygenation
non-apneic oxygenation
Arm Description
Outcomes
Primary Outcome Measures
First pass success without hypoxemia
Secondary Outcome Measures
Change in peri-intubation saturation
Saturation at time of tube placement
Time to desaturation <93%
Saturation at post intubation
Full Information
NCT ID
NCT02961933
First Posted
November 1, 2016
Last Updated
February 10, 2020
Sponsor
Intermountain Health Care, Inc.
Collaborators
University of Utah
1. Study Identification
Unique Protocol Identification Number
NCT02961933
Brief Title
Utah Study Evaluating Apneic Oxygenation for Emergency Department Intubation
Acronym
USE AP OX
Official Title
Utah Study Evaluating Apneic Oxygenation for Emergency Department Intubation
Study Type
Interventional
2. Study Status
Record Verification Date
February 2020
Overall Recruitment Status
Unknown status
Study Start Date
December 2016 (undefined)
Primary Completion Date
January 2020 (Actual)
Study Completion Date
June 2020 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Intermountain Health Care, Inc.
Collaborators
University of Utah
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
This study will determine rates of first pass success without hypoxemia in emergency department intubations with and without the use of apneic oxygenation by nasal cannula.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Intubation
Keywords
hypoxemia, intubation, apneic oxygenation
7. Study Design
Primary Purpose
Supportive Care
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
500 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Apneic oxygenation
Arm Type
Experimental
Arm Title
non-apneic oxygenation
Arm Type
Active Comparator
Intervention Type
Other
Intervention Name(s)
Apneic oxygenation
Intervention Description
Nasal cannula apneic oxygenation
Intervention Type
Other
Intervention Name(s)
Pre-oxgenation with NRB, NIPPV, BVM
Intervention Description
Pre-oxygenation with non-rebreather mask, non-invasive positive pressure ventilation, or bag-valve mask
Primary Outcome Measure Information:
Title
First pass success without hypoxemia
Time Frame
10 minutes
Secondary Outcome Measure Information:
Title
Change in peri-intubation saturation
Time Frame
0, 30, 60 and 120 seconds
Title
Saturation at time of tube placement
Time Frame
10 minutes
Title
Time to desaturation <93%
Time Frame
measured time until saturations drop below 93% during the peri-intubation period, up to 10 minutes
Title
Saturation at post intubation
Time Frame
0, 30, 60, and 120 seconds
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
- Patients requiring emergent Rapid Sequence or Delayed Sequence endotracheal intubation with administration of a neuromuscular blocker (Succinylcholine, Rocuronium)
Exclusion Criteria:
Known prisoners
Patients in cardiac arrest
Patients who are intubated without the use of neuromuscular blockade (i.e., cardiac arrest, awake intubation).
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Valerie Aston, MBA, RT
Phone
801-507-4606
Email
valerie.aston@imail.org
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Robert Bryant, MD
Organizational Affiliation
Intermountain Health Care, Inc.
Official's Role
Principal Investigator
Facility Information:
Facility Name
Intermountain Medical Center
City
Murray
State/Province
Utah
ZIP/Postal Code
84107
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Valerie Aston, MBA, RT
Phone
801-507-4606
Email
Valerie.Aston@imail.org
First Name & Middle Initial & Last Name & Degree
Rob Bryant, MD
First Name & Middle Initial & Last Name & Degree
Joseph Bledsoe, MD
First Name & Middle Initial & Last Name & Degree
Hill Stoecklein, MD
First Name & Middle Initial & Last Name & Degree
Megan Fix, MD
First Name & Middle Initial & Last Name & Degree
Amber Bledsoe, MD
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Utah Study Evaluating Apneic Oxygenation for Emergency Department Intubation
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