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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
Intermountain Health Care, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for Intubation focused on measuring hypoxemia, intubation, apneic oxygenation

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

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

First Posted
November 1, 2016
Last Updated
February 10, 2020
Sponsor
Intermountain Health Care, Inc.
Collaborators
University of Utah
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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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