Ignite Creation Date:
2024-10-26 @ 3:36 PM
Last Modification Date:
2024-10-26 @ 3:36 PM
Study NCT ID:
NCT06537531
Status:
RECRUITING
Last Update Posted:
None
First Post:
2024-07-26
Brief Title:
Video Classification of Intubation in Spain VCI
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Video Classification of Intubation in Spain
Status:
RECRUITING
Status Verified Date:
2024-07
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
VCI
Brief Summary:
Use of VCI in Spain
Detailed Description:
The clinical importance of airway management has gained relevance over the last decade in most scientific societies with the objective of improving the standard of care
The WHO has focused its guidelines on Safe Surgery aiming to encompass all methods that predict and recognize the risk of difficult airway management or aspiration which must be applied by the surgical team To this end it has created and implemented a surgical safety checklist that can be useful in reducing the risk of unidentified difficulties
The same suggestion has been included in the Helsinki Declaration on Patient Safety in Anesthesiology endorsed by most European entities in cooperation with the European Society of Anesthesiology ESA the European Board of Anesthesiology EBA-UEMS the World Federation of Societies of Anesthesiology WFA and the European Patients Federation EPF The protocol for difficult airway management and the implications of the Helsinki Declaration were published in 2013 in the Spanish Journal of Anesthesiology and Resuscitation
Airway management today is perhaps the field that most concerns anesthesiologists as decisions and actions must be taken quickly and effectively when facing a potential difficult airway DA Failure to do so would result in significant morbidity and mortality for patients
The incidence of difficulty in orotracheal intubation OTI ranges between 15 and 13 Most errors in airway management are due to ignorance and the low reliability of traditional protocols algorithms and combinations of detection tools to identify a potentially difficult airway
This field is constantly evolving and in the last 20 years we have witnessed the emergence of a large number of devices Supraglottic Devices SGDs or Extraglottic Devices EGDs in the past decade and Optical Devices videolaryngoscopes in this last decade
The existence of a large number of new devices in this field implies a deep understanding of these both theoretically and practically during scheduled surgery Once this is achieved practitioners should know how to use them appropriately in DA situations
Since 1993 when the American Society of Anesthesiology ASA published its Recommendations for Difficult Airway Management many countries and scientific societies have created their protocols guidelines and algorithms that we must know and apply always adapting them to our environment and the available devices
In Spain since the mid-1990s DA training programs for specialist doctors have been launched gradually expanding and covering all personnel involved in airway management Today training in this field has become part of the knowledge and skills acquisition in various specialties notably Anesthesiology and Resuscitation
The phrase prevention is better than cure is an intuitive acceptable and politically correct concept This is applicable in our field since although there are not many patient factors we can modify anatomy is intrinsic there are possible modifications in our actions that can determine the success or failure in airway management
Currently there is no universally accepted method for describing tracheal intubation via videolaryngoscopy It is important that this information is communicated and documented accurately to plan airway management procedures for the patient thereby improving care safety The Intubation Classification Scale or Video Intubation Classification VCI score has been proposed to succinctly describe the key practical elements of tracheal intubation via videolaryngoscopy in the order they are performed This classification consists of three sections the first describes the type of blade used Macintosh or hyperangulated the second describes the POGO Percentage of Glottic Opening at the time of intubation and finally the easedifficulty or impossibility of inserting the tube through the glottis
The WHO has focused its guidelines on Safe Surgery aiming to encompass all methods that predict and recognize the risk of difficult airway management or aspiration which must be applied by the surgical team To this end it has created and implemented a surgical safety checklist that can be useful in reducing the risk of unidentified difficulties
The same suggestion has been included in the Helsinki Declaration on Patient Safety in Anesthesiology endorsed by most European entities in cooperation with the European Society of Anesthesiology ESA the European Board of Anesthesiology EBA-UEMS the World Federation of Societies of Anesthesiology WFA and the European Patients Federation EPF The protocol for difficult airway management and the implications of the Helsinki Declaration were published in 2013 in the Spanish Journal of Anesthesiology and Resuscitation
Airway management today is perhaps the field that most concerns anesthesiologists as decisions and actions must be taken quickly and effectively when facing a potential difficult airway DA Failure to do so would result in significant morbidity and mortality for patients
The incidence of difficulty in orotracheal intubation OTI ranges between 15 and 13 Most errors in airway management are due to ignorance and the low reliability of traditional protocols algorithms and combinations of detection tools to identify a potentially difficult airway
This field is constantly evolving and in the last 20 years we have witnessed the emergence of a large number of devices Supraglottic Devices SGDs or Extraglottic Devices EGDs in the past decade and Optical Devices videolaryngoscopes in this last decade
The existence of a large number of new devices in this field implies a deep understanding of these both theoretically and practically during scheduled surgery Once this is achieved practitioners should know how to use them appropriately in DA situations
Since 1993 when the American Society of Anesthesiology ASA published its Recommendations for Difficult Airway Management many countries and scientific societies have created their protocols guidelines and algorithms that we must know and apply always adapting them to our environment and the available devices
In Spain since the mid-1990s DA training programs for specialist doctors have been launched gradually expanding and covering all personnel involved in airway management Today training in this field has become part of the knowledge and skills acquisition in various specialties notably Anesthesiology and Resuscitation
The phrase prevention is better than cure is an intuitive acceptable and politically correct concept This is applicable in our field since although there are not many patient factors we can modify anatomy is intrinsic there are possible modifications in our actions that can determine the success or failure in airway management
Currently there is no universally accepted method for describing tracheal intubation via videolaryngoscopy It is important that this information is communicated and documented accurately to plan airway management procedures for the patient thereby improving care safety The Intubation Classification Scale or Video Intubation Classification VCI score has been proposed to succinctly describe the key practical elements of tracheal intubation via videolaryngoscopy in the order they are performed This classification consists of three sections the first describes the type of blade used Macintosh or hyperangulated the second describes the POGO Percentage of Glottic Opening at the time of intubation and finally the easedifficulty or impossibility of inserting the tube through the glottis
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None