Checklists and Upright Positioning in Endotracheal Intubation of Critically Ill Patients (Check-UP) Trial



Status:Recruiting
Conditions:Hospital, Pulmonary
Therapuetic Areas:Pulmonary / Respiratory Diseases, Other
Healthy:No
Age Range:18 - Any
Updated:5/13/2016
Start Date:July 2015
End Date:July 2016
Contact:Matt W Semler, MD
Email:matthew.w.semler@vanderbilt.edu
Phone:6153223412

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The use of a written, pre-procedure checklist and positioning the patient with the head of
the bed elevated have been proposed as interventions capable of preventing complications
during non-elective intubation and are used intermittently in routine care -- however
neither have been examined in a prospective trial.

Endotracheal intubation is common in the care of critically ill patients. Procedural
complications including hypoxia and hypotension are frequent in urgent and emergent
intubation and associated with an increased risk of death. The use of a written,
pre-procedure checklist and positioning the patient with the head of the bed elevated have
been proposed as interventions capable of preventing complications during non-elective
intubation and are used intermittently in routine care -- however neither have been examined
in a prospective trial. The investigators propose a randomized trial comparing use of a
written checklist versus no written checklist and ramped versus sniffing position for
endotracheal intubation of critically ill adults.

Inclusion Criteria:

Airway management events will be included in which:

1. Patient is admitted to the Medical Intensive Care Unit (MICU)

2. Planned procedure is endotracheal intubation

3. Planned operator is a Pulmonary and Critical Care Medicine (PCCM) fellow

4. Administration of sedation and/or neuromuscular blockade is planned

5. Age ≥ 18 years old

Exclusion Criteria:

Airway management events will be excluded in which:

1. Operator feels specific patient positioning during intubation is required

2. Urgency of intubation precludes safe performance of study procedures

3. Operator feels an alternative pre-procedure checklist or no checklist is required
We found this trial at
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1514 Jefferson Hwy.
New Orleans, Louisiana 70121
504-842-3000
Ochsner Medical Center Ochsner Medical Center is located near uptown New Orleans and includes acute...
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Seattle, Washington 98104
(206) 543-2100
Phone: 206-559-2812
Univ of Washington Founded in 1861 by a private gift of 10 acres in what...
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2201 West End Ave
Nashville, Tennessee 37232
(615) 322-7311
Principal Investigator: Todd Rice, MD
Vanderbilt University Vanderbilt offers undergraduate programs in the liberal arts and sciences, engineering, music, education...
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New Orleans, Louisiana 70112
Principal Investigator: David Janz, MD
Phone: 504-568-3167
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