RecruitingACTRN12611000587909

Rapid sequence intubation in the Emergency Department: Is cricoid pressure nothing more than a pain in the neck?

A randomised controlled trial of the efficacy of standard versus measured cricoid force in preventing aspiration in patients intubated in the Emergency Department.


Sponsor

Dr Chris Trethewy

Enrollment

212 participants

Start Date

Feb 9, 2011

Study Type

Interventional

Conditions

Summary

The ANSWER Cricoid Trial is a randomised controlled study to determine whether the use of cricoid pressure is effective in prevention of aspiration during emergency intubations.


Eligibility

Sex: Both males and femalesMin Age: 18 Yearss

Plain Language Summary

Simplified for easier understanding

This study is looking at whether applying pressure to the throat (cricoid pressure) during emergency breathing tube placement (intubation) in the emergency department actually prevents food or stomach contents from entering the lungs. This technique is routinely used but its effectiveness is debated. The trial randomly assigns patients to receive cricoid pressure or not during the procedure to find out if it makes a real difference. You may be eligible if: - You are 18 years of age or older - You are an adult patient in an emergency department who needs emergency intubation (placement of a breathing tube) You may NOT be eligible if: - You are currently undergoing CPR (cardiac arrest resuscitation) Talk to your doctor about whether this trial might be right for you.

This is a simplified summary. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

A force of 30-40N is applied to the patient's cricoid during intubation. This is achieved by the cricoid operator standing on a platform scale and reducing their weight on the scales by 3.060 - 4.075

A force of 30-40N is applied to the patient's cricoid during intubation. This is achieved by the cricoid operator standing on a platform scale and reducing their weight on the scales by 3.060 - 4.075 kg while applying pressure to the patient's cricoid. A data recorder records weight data for later analysis by the researchers. Once successful intubation is confirmed by end-tidal CO2, aspirates will be suctioned from the oropharynx and trachea. the aspirates will be tested for the presence of pepsin. The patient's records will be reviewd at 28 days to determine whether they were treated for aspiration pneumonitis.


Locations(1)

Australia

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ACTRN12611000587909