National Emergency Airway Registry (NEAR)
Abstract
In 2016, the SAMMC ED initiated research-based surveillance of its intubation practices as part of the National Emergency Airway Registry (NEAR), a multicenter, observational intubation registry coordinated through Brigham and Womens Hospital in Boston, Massachusetts. This protocol expands on the research of the previous NEAR studies by continuing surveillance of emergency intubation practices. The goal of this descriptive study was to evaluate various elements of endotracheal intubations, including demographics, intubation techniques, adverse events, success rates, and patient disposition. Data collection included vital sign measurements, post-intubation management and attempt level intubation characteristics for all intubations in the San Antonio Military Medical Center (SAMMC) Emergency Department (ED). Data was entered into an updated, web-based data collection tool (StudyTRAX) managed by the central site at Brigham and Womens Hospital, Boston, MA effective from the go-live date of 27 March 2016. All data collected prior this date to include data collected as part of the San Antonio Emergency Airway Registry (SEAR) internal PI initiative were entered into a locally maintained de-identified, password-protected Excel database for separate analysis. No personnel outside of SAMMC had access to protected health information (PHI) for the patients included at this site. The registry characterizes intubation practices in an effort to ultimately enhance patient safety. For this study, we collected data from 503 patients who were intubated in the SAMMC ED as part of the NEAR study, of which 84.7% were successful upon first attempt. Most intubations were done using a video laryngoscope (57.3%). The most commonly used sedative was ketamine (58.3%) and most common paralytic agent was rocuronium (64.8%).
Document Details
- Document Type
- Technical Report
- Publication Date
- Dec 12, 2018
- Accession Number
- AD1074993
Entities
People
- Allyson A. Araña
- Andrea Fantegrossi
- Calvin Brown
- Daniel Pallin
- Jessie Fernandez
- Joseph K Maddry
- Mark Antonacci
- Michael April
- Shane Summer
- Steven G Schauer
Organizations
- 59th Medical Wing