Evidence map›Paper›PMID 33785069›Full record

ArticleTrials2021

Assessment of remifentanil for rapid sequence induction and intubation in patients at risk of pulmonary aspiration of gastric contents compared to rapid-onset paralytic agents: study protocol for a non-inferiority simple blind randomized controlled trial (the REMICRUSH study).

Nicolas Grillot, Matthias Garot, Sigismond Lasocki, Olivier Huet, Pierre Bouzat, Charlène Le Moal, Mathieu Oudot, Nolwenn Chatel-Josse, Younes El Amine, Marc Danguy des Déserts and 13 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03960801 (Assessment of Remifentanil for Rapid Sequence Induction and Intubation in Full Stomach Patient Compared to Muscle Relaxant. A Non-inferiority Simple Blind Randomized Controlled Trial), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.2field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03960801 phase3completednot on this map

Assessment of Remifentanil for Rapid Sequence Induction and Intubation in Full Stomach Patient Compared to Muscle Relaxant. A Non-inferiority Simple Blind Randomized Controlled Trial

TypeinterventionalSponsorNantes University HospitalRan2019 to 2021Enrolled1,150ConditionsIntra-tracheal IntubationArmsRemifentanil group, neuromuscular blockade group
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors at 15 institutions in 1 country.

Nicolas GrillotUniversité de Nantes, CHU Nantes, Pôle Anesthésie-Réanimation, Service d'Anesthésie Réanimation Chirurgicale, Hôtel Dieu, Nantes, F-44093, France. nicolas.grillot@chu-nantes.fr.ORCID http://orcid.org/0000-0003-2994-1843
Matthias GarotCHU de Lille, Pole Anesthésie Réanimation, Hôpital Claude Huriez, Lille, France.
Sigismond LasockiUniversité d'Angers, CHU d'Angers, Département Anesthésie Réanimation, Angers, F-49933, France.
Olivier HuetAnaesthesia, and Intensive Care Unit, Brest Regional University Hospital, Brest, France.
Pierre BouzatPôle d'Anesthésie-Réanimation, Hôpital Albert Michallon, BP 217, F-38043, Grenoble, France.
Charlène Le MoalAnaesthesia and Intensive Care Unit, Le Mans Public Hospital, Le Mans, France.
Mathieu OudotAnaesthesia Unit, Vendée District Hospital Center, La Roche-sur-Yon, France.
Nolwenn Chatel-JosseAnaesthesia Unit, Le Confluent Private Hospital, Nantes, France.
Younes El AmineAnaesthesia Unit, Valenciennes Public Hospital, Valenciennes, France.
Marc Danguy des DésertsAnaesthesia and Intensive Care Unit, Clermont-Tonnerre Military Hospital, Brest, France.
Nathalie BruneauAnaesthesia and Intensive Care Unit, Lille Regional University Hospital, Lille, France.
Raphael CinottiCHU Nantes, Pôle Anesthésie-Réanimation, Service d'Anesthésie Réanimation Chirurgicale, Hôpital Guillaume et René Laennec, Université de Nantes, Saint-Herblain, 44800, France.
Jean-Stéphane DavidHospices Civils de Lyon, Lyon Sud Regional University Hospital, Anaesthesia and Intensive Care Unit, Lyon, France.
Olivier LangeronAnaesthesia and Intensive Care Unit, Henri-Mondor University Hospital (AP-HP), Créteil, France.
Vincent MinvilleAnaesthesia and Intensive Care Unit, Toulouse University Hospital, Toulouse, France.
Martine Tching-SinDepartment of Pharmacy, Nantes University Hospital, Nantes, France.
Elodie Faurel-PaulDepartment of Clinical Research, Nantes University Hospital, Nantes, France.
Céline LerebourgUniversité de Nantes, CHU Nantes, Pôle Anesthésie-Réanimation, Service d'Anesthésie Réanimation Chirurgicale, Hôtel Dieu, Nantes, F-44093, France.
Delphine Flattres-DuchaussoyUniversité de Nantes, CHU Nantes, Pôle Anesthésie-Réanimation, Service d'Anesthésie Réanimation Chirurgicale, Hôtel Dieu, Nantes, F-44093, France.
Alexandra JobertDepartment of Clinical Research, Nantes University Hospital, Nantes, France.
Karim AsehnouneUniversité de Nantes, CHU Nantes, Pôle Anesthésie-Réanimation, Service d'Anesthésie Réanimation Chirurgicale, Hôtel Dieu, Nantes, F-44093, France.
Fanny FeuilletNantes University Hospital, Methodology and Biostatistics Platform, Department of Clinical Research, Nantes, France.
Antoine RoquillyUniversité de Nantes, CHU Nantes, Pôle Anesthésie-Réanimation, Service d'Anesthésie Réanimation Chirurgicale, Hôtel Dieu, Nantes, F-44093, France.
Centre Hospitalier Universitaire de Nantes · FRInserm · FRNantes Université · FRCentre Hospitalier de Valenciennes · FRCentre Hospitalier du Mans · FRCentre Hospitalier Régional Universitaire de Brest · FRCentre Hospitalier Universitaire d'Angers · FRCentre Hospitalier Universitaire de Lille · FRCentre Hospitalier Universitaire Henri-Mondor · FRHôpital d'Instruction des Armées Clermont-Tonnerre · FRHôpital privé du Confluent · FRRoche (France) · FRUniversité Claude Bernard Lyon 1 · FRUniversité de Lille · FRUniversité Fédérale de Toulouse Midi-Pyrénées · FR

Funding

Ministère de la Santé et des Services sociaux PHRCI 2018, API18/N/015
6 · The paper itself

Abstract

backgroundRapid-onset paralytic agents are recommended to achieve muscle relaxation and facilitate tracheal intubation during rapid sequence induction in patients at risk of pulmonary aspiration of gastric contents. However, opioids are frequently used in this setting. The study's objective is to demonstrate the non-inferiority of remifentanil compared to rapid-onset paralytic agents, in association with an hypnotic drug, for tracheal intubation in patients undergoing  procedure under general anesthesia and at risk of pulmonary aspiration of gastric contents.

methodsThe REMICRUSH (Remifentanil for Rapid Sequence Induction of Anaesthesia) study is a multicenter, single-blinded, non-inferiority randomized controlled trial comparing remifentanil (3 to 4 μg/kg) with rapid-onset paralytic agents (succinylcholine or rocuronium 1 mg/kg) for rapid sequence induction in 1150 adult surgical patients requiring tracheal intubation during general anesthesia. Enrolment started in October 2019 in 15 French anesthesia units. The expected date of the final follow-up is October 2021. The primary outcome is the proportion of successful tracheal intubation without major complications. A non-inferiority margin of 7% was chosen. Analyses of the intent-to-treat and per-protocol populations are planned. DISCUSSION: The REMICRUSH trial protocol has been approved by the ethics committee of The Comité de Protection des Personnes Sud-Ouest et Outre-Mer II and will be carried out according to the principles of the Declaration of Helsinki and the Good Clinical Practice guidelines. The results of this study will be disseminated through presentations at scientific conferences and publications in peer-reviewed journals. The REMICRUSH trial is the first randomized controlled trial powered to investigate whether remifentanil with hypnotics is non-inferior to rapid-onset paralytic agents with hypnotic in rapid sequence induction of anesthesia for full stomach patients considering successful tracheal intubation without major complication.

trial registrationClinicalTrials.gov NCT03960801. Registered on May 23, 2019.

Indexed as

Rapid Sequence Induction and IntubationSuccinylcholineAdultEquivalence Trials as TopicHumansIntubation, IntratrachealMulticenter Studies as TopicRandomized Controlled Trials as TopicRemifentanilRocuroniumRemifentanilRocuroniumSuccinylcholineFull stomach patientParalytic agentsRapid sequence inductionRemifentanilRocuroniumSuccinylcholineTracheal intubation

Identifiers

PMID33785069
PMCPMC8009075
OpenAlexW3149814578

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.