To study if the removal of secretions from nose before removal of breathing tube, which was put for surgery, reduce the chances of post-tube removal breathing complications in children?

Can nasopharyngeal suction prior to supraglottic airway removal reduce the incidence of post-supraglottic airway removal adverse airway events in children? – a randomised controlled trial

Status

Active, not recruiting

Phases

Phase 3

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2022/09/045150

Enrollment

300

Registered

2022-09-01

Start date

Unknown

Completion date

Unknown

Last updated

2025-03-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: O- Medical and Surgical

Interventions

Intervention1: Nasopharyngeal suctioning: At the end of surgery before removal of supraglottic airway suctioning will be done in deep plane (MAC 0.8) using 8 Fr catheter for nasopharyngeal suction. In

Eligibility

Inclusion criteria

Inclusion criteria: Children undergoing surgery under sevoflurane anaesthesia with supraglottic airway device

Exclusion criteria

Exclusion criteria: 1) Refusal to participate by parent/guardian 2) Any known nasopharyngeal / oropharyngeal pathologies (e.g. Adenoid hypertrophy, cleft palate, significant tonsillar hypertrophy – grade 2 or more) 3) Anticipated difficult airway 4) Coagulopathy 5) History of nasal bleeding in the past 6) Known case of OSA/OHS 7) H/o CSF rhinorrhoea 8) H/o head injury with base of skull fracture 9) H/o trans-nasal surgery

Design outcomes

Primary

Measure	Time frame
Difference in the incidence of post supraglottic airway removal adverse airway events (PSRAAE) between the two groups. A patient will be considered positive for PSRAAE if he or she experiences any one or more of the following airway events: 1 Coughing (persistent lasting 10s) 2 Breath holding (apnea for 5s or more) 3 Airway obstruction requiring airway manoeuvre (chin lift and jaw thrust) or CPAP more than 5cm H2O 4 Stridor 5 Desaturation SpO295% 6 Laryngospasm 7 BronchospasmTimepoint: 1 At the end of surgery post supraglottic airway removal on the OT table 2 In post anaesthesia care unit PACU	—

Measure

Time frame

Difference in the incidence of post supraglottic airway removal adverse airway events (PSRAAE) between the two groups. A patient will be considered positive for PSRAAE if he or she experiences any one or more of the following airway events: 1 Coughing (persistent lasting 10s) 2 Breath holding (apnea for 5s or more) 3 Airway obstruction requiring airway manoeuvre (chin lift and jaw thrust) or CPAP more than 5cm H2O 4 Stridor 5 Desaturation SpO295% 6 Laryngospasm 7 BronchospasmTimepoint: 1 At the end of surgery post supraglottic airway removal on the OT table 2 In post anaesthesia care unit PACU

—

Secondary

Measure	Time frame
1) Difference in incidence of individual airway events 2) Incidence of tachycardia (HR rise by more than 15%) during suctioning 3) Incidence of airway trauma (as evident by blood tinging of suction catheter tip) 4) Incidence of jaw clenching, tube biting during SGA removal 5) Time to achieve readiness for shifting from OR to PACUTimepoint: 1 At the end of surgery post supraglottic airway removal on the OT table 2 In post anaesthesia care unit PACU	—

Measure

Time frame

1) Difference in incidence of individual airway events 2) Incidence of tachycardia (HR rise by more than 15%) during suctioning 3) Incidence of airway trauma (as evident by blood tinging of suction catheter tip) 4) Incidence of jaw clenching, tube biting during SGA removal 5) Time to achieve readiness for shifting from OR to PACUTimepoint: 1 At the end of surgery post supraglottic airway removal on the OT table 2 In post anaesthesia care unit PACU

—

Countries

India

Contacts

Public ContactNamitha Mariam Lal

All India Institute of Medical Sciences

priyankar.k.datta@gmail.com9830771756

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026