Improving Safety and Quality of Tracheal Intubation Practice in Pediatric ICUs

Observation of Multi-center Quality Improvement Project: Improving Safety and Quality of Tracheal Intubation Practice in Pediatric ICUs

Status

Recruiting

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT02493478

Acronym

NEAR4KIDs

Enrollment

150000

Registered

2015-07-09

Start date

2010-03-31

Completion date

2030-01-31

Last updated

2026-01-09

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

Conditions

Failed or Difficult Intubation, Sequela, Intubation Complication, Intubation; Difficult

Keywords

Intubation, Advanced airway intervention, Intensive care unit

Brief summary

Advanced airway interventions are common high risk, high stakes events for children in intensive care units (ICU) and emergency departments (ED), with risk for life and health threatening consequences.

Detailed description

This study will evaluate local pediatric intensive care unit (PICU), cardiac intensive care unit (CICU) and neonatal intensive care unit (NICU) as well as EDs and delivery room (DR) practice, and benchmark against other PICUs, CICUs, NICUs, DRs and EDs as a part of Multi-Center Airway Safety collaborative network (NEAR4KIDS). The goal of the study is to utilize collected benchmarked data to improve local practice. In order to develop this quality improvement (QI) intervention and collaboration, it is necessary to collect baseline data to describe current practice and to continuously evaluate the effectiveness of any QI intervention.

Interventions

None listed

Study design

Observational model

CASE_ONLY

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Healthy volunteers

Inclusion criteria

* Primary advanced airway events (on patients of all ages) in the PICU, CICU, NICU, DR and ED including: Tracheal Intubation, Laryngeal mask placement, Emergency tracheostomy and/or cricothyrotomy * Failed extubation attempts or unplanned extubations that require re-intubation will be considered a new primary intubation.

Exclusion criteria

* Primary advanced airway events (tracheal intubations, laryngeal mask placement, emergency tracheostomy and/or cricothyrotomy) in the Operating Suites.

Design outcomes

Primary

Measure	Time frame	Description
Change in number of tracheal intubation associated events (TIAEs)	participants will be followed for the duration of their hospital stay, an expected average of 4 weeks	The number of TIAEs during primary tracheal intubation will be compared to any TIAEs documented during subsequent intubation attempts.

Countries

Australia, Austria, Canada, Germany, India, Italy, Japan, New Zealand, Singapore, United Kingdom, United States

Contacts

Primary ContactHayley Buffman, MPH

buffmanh@chop.edu215-590-6772

Outcome results