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The PAWS-COVID-19 (Pediatric AirWay complicationS COVID-19) Registry

Pediatric Airway Management Complications During the COVID-19 Pandemic. An International, Multicenter, Observational Registry: The PAWS-COVID-19 (Pediatric AirWay complicationS COVID-19) Registry

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT04449042
Enrollment
14835
Registered
2020-06-26
Start date
2020-04-01
Completion date
2020-10-31
Last updated
2021-10-22

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

Conditions

Airway Management, COVID19

Keywords

COVID19 pediatric, intubation, anesthesia

Brief summary

The COVID-19 pandemic has disrupted anesthesia care all over the world. There remains very little data on current practice patterns and patient outcomes, particularly in anesthetized children. This is a prospective observational, multi-center study to investigate airway management related outcomes in children undergoing anesthesia during this pandemic. The investigators will compare the incidence of complications (particularly hypoxemia) in patients with COVID-19 to those who are COVID-19 negative during airway management. PAWS COVID-19 Registry https://is.gd/PEDICOVID19 Registration link https://is.gd/researchrequest

Interventions

PROCEDUREairway management during sedation or general anesthesia

airway management in children receiving sedation or general anesthesia for an elective, emergency, or urgent diagnostic or surgical procedure

Sponsors

Children's Hospital of Philadelphia
CollaboratorOTHER
Children's Hospital Colorado
CollaboratorOTHER
Istituto Giannina Gaslini
CollaboratorOTHER
The Hospital for Sick Children
CollaboratorOTHER
Perth Children's Hospital of Western Austrailia
CollaboratorUNKNOWN
Lurie Children's Hospital of Chicago
CollaboratorUNKNOWN
Boston Children's Hospital
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
No minimum to 18 Years
Healthy volunteers
No

Inclusion criteria

* Undergoing an inpatient or outpatient procedure under general anesthesia with or without regional analgesia * Undergoing a diagnostic procedure under sedation or general anesthesia * Undergoing an urgent or emergent procedure performed during and outside of the regular operating room schedule hours.

Exclusion criteria

* Age \> 18 years. * Children admitted to the operating room already intubated * Children who require tracheal intubation for life-threatening conditions in the emergency department, intensive care, or hospital ward.

Design outcomes

Primary

MeasureTime frameDescription
airway complicationsthroughout duration of anestheticincidence of complications (particularly hypoxemia) in patients with COVID-19 to those who are COVID-19 negative during airway management

Secondary

MeasureTime frameDescription
PPEthroughout duration of anestheticthe type of PPE used by anesthetists and assistants during airway management
First pass successduring induction and intubationcompare the first attempt success rate of tracheal intubation in patients with the disease to those without the disease
airway devicethroughout duration of anesthetictype of device inserted for airway control
failed intubationduring induction of anesthesiadetermine the Incidence of failed intubation
complication risk factorsduring anesthetic managementdetermine risk factors related to complications (PPE type, Location, Age, Baseline Saturation, Induction technique, clinician type)
induction techniquesduring induction of anesthesiavariability in practice for induction of anesthesia

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026