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Prospective Assessment Project of AirwaY Management-related Incidents in Adult Anaesthesia Care PAPAYA III

Prospective Assessment Project of AirwaY Management-related Incidents in Adult Anaesthesia Care (PAPAYA III) - A European Multicentre Cross-sectional Observational Study

Status
Recruiting
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT06117176
Acronym
PAPAYA-III
Enrollment
40000
Registered
2023-11-03
Start date
2025-02-01
Completion date
2027-03-01
Last updated
2026-03-04

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

Conditions

Adverse Events, Airway Complication of Anesthesia

Keywords

Intubation, Intratracheal, Anesthesiology, Difficult Airway, Critical events

Brief summary

The overall objective of the study is to evaluate and analyze major and minor incidents during airway management in adults under anaesthesia care at all study sites. The patient characteristics, type of airway management is recorded and if airway management-related incidents occur, they are analyzed in more detail to improve patient safety in the future.

Detailed description

It is a prospective observational cross-sectional European multi-centre study collecting health-related patient data on anaesthetic airway management over three months. This detects the incidence and nature of local airway management problems and assesses how they are solved. This will enable the investigators to identify generalisable interventions and recommendations to further improve patients' airway management to improve patient safety. During the observational period, the anaesthesia staff in charge will fill out a screening questionnaire for airway management for every patient undergoing anaesthesia care with airway management. The investigators will extract the characteristics from the local anaesthesia record system for all patients. If no event arises, there are no further requirements. If an event occurs, the anaesthesia provider will fill out an additional form asking for more details on what happened.

Interventions

None listed

Sponsors

Insel Gruppe AG, University Hospital Bern
Lead SponsorOTHER
University of Bern
CollaboratorOTHER
University of Lausanne Hospitals
CollaboratorOTHER
Kantonsspital Aarau
CollaboratorOTHER
Charite University, Berlin, Germany
CollaboratorOTHER
Universitätsklinikum Hamburg-Eppendorf
CollaboratorOTHER

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

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

Inclusion criteria

* All adult patients requiring airway management under anaesthesia care for elective, semi-elective, urgent or emergency diagnostic procedures or interventions. Airway management includes awake and asleep tracheal intubation, insertion of supraglottic airway devices, and face mask ventilation. * Patients older than 18 years of age * Informed consent given or general consent in place, according to local ethics committee requirements.

Exclusion criteria

* Refusal to give consent or withdrawal of consent. * Patients \<18 years.

Design outcomes

Primary

MeasureTime frameDescription
Number of airway management related incidents30 daysPrimary study outcome is the number of anaesthesia cases with at least one airway management related incidents in adult patients under anaesthesia care.

Secondary

MeasureTime frameDescription
The Incidences of the individual major incidents30 daysSecondary study outcome parameters are the incidences of the major critical events and the number of incidents per case incidents.
The Incidences of the individual minor incidents30 daysSecondary study outcome parameters are the incidences of the minor critical events and the number of incidents per case incidents.

Countries

Germany, Switzerland

Contacts

CONTACTThomas Riva, MD,PD
thomas.riva@insel.ch+41 31 632 21 11
CONTACTAlexander Fuchs, MD
alexander.fuchs@insel.ch+41 31 664 14 65
STUDY_CHAIRRobert Greif, MD, Prof

Department of Anaesthesiology and Pain Medicine, Inselspital, Bern University

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Mar 5, 2026