Improving Safety of Tracheal Intubation in Pediatric ICUs

This study is looking at how doctors perform advanced airway procedures, like placing a breathing tube (tracheal intubation), in children's intensive care units (ICU), emergency rooms (ED), and other critical care settings. It's an observational study, meaning researchers are watching and collecting information about current practices. The goal is to understand how these procedures are currently done and to identify ways to make them safer and improve quality. Researchers will track the number of events related to breathing tube placement that cause problems (tracheal intubation associated events, or TIAEs) during a child's hospital stay, which is expected to be about four weeks. The study is open to all ages and genders who are undergoing advanced airway events in these critical care areas.

Study design
This is an observational study that aims to enroll 150,000 participants. It is part of a larger network to collect data on airway safety.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
Participants will be followed for the duration of their hospital stay, an expected average of 4 weeks.

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NCT02493478

Improving Safety and Quality of Tracheal Intubation Practice in Pediatric ICUs

Recruiting
Not specifiedAll AgesObservational
Children's Hospital of Philadelphia
~150,000 participants
Updated 2026-01-09 on ClinicalTrials.gov

At a glance

Recruiting sites
69 of 87 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Change in number of tracheal intubation associated events (TIAEs)
Measured over participants will be followed for the duration of their hospital stay, an expected average of 4 weeks
Failed or Difficult Intubation, Sequela
Intubation; Difficult
Intubation Complication
87 sites across 45 states
New York8
Japan6
Pennsylvania5
Texas5
Ohio4
Wisconsin4
Georgia3
North Carolina3
  • Vinay Nadkarni, MD. MS · PRINCIPAL_INVESTIGATOR · Children's Hospital of Philadelphia

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Eligibility criteria

Inclusion

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

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