Endoscopic Evaluation of the Paediatric Airway After Prior Prolonged (>24 h) Tracheal Intubation
1 other identifier
interventional
1,000
4 countries
5
Brief Summary
The purpose of this study is to determine whether possible damages of the trachea caused by a prior prolonged intubation (\> 24h) can be observed by rigid endoscopy of the trachea and if cuffed tracheal tubes cause less damages than cuffed tubes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Sep 2011
Longer than P75 for not_applicable
5 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2011
CompletedFirst Submitted
Initial submission to the registry
December 12, 2014
CompletedFirst Posted
Study publicly available on registry
January 30, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2017
CompletedMay 9, 2018
May 1, 2018
6.3 years
December 12, 2014
May 3, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Number of patients with evidence of subglottic stenosis after longterm intubation with cuffed versus uncuffed tracheal tubes
An International Study Board Committee (assessor board) will assess the endoscopic records in a blinded manner using a systematic grading system.
After an average induction period of 10 min of an anesthesia with a planned intubation after the endoscopy
Secondary Outcomes (10)
Numbers of prior intubations
Retrospective data analysis of former intubations is performed within two years after the endoscopy
Duration of prior longterm intubation
Retrospective data analysis of former intubations is performed within two years after the endoscopy
Reason for prior longterm intubation
Retrospective data analysis of former intubations is performed within two years after the endoscopy
Route of prior longterm intubation
Retrospective data analysis of former intubations is performed within two years after the endoscopy
Tube type used for prior longterm intubation
Retrospective data analysis of former intubations is performed within two years after the endoscopy
- +5 more secondary outcomes
Study Arms (1)
0° rigid endoscope
OTHEREndoscopy of the trachea is performed using a 0° rigid endoscope
Interventions
A rigid endoscopy of the larynx and the trachea until the carina is performed using a rigid 0° endoscope.
Eligibility Criteria
You may not qualify if:
- No known risk for regurgitation
- Written parental consent
- American Society of Anesthesiologists (ASA) physical status \< IV
- No parental written consent
- Known airway anomalies associated with syndromes
- Known or suspected difficult intubation
- Emergency surgery or intervention
- Full stomach and/or at risk for regurgitation
- ASA physical status IV and higher
- Patients with current or prior tracheostomy
- Known, suspected or potential cervical spine pathology (e.g. Down's Syndrome)
- Insufficient clinical details from previous prolonged intubation
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University Children's Hospital, Zurichlead
- Great Ormond Street Hospital for Children NHS Foundation Trustcollaborator
- Asklepios-Klinik Sankt Augustincollaborator
- Kinderkrankenhaus Amsterdamer Straßecollaborator
- Erasmus Medical Centercollaborator
Study Sites (5)
Kinderkrankenhaus Amsterdamer Straße
Cologne, North Rhine-Westphalia, 50735, Germany
Asklepios Kinderklinik Sankt Augustin
Sankt Augustin, North Rhine-Westphalia, 53757, Germany
Erasmus Medical Center, Sophia Children's Hospital
Rotterdam, 3015, Netherlands
University Children's Hospital
Zurich, 8032, Switzerland
Great Ormond Street Hospital for Children NHS Foundation Trust
London, WC1N 3JH, United Kingdom
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Markus Weiss, Prof.
University Children's Hospital, Zurich
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 12, 2014
First Posted
January 30, 2015
Study Start
September 1, 2011
Primary Completion
December 1, 2017
Study Completion
December 1, 2017
Last Updated
May 9, 2018
Record last verified: 2018-05