Airway Management Practice Patterns in Paediatric Anaesthesia: A Survey

NCT02810288 | Unknown

• 1 other identifier: AR-01-SUR-AMPA
• Study Type: observational
• Target: 200
• Locations: 1 country
• Sites: 1

Brief Summary

Respiratory adverse events continue to be the leading reason for perioperative critical events in children. It is crucial for the anaesthesiologist to anticipate, recognize and treat these respiratory adverse events. Respiratory adverse events are one of the major causes of morbidity and mortality during paediatric anaesthesia. To avoid trouble, one must be prepared for trouble: if a difficult airway is very likely, anaesthesia should be administered by experienced anaesthesiologists and should only be performed in a protected well-equipped area where the personnel adequately trained. This survey focuses on assessment and management of paediatric airway and highlights the unique challenges encountered in children.

Conditions

Paediatric Airway Management

Keywords

Airway anatomy; difficult intubation; congenital syndromes

Outcome Measures

Primary Outcomes (1)

• Proportion of anaesthesiologist with paediatric experience using intravenous induction compared to those without paediatric experience.

  The primary objective will be to compare anaesthesiologists with and without paediatric experience in terms of proportion of anaesthesiologists adopting "standard" practice.

  A time of survey; generally less than 20 minutes

Secondary Outcomes (4)

• Proportion of anaesthesiologist with paediatric experience measuring cuff pressure with pressure manometer compared to those without paediatric experience.

  A time of survey; generally less than 20 minutes

• Proportion of participants correctly identifying predictability of difficult airway in children.

  A time of survey; generally less than 20 minutes

• Proportion of participants correctly answering questions about the use of (modified) rapid sequence induction in the paediatric population.

  A time of survey; generally less than 20 minutes

• Proportion of anaesthesiologist correctly identifying national organisations difficult airway recommendations.

  A time of survey; generally less than 20 minutes

Study Arms (2)

Expert

Anaesthesiologist with large paediatric daily practice. All participant voluntarily response all items in the questionnaire database.

Behavioral: Voluntarily response all items in the questionnaire.

Non-experts

Anaesthesiologist with little paediatric daily practice. All participant voluntarily response all items in the questionnaire database.

Behavioral: Voluntarily response all items in the questionnaire.

Interventions

Voluntarily response all items in the questionnaire. BEHAVIORAL

The study type is a cross-sectional study, by means of electronic self-administered survey as online questionnaire sent by e-mail. The questionnaire for the survey was developed with reference to previously published guidelines on the design of questionnaire surveys. The content validity of the questionnaire was verified by review of clinicians not participating into the project and by a statistician.

Expert; Non-experts

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Volunteers among the anaesthesiological community of 5 different European countries. All participant voluntarily response all items in the questionnaire database. A representative anaesthesiologist for each of the target Countries will be asked to participate and to invite at least one other hospital. All anaesthesiologists within each selected hospital will be asked to participate in the survey.

You may qualify if:

• Anaesthesiologists currently working in the operating rooms.

You may not qualify if:

• unwilling to join the study

Sponsors & Collaborators

• Fondazione IRCCS Policlinico San Matteo di Pavia: lead

Study Sites (1)

IRCCS Policlinico San Matteo

Pavia, Pavia, 27100, Italy

RECRUITING

Related Publications (9)

• Clergue F, Auroy Y, Pequignot F, Jougla E, Lienhart A, Laxenaire MC. French survey of anesthesia in 1996. Anesthesiology. 1999 Nov;91(5):1509-20. doi: 10.1097/00000542-199911000-00045.

  PMID: 10551604 BACKGROUND

• Auroy Y, Ecoffey C, Messiah A, Rouvier B. Relationship between complications of pediatric anesthesia and volume of pediatric anesthetics. Anesth Analg. 1997 Jan;84(1):234-5. doi: 10.1097/00000539-199701000-00060. No abstract available.

  PMID: 8989044 BACKGROUND

• Harless J, Ramaiah R, Bhananker SM. Pediatric airway management. Int J Crit Illn Inj Sci. 2014 Jan;4(1):65-70. doi: 10.4103/2229-5151.128015.

  PMID: 24741500 BACKGROUND

• Von Ungern-Sternberg BS, Habre W. Pediatric anesthesia - potential risks and their assessment: part I. Paediatr Anaesth. 2007 Mar;17(3):206-15. doi: 10.1111/j.1460-9592.2006.02097.x. No abstract available.

  PMID: 17263734 BACKGROUND

• Burns KE, Duffett M, Kho ME, Meade MO, Adhikari NK, Sinuff T, Cook DJ; ACCADEMY Group. A guide for the design and conduct of self-administered surveys of clinicians. CMAJ. 2008 Jul 29;179(3):245-52. doi: 10.1503/cmaj.080372. No abstract available.

  PMID: 18663204 BACKGROUND

• van Gelder MM, Bretveld RW, Roeleveld N. Web-based questionnaires: the future in epidemiology? Am J Epidemiol. 2010 Dec 1;172(11):1292-8. doi: 10.1093/aje/kwq291. Epub 2010 Sep 29.

  PMID: 20880962 BACKGROUND

• Kelley K, Clark B, Brown V, Sitzia J. Good practice in the conduct and reporting of survey research. Int J Qual Health Care. 2003 Jun;15(3):261-6. doi: 10.1093/intqhc/mzg031.

  PMID: 12803354 BACKGROUND

• Tait AR, Voepel-Lewis T. Survey research: it's just a few questions, right? Paediatr Anaesth. 2015 Jul;25(7):656-62. doi: 10.1111/pan.12680. Epub 2015 Apr 30.

  PMID: 25929546 BACKGROUND

• Hohne C, Haack M, Machotta A, Kaisers U. [Airway management in pediatric anesthesia]. Anaesthesist. 2006 Jul;55(7):809-19; quiz 820. doi: 10.1007/s00101-006-1045-0. German.

  PMID: 16804684 BACKGROUND

Study Officials

• Antonio Braschi, MD Prof

  IRCCS Policlinico San Matteo

  STUDY CHAIR

Central Study Contacts

Thekla L Niebel, MD PhD

CONTACT

0039349; thekla.niebel@gmail.com

Study Design

• Study Type: observational
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MD

Study Record Dates

• First Submitted: June 14, 2016
• First Posted: June 22, 2016
• Study Start: January 1, 2016
• Primary Completion: January 1, 2017
• Study Completion: March 1, 2017
• Last Updated: June 23, 2016

Record last verified: 2016-06

Data Sharing

• IPD Sharing: Will not share

Locations

IT (1)