Effect of Different Positions During Extubation on Incidence of Hypoxemia in the Peri Extubation Period
1 other identifier
interventional
262
0 countries
N/A
Brief Summary
Pediatric Obstructive Sleep Apnea Syndrome (OSAS) is common, often due to enlarged tonsils/adenoids. Tonsillectomy/adenoidectomy frequently performed under GA with tracheal intubation due to the age of children. Risk of hypoxemia and respiratory complications during the peri-extubation period is high.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jan 2026
Shorter than P25 for not_applicable
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
First Submitted
Initial submission to the registry
November 14, 2025
CompletedFirst Posted
Study publicly available on registry
November 17, 2025
CompletedStudy Start
First participant enrolled
January 1, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
July 1, 2026
November 19, 2025
November 1, 2025
5 months
November 14, 2025
November 15, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
Incidence of hypoxemic events in the peri-extubation period
Hypoxemic events which last \> 2 seconds after extubation will be recorded when Spo2 is less than 94% on room air.
one hour after extubation
Secondary Outcomes (1)
Incidence of respiratory complications
one hour after extubation
Study Arms (2)
Group L (lateral position):
ACTIVE COMPARATORENT surgery patients positioned laterally with head in zero position after completion of surgery and before extubation till full recovery and discharge from PACU.
Group S (Sim' position):
ACTIVE COMPARATORENT surgery patients positioned in semi-prone position after completion of surgery and before extubation till full recovery and discharge from PACU.
Interventions
investigate and compare whether the use of lateral position or semi-prone position impact on the occurrence of choking, agitation, decreased pulse oxygen saturation - (SpO2) and the oral and nasal secretions during the awakening period.
Eligibility Criteria
You may qualify if:
- Age 2-10 years
- American Society of Anesthesiologists physical status classification (ASA) I - II
- Patients scheduled for ENT procedures involving tonsillectomy, adenoidectomy or adenotonsillectomy
You may not qualify if:
- Patient legal guardian refusal to participate in the study.
- Children with cardio-pulmonary disease
Contact the study team to confirm eligibility.
Sponsors & Collaborators
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Shimaa A. Abbas, M.D.
Assiut University
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Ass. Prof.
Study Record Dates
First Submitted
November 14, 2025
First Posted
November 17, 2025
Study Start
January 1, 2026
Primary Completion (Estimated)
June 1, 2026
Study Completion (Estimated)
July 1, 2026
Last Updated
November 19, 2025
Record last verified: 2025-11
Data Sharing
- IPD Sharing
- Will not share