Improving Safety and Quality of Tracheal Intubation Practice in Pediatric ICUs
- Conditions
- Intubation ComplicationFailed or Difficult Intubation, SequelaIntubation; Difficult
- Registration Number
- NCT02493478
- Lead Sponsor
- Children's Hospital of Philadelphia
- Brief Summary
Advanced airway interventions are common high risk, high stakes events for children in intensive care units (ICU) and emergency departments (ED), with risk for life and health threatening consequences.
- Detailed Description
This study will evaluate local pediatric intensive care unit (PICU), cardiac intensive care unit (CICU) and neonatal intensive care unit (NICU) as well as EDs and delivery room (DR) practice, and benchmark against other PICUs, CICUs, NICUs, DRs and EDs as a part of Multi-Center Airway Safety collaborative network (NEAR4KIDS).
The goal of the study is to utilize collected benchmarked data to improve local practice. In order to develop this quality improvement (QI) intervention and collaboration, it is necessary to collect baseline data to describe current practice and to continuously evaluate the effectiveness of any QI intervention.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 150000
- 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.
- Primary advanced airway events (tracheal intubations, laryngeal mask placement, emergency tracheostomy and/or cricothyrotomy) in the Operating Suites.
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method 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.
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (86)
Children's Hospital of Richmond at VCU
🇺🇸Richmond, Virginia, United States
Aster Hospitals - India
🇮🇳Bengaluru, Karnataka, India
Rainbow Children's Hospital
🇮🇳Bangalore, India
Bambino Gesu
🇮🇹Roma, Italy
KK Women's and Children's Hospital
🇸🇬Singapore, Singapore
KK Women's & Children's Hospital, Singapore
🇸🇬Singapore, Singapore
Children's of Alabama at Birmingham
🇺🇸Birmingham, Alabama, United States
Phoenix Children's Hospital
🇺🇸Phoenix, Arizona, United States
Arkansas Children's Hospital
🇺🇸Little Rock, Arkansas, United States
Children's Hospital of Central California
🇺🇸Madera, California, United States
University of Colorado Hospital
🇺🇸Aurora, Colorado, United States
Yale New Haven Children's Hospital
🇺🇸New Haven, Connecticut, United States
Yale-New Haven Children's Hospital
🇺🇸New Haven, Connecticut, United States
Nemours Children's Health, Delaware
🇺🇸Wilmington, Delaware, United States
Miami Children's Hospital
🇺🇸Miami, Florida, United States
Emory University
🇺🇸Atlanta, Georgia, United States
Children's Hospital of Atlanta - Scottish Rite
🇺🇸Atlanta, Georgia, United States
Children's Hospital of Georgia
🇺🇸Augusta, Georgia, United States
Northwestern Medicine Prentice Women's Hospital
🇺🇸Chicago, Illinois, United States
Riley Hospital for Children
🇺🇸Indianapolis, Indiana, United States
Beacon Children's Hospital
🇺🇸South Bend, Indiana, United States
Kentucky Children's Hospital
🇺🇸Lexington, Kentucky, United States
Norton Children's Hospital - University of Louisville
🇺🇸Louisville, Kentucky, United States
Johns Hopkins Medicine
🇺🇸Baltimore, Maryland, United States
University of Maryland
🇺🇸Baltimore, Maryland, United States
Boston Children's Hospital
🇺🇸Boston, Massachusetts, United States
Baystate Medical Center
🇺🇸Springfield, Massachusetts, United States
Gillette Children's Specialty Health
🇺🇸Saint Paul, Minnesota, United States
Children's Hospitals and Clinics of Minnesota
🇺🇸Saint Paul, Minnesota, United States
Children's Hospital and Medical Center
🇺🇸Omaha, Nebraska, United States
Dartmouth-Hitchcock Medical Center
🇺🇸Lebanon, New Hampshire, United States
Morristown Medical Center
🇺🇸Morristown, New Jersey, United States
Albany Medical College
🇺🇸Albany, New York, United States
The Children's Hospital at Montefiore
🇺🇸Bronx, New York, United States
Oishei Children's Hospital
🇺🇸Buffalo, New York, United States
Cohen Children's Medical Center
🇺🇸New Hyde Park, New York, United States
New York Presbyterian Hospital Weill Cornell Medical College
🇺🇸New York, New York, United States
University of Rochester at Golisano Children's Hospital
🇺🇸Rochester, New York, United States
Stony Brook Children's Hospital
🇺🇸Stony Brook, New York, United States
Maria Fareri Children's Hospital (West Chester Medical)
🇺🇸Valhalla, New York, United States
Duke Children's Hospital
🇺🇸Durham, North Carolina, United States
WakeMed Health & Hospitals
🇺🇸Raleigh, North Carolina, United States
WakeMed
🇺🇸Raleigh, North Carolina, United States
Akron Children's Hospital
🇺🇸Akron, Ohio, United States
Cincinnati Hospital Medical Center
🇺🇸Cincinnati, Ohio, United States
Cleveland Clinic Childrens Hospital
🇺🇸Cleveland, Ohio, United States
Nationwide Children's Hospital
🇺🇸Columbus, Ohio, United States
Oregon Health and Science University
🇺🇸Portland, Oregon, United States
Children's Hospital - Penn State Hershey
🇺🇸Hershey, Pennsylvania, United States
Penn State Health Milton S. Hershey Medical Center
🇺🇸Hershey, Pennsylvania, United States
Hospital of the University of Pennsylvania
🇺🇸Philadelphia, Pennsylvania, United States
The Children's Hospital of Philadelphia
🇺🇸Philadelphia, Pennsylvania, United States
Children's Hospital of Pittsburgh
🇺🇸Pittsburgh, Pennsylvania, United States
Hasbro Children's Hospital
🇺🇸Providence, Rhode Island, United States
Le Bonheur Children's Hospital
🇺🇸Memphis, Tennessee, United States
Dell Children's Medical Center - Ascension
🇺🇸Austin, Texas, United States
Medical City Children's Hospital
🇺🇸Dallas, Texas, United States
Baylor - Christus Children's - Main Hospital
🇺🇸Irving, Texas, United States
Baylor - Christus Children's - Westover Hills
🇺🇸San Antonio, Texas, United States
Baylor - Christus Children's - Stone Oak
🇺🇸San Antonio, Texas, United States
The University of Vermont Children's Hospital
🇺🇸Burlington, Vermont, United States
UVA Children's Hospital
🇺🇸Charlottesville, Virginia, United States
Seattle Children's Hospital
🇺🇸Seattle, Washington, United States
University of Washington Medical Center
🇺🇸Seattle, Washington, United States
University of Wisconsin - UnityPoint Meriter
🇺🇸Madison, Wisconsin, United States
American Family Children's Hospital - University of Wisconsin
🇺🇸Madison, Wisconsin, United States
Medical College of Wisconsin
🇺🇸Milwaukee, Wisconsin, United States
University of Wisconsin - American Family Children's Hospital
🇺🇸Shorewood Hills, Wisconsin, United States
Royal Brisbane and Women's Hospital
🇦🇺Herston, Australia
The Royal Children's Hospital Melbourne
🇦🇺Parkville, Australia
Medical University of Vienna (Medizinische Universität Wien)
🇦🇹Vienna, Austria
Foothills Medical Centre
🇨🇦Calgary, Alberta, Canada
Alberta Children's Hospital
🇨🇦Calgary, Alberta, Canada
British Columbia Children's Hospital
🇨🇦Vancouver, British Columbia, Canada
CHU Sainte-Justine
🇨🇦Montréal, Quebec, Canada
The University of Manitoba
🇨🇦Winnipeg, Canada
University Hospital Schleswig-Holstein, Campus Luebeck, Children's Hospital
🇩🇪Luebeck, Germany
National Center for Child Health and Development
🇯🇵Setagaya-Ku, Tokyo, Japan
Hiroshima University
🇯🇵Hiroshima, Japan
Hyogo Prefectural Kobe Children's Hospital
🇯🇵Kobe, Japan
Aichi Children's Health and Medical Center
🇯🇵Obu, Japan
Saitama Children's Medical Center
🇯🇵Saitama, Japan
Jichi Medical University Hospital
🇯🇵Shimotsuke, Japan
Tokyo Metropolitan
🇯🇵Tokyo, Japan
Starship Children's Hospital
🇳🇿Auckland, New Zealand
Cardiff & Vale University Health Board
🇬🇧Cardiff, Wales, United Kingdom