The 3 AM intubation: does fatigue make airway management more dangerous?

NCT ID NCT07823179

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Recruiting now
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First seen Sep 16, 2026 · Last updated Sep 17, 2026 · Updated 1 time

Summary

Researchers are observing whether the time of day affects how safely and quickly anesthesiologists place breathing tubes in surgical patients. They will compare intubations done during regular daytime hours with those done in the evening, at night, or on weekends. The study tracks complications like multiple attempts or low oxygen, how long each intubation takes, and how sleepy the doctor feels beforehand. About 1,000 adult patients undergoing general anesthesia at a single hospital take part.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

What this could lead to
If off-hours intubations prove riskier, hospitals could adjust staffing, fatigue rules, or backup support to make anesthesia safer at night.
What could go wrong
This is an observational study at one center, so it cannot prove cause and effect. Differences between day and night cases may reflect patient mix or other factors rather than shift timing alone.

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Study facts

What this study's own registry entry says, in plain language.

Participants

About 1,000 people

The number the study aims to enrol. It can still change while the study runs.

Expected to start

Oct 2026

An estimate. Start dates often move.

Expected to finish

Dec 2028

An estimate. End dates often move.

Lead sponsor

A government agency

The lead sponsor is a government body.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Who is studied

Adult patients undergoing surgery under general anesthesia at Kocaeli City Hospital, Department of Anesthesiology and Reanimation.

Ages

18 years and older

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * Patients older than 18 years of age * undergoing surgery under general anesthesia * ASA physical status I, II, or III Exclusion Criteria: * Patients arriving to the operating room already intubated * Patients who do not provide written or verbal consent

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