The 3 AM intubation: does fatigue make airway management more dangerous?
NCT ID NCT07823179
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
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About 1,000 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2028
An estimate. End dates often move.
- Lead sponsor
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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
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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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 Hide 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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As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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