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Nighttime tube removal: hidden danger for patients?

NCT ID NCT07752173

Knowledge-focused Sponsor: Kocaeli City Hospital Source: ClinicalTrials.gov ↗

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now This study
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Aug 07, 2026 · Last updated Aug 19, 2026 · Updated 3 times

Summary

This study asks whether removing a breathing tube (extubation) is riskier outside regular working hours. It will track thousands of adults undergoing surgery to compare complications like low oxygen or airway spasms during daytime versus evening/night shifts. The goal is to see if staff fatigue or reduced supervision plays a role, which could guide safer scheduling.

What this could mean

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

Active substance
Extubation procedure and Karolinska Sleepiness Scale questionnaire
What this could lead to
If off-hours extubations prove riskier, hospitals could schedule staffing and supervision to reduce complications and improve patient safety.
What could go wrong
As an observational study, it can show associations but not prove cause. Results may be influenced by unmeasured factors like case complexity or staff experience.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

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

Participants

About 2,640 people

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

Expected to start

Aug 2026

An estimate. Start dates often move.

Expected to finish

May 2027

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

The study population comprises adult patients (aged ≥ 18 years, with no upper age limit) undergoing either elective or emergency surgery under general anaesthesia with endotracheal intubation at Kocaeli City Hospital, a tertiary referral centre in Turkey. Eligible participants are those in whom tracheal extubation is planned in the operating theatre or in the post-anaesthesia care unit (PACU). The population includes both American Society of Anesthesiologists (ASA) Class I-V patients, reflecting the full spectrum of surgical acuity and comorbidity burden encountered in routine clinical practice. Patients undergoing regional anaesthesia or sedation without intubation, those with a pre-existing tracheostomy, patients transferred intubated to the intensive care unit postoperatively, and those undergoing cardiothoracic surgery involving cardiopulmonary bypass are excluded. Additionally, patients requiring emergency airway management outside the operating theatre, those with a known or susp

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: \- Age ≥ 18 years Undergoing elective or emergency surgery under general anaesthesia with endotracheal intubation Planned tracheal extubation in the operating theatre or post-anaesthesia care unit (PACU) Provision of written informed consent (or deferred consent for emergency cases, in accordance with national regulations) Exclusion Criteria: * Patients undergoing surgery under regional anaesthesia or sedation without endotracheal intubation Patients with a tracheostomy in situ Patients who remain intubated and are transferred to the intensive care unit (ICU) postoperatively Patients undergoing cardiothoracic surgery involving cardiopulmonary bypass Emergency airway management performed outside the operating theatre (e.g., ICU, emergency department) Patients with known or suspected difficult airway requiring awake fibreoptic intubation Patients who refuse to provide informed consent or withdraw consent during the study Pregnant patients

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As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Airway complication of anaesthesia Extubation Extubation failures

How to take part

Only the study team decides who joins. These are the ways to reach them.

  1. The places running it

    1 site. The list below names each one and where it is.

  2. The official record

    ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.

    Open the record ↗

  3. 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.

Contacts and locations

Locations

  • Kocaeli City Hospital

    RECRUITING

    Kocaeli, Izmıt, 41001, Turkey (Türkiye)

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