Massive study aims to reduce risks when kids need breathing tubes
NCT ID NCT02493478
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tracks a quality improvement project across many children's hospitals to see if new safety steps reduce complications when placing breathing tubes in children. Researchers will compare the number of tube-related problems before and after the changes. Up to 150,000 children in ICUs and emergency rooms will be observed.
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 successful, this could lead to safer intubation practices and fewer complications for children in intensive care.
- What could go wrong
- This is an observational study, not a controlled trial, so it cannot prove cause and effect. Results may vary across different hospitals.
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 150,000 people
The number the study aims to enrol. It can still change while the study runs.
- Start date
-
Mar 2010
- Expected to finish
-
Jan 2030
An estimate. End dates often move.
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
All advanced airway events (tracheal intubations, laryngeal mask placement, emergency tracheostomy and cricothyrotomy) in PICUs, CICUs, NICUs, DRs and EDs during study period. Information regarding airway management events as well as select information regarding circumstances up to the event will be collected.
- Ages
-
Children (under 18), adults (18 to 64) and older adults (65 and over)
- 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 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: * 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. Exclusion Criteria: * Primary advanced airway events (tracheal intubations, laryngeal mask placement, emergency tracheostomy and/or cricothyrotomy) in the Operating Suites.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Failed or difficult intubation, sequela are added.
Genom att skicka in godkänner du våra Användarvillkor
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.
-
The places running it
87 sites in 11 countries. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
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
-
Aichi Children's Health and Medical Center
RECRUITINGŌbu, Japan
-
Akron Children's Hospital
RECRUITINGAkron, Ohio, 44308, United States
-
Albany Medical College
RECRUITINGAlbany, New York, 12208, United States
-
Alberta Children's Hospital
RECRUITINGCalgary, Alberta, T3B 6A9, Canada
-
American Family Children's Hospital - University of Wisconsin
RECRUITINGMadison, Wisconsin, 53792, United States
-
Arkansas Children's Hospital
RECRUITINGLittle Rock, Arkansas, 72202, United States
-
Aster Hospitals - India
RECRUITINGBengaluru, Karnataka, 560078, India
-
Bambino Gesu
SUSPENDEDRoma, 00165, Italy
-
Baylor - Christus Children's - Main Hospital
RECRUITINGIrving, Texas, 75039, United States
-
Baylor - Christus Children's - Stone Oak
RECRUITINGSan Antonio, Texas, 78258, United States
-
Baylor - Christus Children's - Westover Hills
RECRUITINGSan Antonio, Texas, 78251, United States
-
Baystate Medical Center
RECRUITINGSpringfield, Massachusetts, 01199, United States
-
Beacon Children's Hospital
SUSPENDEDSouth Bend, Indiana, 46601, United States
-
Boston Children's Hospital
RECRUITINGBoston, Massachusetts, 02115, United States
-
British Columbia Children's Hospital
RECRUITINGVancouver, British Columbia, V6H 3V4, Canada
-
CHU Sainte-Justine
RECRUITINGMontreal, Quebec, H3T 1C4, Canada
-
CHU Sainte-Justine
RECRUITINGMontreal, Quebec, QC H3T 1C5, Canada
-
Cardiff & Vale University Health Board
NOT_YET_RECRUITINGCardiff, Wales, CF14 4XW, United Kingdom
-
Children's Hospital - Penn State Hershey
RECRUITINGHershey, Pennsylvania, 17033, United States
-
Children's Hospital and Medical Center
RECRUITINGOmaha, Nebraska, 68114, United States
-
Children's Hospital of Atlanta - Scottish Rite
SUSPENDEDAtlanta, Georgia, 30342, United States
-
Children's Hospital of Central California
SUSPENDEDMadera, California, 93636, United States
-
Children's Hospital of Georgia
RECRUITINGAugusta, Georgia, 30912, United States
-
Children's Hospital of Pittsburgh
SUSPENDEDPittsburgh, Pennsylvania, 15224, United States
-
Children's Hospital of Richmond at VCU
SUSPENDEDRichmond, Virginia, 23298, United States
-
Children's Hospitals and Clinics of Minnesota
SUSPENDEDSaint Paul, Minnesota, 55404, United States
-
Children's of Alabama at Birmingham
RECRUITINGBirmingham, Alabama, 35233, United States
-
Cincinnati Hospital Medical Center
RECRUITINGCincinnati, Ohio, 45229, United States
-
Cleveland Clinic Childrens Hospital
RECRUITINGCleveland, Ohio, 44106, United States
-
Cohen Children's Medical Center
RECRUITINGNew Hyde Park, New York, 11040, United States
-
Dartmouth-Hitchcock Medical Center
RECRUITINGLebanon, New Hampshire, 03766, United States
-
Dell Children's Medical Center - Ascension
RECRUITINGAustin, Texas, 78723, United States
-
Duke Children's Hospital
RECRUITINGDurham, North Carolina, 27705, United States
-
Emory University
RECRUITINGAtlanta, Georgia, 30322, United States
-
Foothills Medical Centre
RECRUITINGCalgary, Alberta, T2N 2T9, Canada
-
Gillette Children's Specialty Health
SUSPENDEDSaint Paul, Minnesota, 55101, United States
-
Hasbro Children's Hospital
RECRUITINGProvidence, Rhode Island, 02903, United States
-
Hiroshima University
RECRUITINGHiroshima, 734-8551, Japan
-
Hospital of the University of Pennsylvania
RECRUITINGPhiladelphia, Pennsylvania, 19104, United States
-
Hyogo Prefectural Kobe Children's Hospital
RECRUITINGKobe, 650-0047, Japan
-
Jichi Medical University Hospital
SUSPENDEDShimotsuke, 329-0431, Japan
-
Johns Hopkins Medicine
RECRUITINGBaltimore, Maryland, 21205, United States
-
KK Women's & Children's Hospital, Singapore
RECRUITINGSingapore, 229899, Singapore
-
KK Women's and Children's Hospital
RECRUITINGSingapore, 168753, Singapore
-
Kentucky Children's Hospital
RECRUITINGLexington, Kentucky, 40536, United States
-
Le Bonheur Children's Hospital
SUSPENDEDMemphis, Tennessee, 38103, United States
-
Maria Fareri Children's Hospital (West Chester Medical)
RECRUITINGValhalla, New York, 10595, United States
-
Medical City Children's Hospital
RECRUITINGDallas, Texas, 75230, United States
-
Medical College of Wisconsin
RECRUITINGMilwaukee, Wisconsin, 53226, United States
-
Medical University of Vienna (Medizinische Universität Wien)
RECRUITINGVienna, Spitalgasse 23, Austria
-
Miami Children's Hospital
SUSPENDEDMiami, Florida, 33155, United States
-
Morristown Medical Center
RECRUITINGMorristown, New Jersey, 07960, United States
-
National Center for Child Health and Development
RECRUITINGSetagaya-Ku, Tokyo, 157-8535, Japan
-
Nationwide Children's Hospital
RECRUITINGColumbus, Ohio, 43205, United States
-
Nemours Children's Health, Delaware
RECRUITINGWilmington, Delaware, 19803, United States
-
New York Presbyterian Hospital Weill Cornell Medical College
SUSPENDEDNew York, New York, 10065, United States
-
Northwestern Medicine Prentice Women's Hospital
RECRUITINGChicago, Illinois, 60611, United States
-
Norton Children's Hospital - University of Louisville
RECRUITINGLouisville, Kentucky, 40202, United States
-
Oishei Children's Hospital
RECRUITINGBuffalo, New York, 14222, United States
-
Oregon Health and Science University
RECRUITINGPortland, Oregon, 97239, United States
-
Penn State Health Milton S. Hershey Medical Center
RECRUITINGHershey, Pennsylvania, 17033, United States
-
Phoenix Children's Hospital
RECRUITINGPhoenix, Arizona, 85006, United States
-
Rainbow Children's Hospital
SUSPENDEDBangalore, 560092, India
-
Riley Hospital for Children
RECRUITINGIndianapolis, Indiana, 46202, United States
-
Royal Brisbane and Women's Hospital
RECRUITINGHerston, 4006, Australia
-
Saitama Children's Medical Center
RECRUITINGSaitama, 350-0451, Japan
-
Seattle Children's Hospital
RECRUITINGSeattle, Washington, 98105, United States
-
Starship Children's Hospital
SUSPENDEDAuckland, 1023, New Zealand
-
Stony Brook Children's Hospital
RECRUITINGStony Brook, New York, 11794, United States
-
The Children's Hospital at Montefiore
SUSPENDEDThe Bronx, New York, 10467, United States
-
The Children's Hospital of Philadelphia
RECRUITINGPhiladelphia, Pennsylvania, 19104, United States
-
The Royal Children's Hospital Melbourne
RECRUITINGParkville, 3052, Australia
-
The University of Manitoba
RECRUITINGWinnipeg, B R3T 2N2, Canada
-
The University of Vermont Children's Hospital
RECRUITINGBurlington, Vermont, 05401, United States
-
Tokyo Metropolitan
RECRUITINGTokyo, 163-8001, Japan
-
UVA Children's Hospital
RECRUITINGCharlottesville, Virginia, 22903, United States
-
University Hospital Schleswig-Holstein, Campus Luebeck, Children's Hospital
SUSPENDEDLübeck, 23562, Germany
-
University of Colorado Hospital
RECRUITINGAurora, Colorado, 80045, United States
-
University of Maryland
SUSPENDEDBaltimore, Maryland, 21230, United States
-
University of Rochester at Golisano Children's Hospital
RECRUITINGRochester, New York, 14642, United States
-
University of Washington Medical Center
RECRUITINGSeattle, Washington, 98195, United States
-
University of Wisconsin - American Family Children's Hospital
RECRUITINGShorewood Hills, Wisconsin, 53792, United States
-
University of Wisconsin - UnityPoint Meriter
RECRUITINGMadison, Wisconsin, 53715, United States
-
WakeMed
RECRUITINGRaleigh, North Carolina, 27610, United States
-
WakeMed Health & Hospitals
RECRUITINGRaleigh, North Carolina, 27610, United States
-
Yale New Haven Children's Hospital
RECRUITINGNew Haven, Connecticut, 06510, United States
-
Yale-New Haven Children's Hospital
RECRUITINGNew Haven, Connecticut, 06510, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can High-Flow oxygen prevent dangerous dips during difficult intubations?
- Which breathing tube causes fewer throat injuries? new trial compares two designs
- Could a 'robotic cough' stop deadly pneumonia in ICU patients?
- New study tests safer dosing of Heart-Stabilizing drug during breathing tube insertion
- New device aims to prevent bedsores from breathing tubes
- Massive global study aims to make Kids' anesthesia safer