A simple ventilation tweak might make Kids' anesthesia safer
NCT ID NCT07767851
First seen Aug 17, 2026 · Last updated Aug 18, 2026 · Updated 1 time
Summary
This trial tests whether using a breathing support method (PEEP and pressure support) during anesthesia induction in children reduces the risk of breathing problems like laryngospasm, bronchospasm, and low oxygen levels. The study will include over 2,000 children aged 3 months to 6 years undergoing surgery with inhalational anesthesia. Half will receive the standard spontaneous breathing approach, while the other half will get the added breathing support. The goal is to see if this technique can lower the rate of respiratory complications during this critical phase.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- A ventilation technique using positive end-expiratory pressure (PEEP) and pressure support ventilation (PSV) during inhalational anesthesia induction in children.
- What this could lead to
- If effective, this ventilation approach could become a standard practice to reduce serious breathing complications during anesthesia induction in children, improving safety.
- What could go wrong
- The trial is early and results may not confirm the benefit. The technique requires careful adjustment by an anesthesiologist and may not suit all children.
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.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 2,032 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Sep 2029
An estimate. End dates often move.
- Lead sponsor
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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.
- Ages
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3 months to 6 years
- 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: * Child between 3 months and 6 years old * Without significant comorbidity (ASA 1 or 2) * Admitted for elective or emergency/urgent surgery under general anesthesia * With induction of anaesthesia by inhalation by sevoflurane on the machine circuit * With airway control by intubation tube or supraglottic device * Consent of at least one parent or legal guardian Exclusion Criteria: * Children with severe upper respiratory tract infection (severe moist cough, fever and lethargy, oxygen requirement) in the last 7 days requiring intravenous induction or postpone of the surgery * Thoracic surgery with selective control of intubation * Criteria for difficult intubation or known history of difficult intubation * Children with a contraindication to sevoflurane (ex: risk of malignant hyperthermia) * Children asking for intravenous induction or requiring rapid sequence induction * Children with significant cardiac disease (pulmonary hypertension, cyanotic heart disease,…) * Children not affiliated or beneficiary of a health insurance system * Children participating in other interventional research with an exclusion period still in progress at inclusion Exclusion Criteria : * Failure of venous access after 30 min or more than 5 attempts * Parents' consent withdrawal
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Conditions
The condition(s) this trial relates to.
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 places running it
9 sites. The list below names each one and where it is.
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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.
Contacts and locations
Locations
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CHU Toulouse - Hôpitaux des enfants
Toulouse, 31300, France
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CHU de Nantes
Nantes, 44000, France
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Centre Hospitalier Universitaire de Montpellier
Montpellier, 34295, France
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Centre Hospitalier Universitaire de Reims
Reims, 51092, France
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Hôpital Armand Trousseau
Paris, 75012, France
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Hôpital Femme Mère Enfant
Lyon, 69677, France
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Hôpital Robert Debré
Paris, 75019, France
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Hôpital de Hautepierre
Strasbourg, 67200, France
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Hôpitaux Universitaires de Marseille Timone
Marseille, 13385, France
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