Clinical trial Recruiting at 69 sites Observational

Improving safety and quality of tracheal intubation in pediatric ICUs

Official title: Observation of Multi-center Quality Improvement Project: Improving Safety and Quality of Tracheal Intubation Practice in Pediatric ICUs

Run by Children's Hospital of Philadelphia · NCT02493478 · Data updated 2026-11-12

This study looks at how tracheal intubation is done in children's hospitals to see if there are safer and better ways to improve care for young patients.

More Intubation trials

Quick facts

Study typeObservational
SexAll
Enrollment150000 (estimated)
SponsorChildren's Hospital of Philadelphia
Academic / other
Locations87 sites (Birmingham, Alabama and 86 other locations)
StatusRecruiting
StartedMarch 2010
Main results expectedJanuary 2030
Study endsJanuary 2030
Registry record updatedJanuary 9, 2026
Trial IDNCT02493478 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include pediatric patients undergoing advanced airway interventions in PICUs, CICUs, NICUs, EDs, and DRs.

Probably not a fit

Patients undergoing primary advanced airway events in operating suites will not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational study evaluates the practices of advanced airway interventions in pediatric intensive care units (PICUs), cardiac intensive care units (CICUs), neonatal intensive care units (NICUs), emergency departments (EDs), and delivery rooms (DRs). It aims to benchmark local practices against other facilities as part of the Multi-Center Airway Safety collaborative network (NEAR4KIDS). By collecting baseline data on current practices, the study seeks to identify areas for quality improvement interventions and continuously assess their effectiveness.

Why it matters

Potential benefit: If successful, this study could enhance the safety and quality of tracheal intubation practices, potentially reducing complications in pediatric patients.

How similar studies have gone: Other studies have shown success in improving airway management practices through collaborative benchmarking efforts.

Who can join: the full rules

Show full inclusion / exclusion criteria
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.

Where it's running

  • Children's of Alabama at Birmingham
    Birmingham, Alabama, United States
    Recruiting
  • Phoenix Children's Hospital
    Phoenix, Arizona, United States
    Recruiting
  • Arkansas Children's Hospital
    Little Rock, Arkansas, United States
    Recruiting
  • University of Colorado Hospital
    Aurora, Colorado, United States
    Recruiting
  • Yale New Haven Children's Hospital
    New Haven, Connecticut, United States
    Recruiting
  • Yale-New Haven Children's Hospital
    New Haven, Connecticut, United States
    Recruiting
Show 44 more locations
  • Nemours Children's Health, Delaware
    Wilmington, Delaware, United States
    Recruiting
  • Emory University
    Atlanta, Georgia, United States
    Recruiting
  • Children's Hospital of Georgia
    Augusta, Georgia, United States
    Recruiting
  • Northwestern Medicine Prentice Women's Hospital
    Chicago, Illinois, United States
    Recruiting
  • Riley Hospital for Children
    Indianapolis, Indiana, United States
    Recruiting
  • Kentucky Children's Hospital
    Lexington, Kentucky, United States
    Recruiting
  • Norton Children's Hospital - University of Louisville
    Louisville, Kentucky, United States
    Recruiting
  • Johns Hopkins Medicine
    Baltimore, Maryland, United States
    Recruiting
  • Boston Children's Hospital
    Boston, Massachusetts, United States
    Recruiting
  • Baystate Medical Center
    Springfield, Massachusetts, United States
    Recruiting
  • Children's Hospital and Medical Center
    Omaha, Nebraska, United States
    Recruiting
  • Dartmouth-Hitchcock Medical Center
    Lebanon, New Hampshire, United States
    Recruiting
  • Morristown Medical Center
    Morristown, New Jersey, United States
    Recruiting
  • Albany Medical College
    Albany, New York, United States
    Recruiting
  • Oishei Children's Hospital
    Buffalo, New York, United States
    Recruiting
  • Cohen Children's Medical Center
    New Hyde Park, New York, United States
    Recruiting
  • University of Rochester at Golisano Children's Hospital
    Rochester, New York, United States
    Recruiting
  • Stony Brook Children's Hospital
    Stony Brook, New York, United States
    Recruiting
  • Maria Fareri Children's Hospital (West Chester Medical)
    Valhalla, New York, United States
    Recruiting
  • Duke Children's Hospital
    Durham, North Carolina, United States
    Recruiting
  • WakeMed Health & Hospitals
    Raleigh, North Carolina, United States
    Recruiting
  • WakeMed
    Raleigh, North Carolina, United States
    Recruiting
  • Akron Children's Hospital
    Akron, Ohio, United States
    Recruiting
  • Cincinnati Hospital Medical Center
    Cincinnati, Ohio, United States
    Recruiting
  • Cleveland Clinic Childrens Hospital
    Cleveland, Ohio, United States
    Recruiting
  • Nationwide Children's Hospital
    Columbus, Ohio, United States
    Recruiting
  • Oregon Health and Science University
    Portland, Oregon, United States
    Recruiting
  • Children's Hospital - Penn State Hershey
    Hershey, Pennsylvania, United States
    Recruiting
  • Penn State Health Milton S. Hershey Medical Center
    Hershey, Pennsylvania, United States
    Recruiting
  • Hospital of the University of Pennsylvania
    Philadelphia, Pennsylvania, United States
    Recruiting
  • The Children's Hospital of Philadelphia
    Philadelphia, Pennsylvania, United States
    Recruiting
  • Hasbro Children's Hospital
    Providence, Rhode Island, United States
    Recruiting
  • Dell Children's Medical Center - Ascension
    Austin, Texas, United States
    Recruiting
  • Medical City Children's Hospital
    Dallas, Texas, United States
    Recruiting
  • Baylor - Christus Children's - Main Hospital
    Irving, Texas, United States
    Recruiting
  • Baylor - Christus Children's - Westover Hills
    San Antonio, Texas, United States
    Recruiting
  • Baylor - Christus Children's - Stone Oak
    San Antonio, Texas, United States
    Recruiting
  • The University of Vermont Children's Hospital
    Burlington, Vermont, United States
    Recruiting
  • UVA Children's Hospital
    Charlottesville, Virginia, United States
    Recruiting
  • Seattle Children's Hospital
    Seattle, Washington, United States
    Recruiting
  • University of Washington Medical Center
    Seattle, Washington, United States
    Recruiting
  • University of Wisconsin - UnityPoint Meriter
    Madison, Wisconsin, United States
    Recruiting
  • American Family Children's Hospital - University of Wisconsin
    Madison, Wisconsin, United States
    Recruiting
  • Medical College of Wisconsin
    Milwaukee, Wisconsin, United States
    Recruiting

+37 more sites. See ClinicalTrials.gov for the full list.

Study contacts

  • Principal investigator: Vinay Nadkarni, MD. MS — Children's Hospital of Philadelphia
  • Study coordinator: Hayley Buffman, MPH
  • Email: buffmanh@chop.edu
  • Phone: 215-590-6772

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.