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.
Quick facts
| Study type | Observational |
|---|---|
| Sex | All |
| Enrollment | 150000 (estimated) |
| Sponsor | Children's Hospital of Philadelphia Academic / other |
| Locations | 87 sites (Birmingham, Alabama and 86 other locations) |
| Status | Recruiting |
| Started | March 2010 |
| Main results expected | January 2030 |
| Study ends | January 2030 |
| Registry record updated | January 9, 2026 |
| Trial ID | NCT02493478 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
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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
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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.
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Comparing video and direct laryngoscopy for intubation by anesthesiology residents
This study tests whether using video laryngoscopy helps first-year anesthesiology residents do intubations more successfully and safely compared to the traditional direct method.
-
Effect of a brief educational intervention on endotracheal tube cuff pressure
A short educational video and reminder posters are tested to see if they help operating room staff keep endotracheal tube cuff pressure within the recommended range for adult patients under general anesthesia.
-
Two Videolaryngoscopes for Intubating Children: A Pediatric Comparison
This observational study tests how two different videolaryngoscopes perform during pediatric intubations to see which makes the process quicker and easier.
-
Hyperangulated vs. Macintosh blades for obstetric intubation
This study tests whether a hyperangulated blade or a Macintosh-style blade helps obstetric patients get an endotracheal tube placement more safely during cesarean deliveries under general anesthesia.
-
Predicting difficult mask ventilation and intubation using STOP-BANG in obese adults
This study will test whether the STOP-BANG questionnaire can predict difficult mask ventilation and difficult intubation in obese adults having elective surgery.
-
Comparing oxygen levels and complications with delayed versus rapid sequence intubation
This tests whether delayed sequence intubation or rapid sequence intubation gives better oxygen levels and fewer complications for adults who are breathing on their own but need a breathing tube for non‑traumatic reasons.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.