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Improving safety and quality of tracheal intubation in pediatric ICUs

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

Children's Hospital of Philadelphia · NCT02493478

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 typeObservational
Enrollment150000 (estimated)
SexAll
SponsorChildren's Hospital of Philadelphia (other)
Locations87 sites (Birmingham, Alabama and 86 other locations)
Trial IDNCT02493478 on ClinicalTrials.gov

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.

Who should consider this trial

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

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

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

Eligibility criteria

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 this trial is running

Birmingham, Alabama and 86 other locations

+37 more sites — see ClinicalTrials.gov for the full list.

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.

View on ClinicalTrials.gov →

Conditions: Failed or Difficult Intubation, Sequela, Intubation, Difficult, Intubation Complication, Advanced airway intervention, Intensive care unit

Last reviewed 2026-05-15 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.