On-hours vs off-hours extubation: comparing acute airway problems after extubation

Is this trial a fit for you?

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

What this trial studies

This prospective observational cohort at Kocaeli City Hospital will collect standardized data on acute airway and respiratory events that occur during extubation and the first 30 minutes afterward. It will compare incidence of complications such as desaturation, laryngospasm, obstruction, bronchospasm, and aspiration between on-hours (08:00–16:00) and off-hours (>16:00). Data will include patient factors, anesthesia details, and intervention requirements to understand workload and supervision effects. The study builds on prior national audits by focusing on granular, peri-extubation events rather than catastrophic airway incidents. Outcomes will inform whether timing of extubation influences patient safety during the extubation window.

Why it matters

Who can join: the full rules

Inclusion Criteria:

\- Age ≥ 18 years

Undergoing elective or emergency surgery under general anaesthesia with endotracheal intubation

Planned tracheal extubation in the operating theatre or post-anaesthesia care unit (PACU)

Provision of written informed consent (or deferred consent for emergency cases, in accordance with national regulations)

Exclusion Criteria:

* Patients undergoing surgery under regional anaesthesia or sedation without endotracheal intubation

Patients with a tracheostomy in situ

Patients who remain intubated and are transferred to the intensive care unit (ICU) postoperatively

Patients undergoing cardiothoracic surgery involving cardiopulmonary bypass

Emergency airway management performed outside the operating theatre (e.g., ICU, emergency department)

Patients with known or suspected difficult airway requiring awake fibreoptic intubation

Patients who refuse to provide informed consent or withdraw consent during the study

Pregnant patients

Where it's running

• Kocaeli City Hospital
  Kocaeli, Izmıt, Turkey (Türkiye) Recruiting

Study contacts

• Study coordinator: Ali Mete Temel, MD
• Email: metetemel60@hotmail.com
• Phone: +905438465215

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

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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.