Prospective review of airway management incidents in adult anesthesia care
Official title: Prospective Assessment Project of AirwaY Management-related Incidents in Adult Anaesthesia Care (PAPAYA III) - A European Multicentre Cross-sectional Observational Study
Run by Insel Gruppe AG, University Hospital Bern · NCT06117176 · Data updated 2026-11-12
This project will record airway management for adults having anesthesia at several hospitals to see how often and what types of airway problems happen.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 40000 (estimated) |
| Sponsor | Insel Gruppe AG, University Hospital Bern Academic / other |
| Locations | 5 sites (Berlin and 4 other locations) |
| Status | Recruiting |
| Started | February 1, 2025 |
| Main results expected | December 2026 |
| Study ends | March 2027 |
| Registry record updated | March 4, 2026 |
| Trial ID | NCT06117176 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (18 years or older) undergoing any form of airway management during elective, semi-elective, urgent or emergency anesthesia at a participating site who have given appropriate consent are eligible.
✕Probably not a fit
Patients under 18, those not undergoing airway management, or those who refuse consent will not be included and therefore will not benefit directly from participation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a prospective, observational, cross-sectional multi-centre project collecting data on anaesthetic airway management over a three-month period across participating European hospitals. Anesthesia teams will complete a brief screening form for every adult patient who receives airway management, and routine anaesthesia records will be extracted for patient characteristics and procedural details. When an airway-related incident occurs, the provider completes an additional detailed form to capture what happened and how it was resolved. The pooled data will be analyzed to identify common problems and generalisable interventions to improve airway safety.
Why it matters
Potential benefit: If successful, the project could reduce airway-related harm by identifying common incident types and practical changes that improve patient safety.
How similar studies have gone: Previous multicenter airway incident registries and earlier PAPAYA projects have identified risk factors and practice gaps, though interventional evidence to change outcomes remains limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * All adult patients requiring airway management under anaesthesia care for elective, semi-elective, urgent or emergency diagnostic procedures or interventions. Airway management includes awake and asleep tracheal intubation, insertion of supraglottic airway devices, and face mask ventilation. * Patients older than 18 years of age * Informed consent given or general consent in place, according to local ethics committee requirements. Exclusion Criteria: * Refusal to give consent or withdrawal of consent. * Patients \<18 years.
Where it's running
-
Inselspital, Bern University Hospital
Bern, Canton of Bern, Switzerland Recruiting -
Deutsches Herzzentrum der Charité and Charité
Berlin, Germany Not yet recruiting -
Universitätsklinikum Hamburg-Eppendorf
Hamburg, Germany Not yet recruiting -
Kantonsspital Aarau
Aarau, Switzerland Not yet recruiting -
CHUV Centre Hospitalier Universitaire Vaudois
Lausanne, Switzerland Not yet recruiting
Study contacts
- Study coordinator: Thomas Riva, MD,PD
- Email: thomas.riva@insel.ch
- Phone: +41 31 632 21 11
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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.