Video vs in-person preoperative anesthesia visit for children having tonsil and adenoid removal
Official title: Effect of Teleconsultation Compared to Face-to-Face Evaluation on Perioperative Respiratory Events in Pediatric Adenotonsillectomy: A Randomized Non Inferiority Trial
Run by Ente Ospedaliero Cantonale, Bellinzona · NCT07175779 · Data updated 2026-11-12
We will test whether doing the anesthesiology visit by video works as well as an in-person visit at preventing breathing problems during and in the first 24 hours after tonsil/adenoid removal in children.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | Any age to 16 Years |
| Sex | All |
| Enrollment | 106 (estimated) |
| Sponsor | Ente Ospedaliero Cantonale, Bellinzona Academic / other |
| Locations | 1 site (Bellinzona, Canton Ticino) |
| Status | Recruiting |
| Started | December 11, 2025 |
| Main results expected | May 2027 |
| Study ends | May 2027 |
| Registry record updated | March 16, 2026 |
| Trial ID | NCT07175779 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Children up to 16 years old scheduled for elective tonsillectomy or adenotonsillectomy with ASA physical status I–III whose parent or guardian can provide informed consent and who do not have major airway or medical contraindications are ideal candidates.
✕Probably not a fit
Children with potential difficult airways, poorly controlled chronic illnesses (for example uncontrolled asthma), significant cardiac disease, genetic disorders, anemia or clotting problems, complex disabilities, or other contraindications to general anesthesia are excluded and unlikely to benefit from the teleconsultation option.
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 randomized non-inferiority trial comparing preoperative anesthesia teleconsultation with traditional face-to-face consultation in children undergoing elective tonsillectomy or adenotonsillectomy. Participants up to 16 years old with ASA I–III will be randomized to a remote or in-person preanesthesia visit and followed for perioperative respiratory adverse events in the operating room and during the first 24 hours after surgery. Key exclusions include potential difficult airway, poorly controlled chronic illness, significant cardiac or genetic disease, bleeding disorders, and other anesthesia contraindications. The trial is conducted at Ospedale Regionale Bellinzona e Valli and aims to provide rigorous evidence on whether teleconsultation can safely substitute in-person preoperative assessment in this pediatric population.
Why it matters
Potential benefit: If successful, teleconsultations could make preoperative anesthesia checks easier to access and reduce travel and costs while keeping children equally protected from breathing complications.
How similar studies have gone: Some adult studies and observational pediatric reports suggest telepreoperative consultations are convenient and generally safe, but high-quality randomized pediatric data specifically on perioperative respiratory events are limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Pediatric patients (up to 16 years of age) undergoing elective tonsillectomy or adenotonsillectomy * ASA (American Society of Anesthesiologists) physical status I to III, * Patients who have a parent or legal guardian able and willing to provide informed consent. Exclusion Criteria: * Parent or guardian unable or unwilling to provide informed consent, * Refusal to participate by parent/guardian, * Patients with contraindications to general anesthesia, * Known allergy to any drugs used in the anesthetic protocol. * Potential difficult airway, * Poorly controlled chronic illness (e.g. asthma), * Cardiac disease , * Genetic disorder, * Haemoglobinopathy, anemia or clotting problem, * Complex physical disability, * Request from the patient or carer
Where it's running
-
Ospedale Regionale Bellinzona e Valli
Bellinzona, Canton Ticino, Switzerland Recruiting
Study contacts
- Study coordinator: Alessandro Genini, MD
- Email: alessandro.genini@eoc.ch
- Phone: +41918118147
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Leptin Levels in Children With Adenoid/Adenotonsillar Hypertrophy
This study tests whether leptin levels in blood and saliva differ between children with enlarged adenoids or adenoids plus tonsils and children without those problems.
-
Conox-guided anesthesia for children having adenotonsillectomy
This trial will test whether using Conox (qCON/qNOX) monitoring during anesthesia helps children aged 3-12 having adenotonsillectomy use less opioid and recover more smoothly after surgery.
-
Comparing two methods to help children with sleep apnea
This study is testing whether a special mouth device can help children with sleep apnea sleep better compared to just using nasal care before their surgery.
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.