Improving Safety and Quality of Tracheal Intubation Practice in Pediatric ICUs

Advanced airway interventions are common high risk, high stakes events for children in intensive care units (ICU) and emergency departments (ED), with risk for life and health threatening consequences.

Recruiting

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Key information

Conditions

Failed or Difficult Intubation, Sequela Intubation Complication Intubation; Difficult

Sex eligibility

All sexes

Study type

Observational

Primary location

Royal Brisbane and Women's Hospital, Herston, Australia

About this study

This study will evaluate local pediatric intensive care unit (PICU), cardiac intensive care unit (CICU) and neonatal intensive care unit (NICU) as well as EDs and delivery room (DR) practice, and benchmark against other PICUs, CICUs, NICUs, DRs and EDs as a part of Multi-Center Airway Safety collaborative network (NEAR4KIDS).

The goal of the study is to utilize collected benchmarked data to improve local practice. In order to develop this quality improvement (QI) intervention and collaboration, it is necessary to collect baseline data to describe current practice and to continuously evaluate the effectiveness of any QI intervention.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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.

Treatment and study plan

Primary outcomes

Change in number of tracheal intubation associated events (TIAEs)

Time frame: participants will be followed for the duration of their hospital stay, an expected average of 4 weeks

The number of TIAEs during primary tracheal intubation will be compared to any TIAEs documented during subsequent intubation attempts.

Study contacts

Contact information is provided by the study sponsor or research team.

Hayley Buffman, MPH

CONTACT

[email protected]

215-590-6772

Sponsors and collaborators

Lead sponsor

Children's Hospital of Philadelphia

Other

Collaborators

Agency for Healthcare Research and Quality (AHRQ)

Registry information

Official study title

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

Acronym: NEAR4KIDs

Important dates

Study start: 2010
Primary completion: 2030
Study completion: 2030
First posted: Jul 9, 2015
Registry last updated: Jan 9, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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Completed