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NCT Number: NCT07289139

Prehospital Emergency Airway Research.

The creation of an airway registry will allow an improvement in the quality of care, the safety of critically ill patients in pre-hospital situations, and a reduction in morbidity and mortality related to airway management.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

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Key information

Sex eligibility

All sexes

Study type

Observational

Primary location

Centro de Emergencias Sanitarias 061 Andalucía

Málaga, 29590, Spain

About this study

In the care of critically ill patients in prehospital emergency settings, advanced airway management (AAM) is essential to maintain airway patency and ensure adequate oxygenation and ventilation. In Andalusia, prehospital emergency teams are composed of a physician, a nurse, and an emergency medical technician (EMT), and they operate both ground units (advanced life support ambulances) and air units (medical helicopters).

AAM encompasses a wide range of processes, techniques, and complex decision-making interventions that can be key to favorable patient outcomes. However, if not performed correctly, these procedures can also lead to adverse events, poor prognosis, or preventable mortality.

The increasing complexity and technological sophistication of healthcare require health systems to improve and adapt in order to deliver safe, high-quality care, where continuity and an integrated vision of care are essential.

This comprehensive approach is made possible through the analysis of incidents recorded in registries, which play a key role in identifying failures in clinical practice and implementing new strategies to address them.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • All patients attended by the 061 Emergency Teams of Andalusia, with an "Assistance" type of request, who underwent any of the following techniques: manual ventilation, orotracheal intubation, supraglottic device insertion, or cricothyroidotomy

Exclusion criteria

  • interhospital transfers,
  • patients who recieve this techniques before de emergency team arrives

Treatment and study plan

Primary outcomes

  1. Calculate First-pass intubation success rate

    Time frame: 2 years

    Intubations performed on the first attempt divided by the total number of intubations

Secondary outcomes

  1. Development and validation of an artificial intelligence-based predictive algorithm for prehospital difficult airway

    Time frame: 2 years

  2. Identify early and late complications in patients undergoing prehospital advanced airway management

    Time frame: from admission until day 28 of hospitalization

    early complications (during out-of-hospital assistance), late complications (within the first 28 days after hospital admission)

  3. calculate 28-day mortality

    Time frame: from admission until day 28 of hospitalization

    Number of patients with mortality within the first 28 days of hospital admission

  4. hospital length of stay

    Time frame: one year

    number of days of hospitalization

Sponsors and collaborators

Lead sponsor

Centro de Emergencias Sanitarias 061 Andalucía

Other

Registry information

Official study title

PhEAR-Prehospital Emergency Airway Research.

Acronym: PhEAR

Important dates

Study start
2025
Primary completion
2025
Study completion
2026
First posted
Dec 17, 2025
Registry last updated
Dec 17, 2025

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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