Airway Management Practice Patterns in Paediatric Anaesthesia: A Survey

NCT ID: NCT02810288

Last Updated: 2016-06-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

200 participants

Study Classification

OBSERVATIONAL

Study Start Date

2016-01-31

Study Completion Date

2017-03-31

Brief Summary

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Respiratory adverse events continue to be the leading reason for perioperative critical events in children. It is crucial for the anaesthesiologist to anticipate, recognize and treat these respiratory adverse events. Respiratory adverse events are one of the major causes of morbidity and mortality during paediatric anaesthesia. To avoid trouble, one must be prepared for trouble: if a difficult airway is very likely, anaesthesia should be administered by experienced anaesthesiologists and should only be performed in a protected well-equipped area where the personnel adequately trained.

This survey focuses on assessment and management of paediatric airway and highlights the unique challenges encountered in children.

Detailed Description

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Airway management is one of the key areas of paediatric anaesthesia practice. The paediatric patients have significant anatomical and physiological differences compared with adults, which impact on the techniques and tools that the anaesthesiologist might choose to provide safe and effective control of the airway. Furthermore, there are a number of pathological processes, typically seen in the paediatric population, which present unique anatomical or functional difficulties in airway management. The presence of one of these syndromes or conditions can predict a "difficult airway".

Respiratory adverse events continue to be the leading reason for perioperative critical events in children. New developments in airway management in paediatric patients can only improve perioperative outcome if anaesthesiologists who are fully acquainted with these fundamental aspects of paediatric anaesthesia care for these children.

This survey was taken out within members of the Community of European Anaesthesiologists, to describe and explore current patterns of their airway management in paediatric anaesthesia.

The purpose of the study was to see whether there are more uniform practice patterns among anaesthesiologist with paediatric experience than those without paediatric experience.

Secondarily, the survey also explored anaesthetists'' knowledge about the risks of respiratory adverse events and, and about national organizations' recommendations.

Therefore, this survey highlighted some of the important anatomical and physiological differences and their implication in daily anaesthesiological practice.

Conditions

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Paediatric Airway Management

Study Design

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Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Expert

Anaesthesiologist with large paediatric daily practice. All participant voluntarily response all items in the questionnaire database.

Voluntarily response all items in the questionnaire.

Intervention Type BEHAVIORAL

The study type is a cross-sectional study, by means of electronic self-administered survey as online questionnaire sent by e-mail.

The questionnaire for the survey was developed with reference to previously published guidelines on the design of questionnaire surveys. The content validity of the questionnaire was verified by review of clinicians not participating into the project and by a statistician.

Non-experts

Anaesthesiologist with little paediatric daily practice. All participant voluntarily response all items in the questionnaire database.

Voluntarily response all items in the questionnaire.

Intervention Type BEHAVIORAL

The study type is a cross-sectional study, by means of electronic self-administered survey as online questionnaire sent by e-mail.

The questionnaire for the survey was developed with reference to previously published guidelines on the design of questionnaire surveys. The content validity of the questionnaire was verified by review of clinicians not participating into the project and by a statistician.

Interventions

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Voluntarily response all items in the questionnaire.

The study type is a cross-sectional study, by means of electronic self-administered survey as online questionnaire sent by e-mail.

The questionnaire for the survey was developed with reference to previously published guidelines on the design of questionnaire surveys. The content validity of the questionnaire was verified by review of clinicians not participating into the project and by a statistician.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Anaesthesiologists currently working in the operating rooms.

Exclusion Criteria

* unwilling to join the study
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Fondazione IRCCS Policlinico San Matteo di Pavia

OTHER

Sponsor Role lead

Responsible Party

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Thekla Niebel, MD PhD

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Antonio Braschi, MD Prof

Role: STUDY_CHAIR

IRCCS Policlinico San Matteo

Locations

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IRCCS Policlinico San Matteo

Pavia, Pavia, Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Thekla L Niebel, MD PhD

Role: CONTACT

0039349 ext. 8513800

Facility Contacts

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Thekla L Niebel, MD PhD

Role: primary

00390382 ext. 503477

References

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Clergue F, Auroy Y, Pequignot F, Jougla E, Lienhart A, Laxenaire MC. French survey of anesthesia in 1996. Anesthesiology. 1999 Nov;91(5):1509-20. doi: 10.1097/00000542-199911000-00045.

Reference Type BACKGROUND
PMID: 10551604 (View on PubMed)

Auroy Y, Ecoffey C, Messiah A, Rouvier B. Relationship between complications of pediatric anesthesia and volume of pediatric anesthetics. Anesth Analg. 1997 Jan;84(1):234-5. doi: 10.1097/00000539-199701000-00060. No abstract available.

Reference Type BACKGROUND
PMID: 8989044 (View on PubMed)

Harless J, Ramaiah R, Bhananker SM. Pediatric airway management. Int J Crit Illn Inj Sci. 2014 Jan;4(1):65-70. doi: 10.4103/2229-5151.128015.

Reference Type BACKGROUND
PMID: 24741500 (View on PubMed)

Von Ungern-Sternberg BS, Habre W. Pediatric anesthesia - potential risks and their assessment: part I. Paediatr Anaesth. 2007 Mar;17(3):206-15. doi: 10.1111/j.1460-9592.2006.02097.x. No abstract available.

Reference Type BACKGROUND
PMID: 17263734 (View on PubMed)

Burns KE, Duffett M, Kho ME, Meade MO, Adhikari NK, Sinuff T, Cook DJ; ACCADEMY Group. A guide for the design and conduct of self-administered surveys of clinicians. CMAJ. 2008 Jul 29;179(3):245-52. doi: 10.1503/cmaj.080372. No abstract available.

Reference Type BACKGROUND
PMID: 18663204 (View on PubMed)

van Gelder MM, Bretveld RW, Roeleveld N. Web-based questionnaires: the future in epidemiology? Am J Epidemiol. 2010 Dec 1;172(11):1292-8. doi: 10.1093/aje/kwq291. Epub 2010 Sep 29.

Reference Type BACKGROUND
PMID: 20880962 (View on PubMed)

Kelley K, Clark B, Brown V, Sitzia J. Good practice in the conduct and reporting of survey research. Int J Qual Health Care. 2003 Jun;15(3):261-6. doi: 10.1093/intqhc/mzg031.

Reference Type BACKGROUND
PMID: 12803354 (View on PubMed)

Tait AR, Voepel-Lewis T. Survey research: it's just a few questions, right? Paediatr Anaesth. 2015 Jul;25(7):656-62. doi: 10.1111/pan.12680. Epub 2015 Apr 30.

Reference Type BACKGROUND
PMID: 25929546 (View on PubMed)

Hohne C, Haack M, Machotta A, Kaisers U. [Airway management in pediatric anesthesia]. Anaesthesist. 2006 Jul;55(7):809-19; quiz 820. doi: 10.1007/s00101-006-1045-0. German.

Reference Type BACKGROUND
PMID: 16804684 (View on PubMed)

Other Identifiers

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AR-01-SUR-AMPA

Identifier Type: -

Identifier Source: org_study_id

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