Comparison of Deep Versus Awake Tracheal Extubation in Adults
NCT ID: NCT05361850
Last Updated: 2023-05-06
Study Results
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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COMPLETED
NA
220 participants
INTERVENTIONAL
2020-08-28
2023-04-26
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Awake Extubation
Removal of the endotracheal tube while the patient is no longer under general anesthesia
Extubation
Removal of the endotracheal tube
Deep Extubation
Removal of the endotracheal tube while the patient is under general anesthesia
Extubation
Removal of the endotracheal tube
Interventions
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Extubation
Removal of the endotracheal tube
Eligibility Criteria
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Inclusion Criteria
* Meeting American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting
* Adult patients age 18-64
* Favorable airway examinations (Mallampati 1 or 2, normal mouth opening, and intact neck extension)
* Scheduled cases in which tracheal intubation and general anesthesia are indicated
Exclusion Criteria
* Unfavorable airway examinations (Mallampati 3 or 4, limited mouth opening, and/or inability to extend neck)
* Full stomach
* Known difficult intubation or mask ventilation
* Surgeries of the airway and intrathoracic surgeries
* Emergent surgeries
* Case duration \>6 hours
* Pregnancy
* Patients scheduled to receive a protocolized anesthetic (Enhanced Recovery After Surgery aka ERAS)
* ASA Physical Status Classification 4 or 5
* Chronic diseases such as obstructive pulmonary disease, pulmonary hypertension, interstitial lung disease, active respiratory infections, and/or uncontrolled asthma
* Uncontrolled gastroesophageal reflux disease (heartburn) defined by presence of symptoms despite compliance with appropriate medication regimen
* Patient scheduled to receive a protocolized anesthetic ie Enhanced Recovery After Anesthesia (ERAS)
* Surgeries requiring prone positioning
18 Years
64 Years
ALL
Yes
Sponsors
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United States Navy
FED
Responsible Party
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Michael Andrew Lee
Staff Anesthesiologist
Locations
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Naval Medical Center Portsmouth
Portsmouth, Virginia, United States
Countries
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References
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Lee MA, Schenke PW, Faller MR, DeYoung HR, Adams AR. A comparison of deep versus awake tracheal extubation in adults: a randomized controlled trial. BMC Anesthesiol. 2025 Jul 31;25(1):387. doi: 10.1186/s12871-025-03224-6.
Other Identifiers
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NMCP.2020.0097
Identifier Type: -
Identifier Source: org_study_id
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