Comparison of Deep Versus Awake Tracheal Extubation in Adults

NCT ID: NCT05361850

Last Updated: 2023-05-06

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

COMPLETED

Clinical Phase

NA

Total Enrollment

220 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-08-28

Study Completion Date

2023-04-26

Brief Summary

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Prospective, randomized, single-blinded controlled study to compare the airway and respiratory complications of deep and awake tracheal extubations in adults.

Detailed Description

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Conditions

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Airway Complication of Anesthesia Respiratory Complications of Care

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Awake Extubation

Removal of the endotracheal tube while the patient is no longer under general anesthesia

Group Type ACTIVE_COMPARATOR

Extubation

Intervention Type PROCEDURE

Removal of the endotracheal tube

Deep Extubation

Removal of the endotracheal tube while the patient is under general anesthesia

Group Type ACTIVE_COMPARATOR

Extubation

Intervention Type PROCEDURE

Removal of the endotracheal tube

Interventions

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Extubation

Removal of the endotracheal tube

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* ASA physical status classification system for assessing the fitness of patients before surgery 1-3
* 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

* Patients with chronic obstructive pulmonary disease, pulmonary hypertension, interstitial lung disease, active respiratory infections, and/or uncontrolled asthma
* 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
Minimum Eligible Age

18 Years

Maximum Eligible Age

64 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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United States Navy

FED

Sponsor Role lead

Responsible Party

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Michael Andrew Lee

Staff Anesthesiologist

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Naval Medical Center Portsmouth

Portsmouth, Virginia, United States

Site Status

Countries

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United States

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.

Reference Type DERIVED
PMID: 40745279 (View on PubMed)

Other Identifiers

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NMCP.2020.0097

Identifier Type: -

Identifier Source: org_study_id

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