Actively Recruiting

Phase Not Applicable
Age: 0Years - 6Years
All Genders
ID06576596

Apnoeic Oxygenation During Pediatric Tracheal Intubation: a Study Protocol for a Single-center, Cluster Randomized Clinical Trial (ApOx-Pedi-Trial)

Led by University Hospital Heidelberg · Updated on 2025-03-03

200

Participants Needed

1

Research Sites

17 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the effectiveness of apnoeic oxygenation during pediatric anesthesia to prevent low oxygen levels in children undergoing surgery. This randomized, controlled, single-blinded clinical trial focuses on infants up to 24 months and children aged 2 to 6 years. The study aims to compare oxygen levels and intubation success between children receiving apnoeic oxygenation and those who do not, addressing risks like hypoxaemia that can lead to serious complications. Participants are divided into two age groups, each with 100 children randomized equally into intervention and control groups. The intervention group receives apnoeic oxygenation via nasal cannula during anesthesia induction, supplementing standard care, while the control group undergoes standard anesthesia induction without it. This setup allows evaluation of how apnoeic oxygenation may extend safe apnea time and improve airway management. During the study, researchers will monitor the lowest oxygen saturation (SpO2) during apnea and assess intubation success, time to intubation, oxygen desaturation timing, heart rate, blood pressure changes, and anesthesia-related adverse events. These measurements occur during anesthesia induction and airway management. The total participation covers the surgical procedure period with close monitoring of respiratory and cardiovascular responses.

CONDITIONS

Brief Title

Apnoeic Oxygenation During Pediatric Tracheal Intubation

Who Can Participate

Age: 0Years - 6Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Children aged 0 to 6 years
  • ASA (American Society of Anesthesiologists) status I to III
  • Scheduled for elective surgery or intervention under general anesthesia
Not Eligible

You will not qualify if you...

  • Refusal to participate by patient or legal guardian
  • ASA classification IV (life-threatening disease)
  • Receiving oxygen therapy before surgery
  • Surgery or intervention in ear, nose, or throat area with contraindication for oxygen goggles
  • Injuries or trauma in ear, nose, or throat area
  • Anatomical anomalies or malformations in ear, nose, or throat area
  • Chronic hypoxemia (e.g., cyanotic heart diseases)
  • Language barrier with parent or guardian
  • Emergency interventions
  • Refusal by attending physician
  • Lack of presence of pediatric anesthesiology consultant
  • Inability to perform apnoeic oxygenation or obtain baseline NIRS values within 60 seconds due to patient agitation or situation inability to perform procedure during first attempt at room air testing within 60 seconds of first attempt due to agitation or situation inability to perform procedure during first attempt at room air testing within 60 seconds from the first attempt due to patient agitation or situational inability to perform apnoeic oxygenation or obtain baseline NIRS values at room air within 60 seconds from the first attempt due to agitation of the patient

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - During induction of anaesthesia and subsequent airway management

Participants receive standard induction of anaesthesia, with some receiving additional apnoeic oxygenation via nasal cannula to potentially prolong safe apnoea time during airway management.

1 treatment session (in-person)

Trial Site Locations

Total: 1 location

1

Medical Faculty Heidelberg, Department of Anesthesiology, Heidelberg University,

Heidelberg, Baden-Wurttemberg, Germany, 69120

Actively Recruiting

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Research Team

D

Davut Deniz Uzun, Dr. /MD

F

Felix Schmitt, Assoc. Professor.

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Published Research Related To This Trial

Apnoeic oxygenation during paediatric tracheal intubation: a study protocol for a single-centre, cluster randomised clinical trial (ApOx-Pedi-Trial).

Davut Deniz Uzun, Benjamin P Zimmermann, Sebastian Knoeller...

https://pubmed.ncbi.nlm.nih.gov/40316345