Surveillance endoscopy in pediatric tracheostomy: A systematic review.
Khaloud Al Bahri, C Carrie Liu
https://pubmed.ncbi.nlm.nih.gov/33296833Actively Recruiting
Age: 0 - 18Years
All Genders
ID06906263
Complications Related to the Anaesthesia During Airway Endoscopy in Children With Tracheostomy
Led by Karolinska Institutet · Updated on 2026-03-20
80
Participants Needed
1
Research Sites
N/A
Total Duration
On this page
AI-Summary
What this Trial Is About
This research aims to understand how often severe anaesthesia-related complications happen during airway endoscopy in children with tracheostomy. It focuses on children under 18 years old who have a tracheostomy and need routine airway checks under general anaesthesia. The study also explores whether factors like age at tracheostomy, ventilator dependence, or past airway problems affect the risk of complications. The study observes children undergoing surveillance airway endoscopies at the Long-term Intensive Care Unit at Karolinska University Hospital in Sweden from 2025 to 2026. These procedures are part of regular follow-up to detect airway issues early. Anaesthesia is provided following standard care, and any complications during or immediately after the procedure are recorded by the anaesthesiologist. Children may participate multiple times if they have repeat endoscopies during the study period. Participants will be monitored throughout the anaesthesia and recovery periods for complications such as hypoxemia, bronchospasm, aspiration, severe bradycardia, and hypothermia. Data on patient characteristics and risk factors are collected from medical records to analyze their link to complications. The main outcome is the rate of severe anaesthesiologic complications, with secondary outcomes examining associations with patient factors. The study duration is approximately three years, aiming for about 100 observations.
CONDITIONS
Brief Title
Complications Related to the Anaesthesia During Airway Endoscopy in Children With Tracheostomy.
Who Can Participate
Age: 0 - 18Years
All Genders
Eligibility Criteria
You may qualify if you...
- Under 18 years old
- Has a tracheostomy
- Scheduled for surveillance airway endoscopy under general anaesthesia
- Procedure approved for anaesthesia
- May be included multiple times during the study period
You will not qualify if you...
- Undergoing a non-elective emergency airway endoscopy
- Having concurrent major surgery during the same session (excluded from some analyses)
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Surveillance
Duration - Up to 3 years
Participants undergo surveillance airway endoscopies under general anesthesia to identify airway complications related to the tracheostomy tube.
1 to 2 visits per year
Trial Site Locations
Total: 1 location
1
Pediatric Perioperative Medicine and Intensive Care
Solna, Sweden, 171 76
Actively Recruiting
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Research Team
I
Ida Engqvist, M.D
A
Andreas Andersson, Associate Professor
How is the study designed?
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
1
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Published Research Related To This Trial
Incidence of severe critical events in paediatric anaesthesia (APRICOT): a prospective multicentre observational study in 261 hospitals in Europe.
Walid Habre, Nicola Disma, Katalin Virag...
https://pubmed.ncbi.nlm.nih.gov/28363725Surveillance endoscopy after tracheostomy placement in children: Findings and interventions.
C Carrie Liu, Jennifer J Soares, Leslie Elder...
https://pubmed.ncbi.nlm.nih.gov/31670383