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Airway Management Practice Patterns in Paediatric Anaesthesia: A Survey (SUR-AMPA)

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ClinicalTrials.gov Identifier: NCT02810288
Recruitment Status : Unknown
Verified June 2016 by Thekla Niebel, MD PhD, IRCCS Policlinico S. Matteo.
Recruitment status was:  Recruiting
First Posted : June 22, 2016
Last Update Posted : June 23, 2016
Sponsor:
Information provided by (Responsible Party):
Thekla Niebel, MD PhD, IRCCS Policlinico S. Matteo

Brief Summary:

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.


Condition or disease Intervention/treatment
Paediatric Airway Management Behavioral: Voluntarily response all items in the questionnaire.

Detailed Description:

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.

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Study Type : Observational
Estimated Enrollment : 200 participants
Time Perspective: Cross-Sectional
Official Title: A Survey of Airway Management Practice Patterns in Paediatric Anaesthesia by Anaesthesiologists in Different European Hospitals
Study Start Date : January 2016
Estimated Primary Completion Date : January 2017
Estimated Study Completion Date : March 2017

Resource links provided by the National Library of Medicine


Group/Cohort Intervention/treatment
Expert
Anaesthesiologist with large paediatric daily practice. All participant voluntarily response all items in the questionnaire database.
Behavioral: 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.


Non-experts
Anaesthesiologist with little paediatric daily practice. All participant voluntarily response all items in the questionnaire database.
Behavioral: 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.





Primary Outcome Measures :
  1. Proportion of anaesthesiologist with paediatric experience using intravenous induction compared to those without paediatric experience. [ Time Frame: A time of survey; generally less than 20 minutes ]
    The primary objective will be to compare anaesthesiologists with and without paediatric experience in terms of proportion of anaesthesiologists adopting "standard" practice.


Secondary Outcome Measures :
  1. Proportion of anaesthesiologist with paediatric experience measuring cuff pressure with pressure manometer compared to those without paediatric experience. [ Time Frame: A time of survey; generally less than 20 minutes ]
    The objective will be to compare anaesthesiologists with and without paediatric experience in terms of proportion of anaesthesiologists adopting "standard" practice.

  2. Proportion of participants correctly identifying predictability of difficult airway in children. [ Time Frame: A time of survey; generally less than 20 minutes ]
    To assess variables associated to adoption of standard practice, in particular: knowledge of the anatomical, physiological, and pathological features related to the airway.

  3. Proportion of participants correctly answering questions about the use of (modified) rapid sequence induction in the paediatric population. [ Time Frame: A time of survey; generally less than 20 minutes ]
    To compare anaesthesiologists with and without paediatric experience in terms of different practice patterns, and items explored by the questionnaire.

  4. Proportion of anaesthesiologist correctly identifying national organisations difficult airway recommendations. [ Time Frame: A time of survey; generally less than 20 minutes ]
    To informally compare practiced elicited within this study to existing guidelines and algorithms in paediatric anaesthesia.



Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population

Volunteers among the anaesthesiological community of 5 different European countries. All participant voluntarily response all items in the questionnaire database.

A representative anaesthesiologist for each of the target Countries will be asked to participate and to invite at least one other hospital. All anaesthesiologists within each selected hospital will be asked to participate in the survey.

Criteria

Inclusion Criteria:

  • Anaesthesiologists currently working in the operating rooms.

Exclusion Criteria:

  • unwilling to join the study

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02810288


Contacts
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Contact: Thekla L Niebel, MD PhD 0039349 ext 8513800 thekla.niebel@gmail.com

Locations
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Italy
IRCCS Policlinico San Matteo Recruiting
Pavia, Italy, 27100
Contact: Thekla L Niebel, MD PhD    00390382 ext 503477    thekla.niebel@smatteo.pv.it   
Sponsors and Collaborators
IRCCS Policlinico S. Matteo
Investigators
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Study Chair: Antonio Braschi, MD Prof IRCCS Policlinico San Matteo
Publications:
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Responsible Party: Thekla Niebel, MD PhD, MD, IRCCS Policlinico S. Matteo
ClinicalTrials.gov Identifier: NCT02810288    
Other Study ID Numbers: AR-01-SUR-AMPA
First Posted: June 22, 2016    Key Record Dates
Last Update Posted: June 23, 2016
Last Verified: June 2016
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No
Keywords provided by Thekla Niebel, MD PhD, IRCCS Policlinico S. Matteo:
Airway anatomy
difficult intubation
congenital syndromes