Frequency of Airway Complications During General Anaesthesia After Introducing Five Handling Adaptations (Papaya)

Insel Gruppe AG, University Hospital Bern

Status: Completed

Conditions: Airway Complications

Treatments: Procedure: Introducing five different treating adaptations

Study type: Interventional

Funder types: Other

Identifiers

NCT02743767

PAPAYA

Details and patient eligibility

About

The purpose of this study is to determine if five simple adaptations in airway management of patients undergoing general anaesthesia can reduce minor and major airway complications.

After a first detection of causes of airway complications during general anaesthesia investigators initiated five different interventions in airway management, which were: immediate bag-valve mask ventilation after administering of muscle relaxants, optimized preoxygenation, introducing of a preinterventional checklist, increased usage of video laryngoscopy and immediate change of provider in case of failed intubation.

In a second phase of this observational study investigators want to evaluate if these five interventions can reduce minor and major airway complications during general anaesthesia.

Additionally, investigators want to record how many critical incidents (CIRS) occur during this observational period and how many of them will be reported by the involved stuff.

Enrollment: 7,455 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• Must receive a general anaesthesia with any form of airway management

Exclusion criteria

• Anaesthesia without airway management
• Patients who do not give or who withdraw general consent

Trial design

Primary purpose: Prevention

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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7,455 participants in 2 patient groups

Before interventions

No Intervention group

Description:

Only observational activity for this arm, to record the frequency and triggering factors of airway complications during general anaesthesia.

After interventions

Experimental group

Description:

After introducing five different treating adaptations in airway management we want to record the frequency of airway complications during general anaesthesia.

Treatment:

Procedure: Introducing five different treating adaptations