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BELUGA: Better to Exchange ETT for LMA Before Extubation in Children Under General Anaesthesia

RecruitingNAAges 0 Years - 16 YearsAllTelethon Kids Institute
NCT07204990 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

During surgery, anaesthetists can use an endotracheal tube (ETT) to facilitate ventilation. At emergence from general anaesthesia, there are two techniques for removal of the ETT: (1) the ETT is removed when the child is waking up in (awake removal); or (2) the ETT is removed while still under anaesthesia(deep removal). Currently there is no evidence to suggest either technique is safer - deep removal of the ETT may decrease the risk of overall airway complications, including cough and desaturations. However, it may be associated with increased airway obstruction compared with awake extubation in paediatric patients. In our institution, a further technique has become increasingly common practice: removing ETT deep to avoid coughing and desaturation, then inserting a laryngeal mask airway (LMA) which can be removed once the patient is awake in the postoperative care unit (PACU), avoiding

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📋 Eligibility rules (as published)
Participant Inclusion Criteria * Children 0-16 years, * 5kg and above, * presenting for elective, semi-elective or emergency surgery under general anaesthesia * With airway management planned with an endotracheal tube. Exclusion Criteria: * Children with severe cardiopulmonary disease or syndrome * Children \< 5kg * Children with a contraindication to deep removal of ETT deep or exchange of ETT to LMA at the end of the case (e.g. high risk of aspiration) * Children with a known or anticipated difficult airway * Children remaining intubated post-procedure * Children undergoing major airway surgery or bronchoscopies
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What it tests

  • Direct removal of endotracheal tube
  • Laryngeal mask airway inserted following deep extubation
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Where

8 sites
Atrium Health Wake Forest Baptist
Winston-Salem, United States
The Children's Hospital of Philadelphia
Philadelphia, United States
Perth Children's Hospital
Nedlands, Australia
The Kids Research Institute Australia
Nedlands, Australia
University of São Paulo
São Paulo, Brazil
Istituto Giannina Gaslini
Genova, Italy
Uppsala University Hospital
Uppsala, Sweden
Bern University Hospital
Bern, Switzerland
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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