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Endotracheal Tube Suctioning Versus No Suctioning During Emergence From General Anesthesia

RecruitingNAAges 18 Years - anyAllMahidol University
NCT07287293 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

The goal of this study is to determine whether omitting tracheal suctioning immediately prior to extubation is non-inferior to routine tracheal suctioning with respect to early postoperative oxygenation among adult surgical patients (aged 18-90 years, American Society of Anesthesiologists \[ASA\] physical status I-III) undergoing elective surgery under general anesthesia with endotracheal intubation. The study addresses the following questions: * Primary outcome (non-inferiority): * Is the risk of postoperative desaturation (oxygen saturation \[SpO₂\] \<92% within 60 minutes after extubation) in the no-suction group not worse than in the routine-suction group by more than 10 percentage points? * Secondary outcomes (superiority): * Does omitting tracheal suctioning reduce postoperative cough severity and sore throat? * Does omitting tracheal suctioning avoid increasing extubation-relate

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📋 Eligibility rules (as published)
Inclusion Criteria: * Adults aged 18-90 years with American Society of Anesthesiologists (ASA) physical status I-III. * Scheduled for elective surgery under general anesthesia requiring endotracheal intubation. * Planned tracheal extubation in the operating room at the end of surgery. Exclusion Criteria: * Inability to provide informed consent or the presence of a significant language barrier that prevents effective communication with the clinical team. * Known diagnosis of obstructive sleep apnea (OSA), active pneumonia, or chronic pulmonary disease (e.g., chronic obstructive pulmonary disease, restrictive lung disease). * Body mass index (BMI) \>35 kg/m². * Pregnancy or increased aspiration risk (e.g., full stomach). * Scheduled for maxillofacial, head and neck, or airway surgery. * Anticipated surgical duration \>3.5 hours. * Anticipated difficult airway, defined as the presence of ≥2 predictors of difficult mask ventilation (DMV) based on Langeron et al., or a documented history of difficult intubation.
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What it tests

  • Routine Endotracheal Suctioning
  • Omission of Endotracheal Suctioning
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Where

1 site
Somdetphraphutthaloetla hospital
Samut Sakhon, Thailand
🤝 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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