UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000060558
Receipt number R000069274
Scientific Title Comparison of Perioperative Complications Between Cuffed and Cuffless Tubes in Pediatric Nasotracheal Intubation: A Randomized Controlled Trial
Date of disclosure of the study information 2026/02/04
Last modified on 2026/02/03 11:15:11

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Basic information

Public title

A Study on the Incidence of Perioperative Complications Associated with the Presence or Absence of a Cuff in Endotracheal Tubes During Pediatric Nasal Intubation

Acronym

Perioperative Complications Associated with Endotracheal Tubes During Pediatric Nasal Intubation

Scientific Title

Comparison of Perioperative Complications Between Cuffed and Cuffless Tubes in Pediatric Nasotracheal Intubation: A Randomized Controlled Trial

Scientific Title:Acronym

Pediatric Nasotracheal Cuff study

Region

Japan


Condition

Condition

Dental phobia

Classification by specialty

Dental medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Traditionally, cuffless endotracheal tubes were frequently chosen for airway management during general anesthesia in pediatric patients. In recent years, cuffed endotracheal tubes have become more commonly used during orotracheal intubation. This has been shown to reduce the need for tube exchange and lower the reintubation rate. For non-cooperative pediatric patients undergoing general anesthesia, nasopharyngeal intubation is often chosen. However, selecting the appropriate tube size is frequently challenging due to the difference in diameter between the trachea and the nasal cavity. While cuffed tubes reduce reintubation rates, they can also cause damage to the nasal mucosa during passage through the nasal cavity or be obstructed by the cuff itself. Consequently, there is currently no significant difference in the usage rates of the two types of tubes, and the choice is left to the discretion of the anesthesiologist.
This study aimed to determine the optimal endotracheal tube for pediatric nasotracheal intubation by comparing nasotracheal intubation using cuffless tubes versus cuffed tubes.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Incidence of epistaxis after nasal passage and after extubation

Key secondary outcomes

Ease of nasal passage
Need for tube replacement
Intubation time
Presence of postoperative sore throat or nasal pain


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Placebo

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

Nasal endotracheal intubation with a cuffed endotracheal tube

Interventions/Control_2

Nasal endotracheal intubation without a cuffed endotracheal tube

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

3 years-old <=

Age-upper limit

12 years-old >=

Gender

Male and Female

Key inclusion criteria

Forty children aged 3 to 12 years with no systemic diseases who were non-cooperative for treatment, scheduled for dental treatment under general anesthesia, and for whom informed consent was obtained from their guardians.

Key exclusion criteria

Patients with systemic disease

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Teppei
Middle name
Last name Sago

Organization

Kyushu Dental University

Division name

Division of Dental Anesthesiology and Pain Management

Zip code

803-8580

Address

2-6-1 Manazuru, Kokurakita Ward, Kitakyushu City, Fukuoka Prefecture

TEL

093-582-1131

Email

r07sagou@fa.ku-dent.ac.jp


Public contact

Name of contact person

1st name Teppei
Middle name
Last name Sago

Organization

Kyushu Dental University

Division name

Division of Dental Anesthesiology and Pain Management

Zip code

803-8580

Address

2-6-1 Manazuru, Kokurakita Ward, Kitakyushu City, Fukuoka Prefecture

TEL

093-582-1131

Homepage URL


Email

r07sagou@fa.kyu-dent.ac.jp


Sponsor or person

Institute

Kyushu Dental University

Institute

Department

Personal name



Funding Source

Organization

Kyushu Dental University

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Kyushu Dental University Ethics Review Committee

Address

2-6-1 Manazuru, Kokurakita Ward, Kitakyushu City, Fukuoka Prefecture

Tel

083-582-1131

Email

r07sagou@fa.kyu-dent.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2026 Year 02 Month 04 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2023 Year 07 Month 01 Day

Date of IRB

2023 Year 07 Month 12 Day

Anticipated trial start date

2026 Year 02 Month 01 Day

Last follow-up date

2026 Year 07 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2026 Year 02 Month 03 Day

Last modified on

2026 Year 02 Month 03 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000069274