The STARGATE study will prospectively collect data on 10,500 patients to quantify major adverse events during advanced airway management under general anesthesia internationally.
What is the incidence of major adverse events associated with advanced airway management for general anaesthesia?
This protocol outlines a large international observational study to determine the incidence of major adverse events during advanced airway management for general anaesthesia.
Introduction More than 300 million major surgical procedures are carried out under general anaesthesia each year worldwide, and advanced airway management remains one of the leading daily challenges for clinicians. Data from large international prospective cohort studies on adverse events such as cardiovascular collapse, cardiac arrest and severe hypoxaemia during advanced airway management to facilitate anaesthesia are lacking. Methods and analysis The International ob S ervational s T udy on A i R way mana G ement in oper A ting room and non-opera T ing room ana E sthesia (STARGATE) study will be an international prospective observational cohort study describing the incidence of major adverse events associated with advanced airway management (tracheal intubation or supraglottic airway device placement) for general anaesthesia in the operating and non-operating room for surgery and medical procedures. The secondary aim will be to describe the practice of airway management in a large international cohort. Critically ill patients will be excluded from this study. Data on patients’ characteristics, type of procedure and the adopted airway management strategy, post-procedure adverse events, operator characteristics and in-hospital mortality will be prospectively collected. The study aims to enrol 10 500 patients. Ethics and dissemination The study has been approved by the Ethics Committee of the coordinating centre (Comitato Etico Interaziendale AOU San Luigi Gonzaga, N° 25/2023). Each of the participating centres will then seek approval of their local Ethics Committee before enrolment. Data will be disseminated to the scientific community by original articles submitted to international peer-reviewed journals. Trial registration number NCT05759299 .
Russotto et al. (2026) studied this question. The STARGATE study will prospectively collect data on 10,500 patients to quantify major adverse events during advanced airway management under general anesthesia internationally.
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