The Safety and Efficacy of Supraglottic Airway Use in Children
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
This study aims to understand the efficacy of supraglottic airway (SGA) use in children in a tertiary care Children's Hospital.
Observational data regarding the type of SGA, experience level of practitioner, placement technique, number of placement attempts or placement failure, device failure, and cause of any related peri-operative complications will be prospectively collected.
The data collected in this study will allow the investigators to assess the overall safety and efficacy of SGA use in various medical and surgical procedures performed under general anesthesia in children.
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Narasimhan Jagannathan, MD
- Phone Number: 3122275170
- Email: njagannathan@luriechildrens.org
Study Locations
-
-
Illinois
-
Chicago, Illinois, United States, 60611
- Recruiting
- Ann & Robert H. Lurie Children's Hospital of Chicago
-
Contact:
- Narasimhan Jagannathan, MD
- Email: simjag2000@yahoo.com
-
Principal Investigator:
- Narasimhan Jagannathan, MD
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Children undergoing anesthesia with use of a supraglottic airway device as a primary means of oxygenation & ventilation
Exclusion Criteria:
- N/A
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Supraglottic Airway Device
Patients will receive a supraglottic airway device as a primary means of ventilation.
The following devices may be used: LMA Unique, LMA ProSeal, LMA Supreme, LMA Flexible, Ambu Aura-I, Ambu Aura Once, Air-Q, I-Gel, or other supraglottic airway device.
Choice of the device will be clinician dependent and based on the patients body weight per manufacturer guidelines
|
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Supraglottic Airway Device Failure
Time Frame: participants will be followed for the duration of anesthesia and after surgery, an expected average of 12 hours
|
Occurrence and reason for supraglottic airway device failure (ie inadequate ventilation, laryngospasm, bronchospasm, etc) will be recorded in addition to conversion to tracheal intubation
|
participants will be followed for the duration of anesthesia and after surgery, an expected average of 12 hours
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Ease of Placement of Supraglottic Airway Device
Time Frame: participants will be followed for the duration of anesthesia and after surgery, an expected average of 12 hours
|
Ease of placement of supraglottic airway device ranging from 1 (easy) to 4 (difficult)
|
participants will be followed for the duration of anesthesia and after surgery, an expected average of 12 hours
|
|
Multiple Attempts to Place Supraglottic Airway Device
Time Frame: participants will be followed for the duration of anesthesia and after surgery, an expected average of 12 hours
|
change in device, placement method, and provider will be recorded
|
participants will be followed for the duration of anesthesia and after surgery, an expected average of 12 hours
|
|
Airway Maneuvers/interventions
Time Frame: participants will be followed for the duration of anesthesia and after surgery, an expected average of 12 hours
|
the number and type of airway maneuvers performed after device placement and during maintenance will be recorded
|
participants will be followed for the duration of anesthesia and after surgery, an expected average of 12 hours
|
|
Occurrence of Inadequate Ventilation
Time Frame: participants will be followed for the duration of anesthesia and after surgery, an expected average of 12 hours
|
cause and solution for inadequate ventilation will be recorded
|
participants will be followed for the duration of anesthesia and after surgery, an expected average of 12 hours
|
|
Intraoperative Complications
Time Frame: participants will be followed for the duration of anesthesia and after surgery, an expected average of 12 hours
|
Time period of complication (ie during device placement, maintenance, or removal) and cause of complication (ie.
dental injury, light anesthesia, regurgitation, laryngospasm, bronchospasm, aspiration, etc.) will be recorded
|
participants will be followed for the duration of anesthesia and after surgery, an expected average of 12 hours
|
|
Postoperative Complications
Time Frame: participants will be followed for the duration of anesthesia and 24 hours postoperatively
|
Complications noted postoperatively relating to reflex activation of the airway, sore throat, or hoarseness
|
participants will be followed for the duration of anesthesia and 24 hours postoperatively
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Narasimhan Jagannathan, MD, Ann & Robert H. Lurie Children's Hospital of Chicago / Stanley Manne Research Institute
Publications and helpful links
General Publications
- Lopez-Gil M, Brimacombe J, Alvarez M. Safety and efficacy of the laryngeal mask airway. A prospective survey of 1400 children. Anaesthesia. 1996 Oct;51(10):969-72. doi: 10.1111/j.1365-2044.1996.tb14968.x.
- Mathis MR, Haydar B, Taylor EL, Morris M, Malviya SV, Christensen RE, Ramachandran SK, Kheterpal S. Failure of the Laryngeal Mask Airway Unique and Classic in the pediatric surgical patient: a study of clinical predictors and outcomes. Anesthesiology. 2013 Dec;119(6):1284-95. doi: 10.1097/ALN.0000000000000015.
- Jagannathan N, Sequera-Ramos L, Sohn L, Wallis B, Shertzer A, Schaldenbrand K. Elective use of supraglottic airway devices for primary airway management in children with difficult airways. Br J Anaesth. 2014 Apr;112(4):742-8. doi: 10.1093/bja/aet411. Epub 2013 Dec 8.
- Asai T. Is it safe to use supraglottic airway in children with difficult airways? Br J Anaesth. 2014 Apr;112(4):620-2. doi: 10.1093/bja/aeu005. Epub 2014 Feb 20. No abstract available.
- Bordet F, Allaouchiche B, Lansiaux S, Combet S, Pouyau A, Taylor P, Bonnard C, Chassard D. Risk factors for airway complications during general anaesthesia in paediatric patients. Paediatr Anaesth. 2002 Nov;12(9):762-9. doi: 10.1046/j.1460-9592.2002.00987.x.
- Lalwani K, Richins S, Aliason I, Milczuk H, Fu R. The laryngeal mask airway for pediatric adenotonsillectomy: predictors of failure and complications. Int J Pediatr Otorhinolaryngol. 2013 Jan;77(1):25-8. doi: 10.1016/j.ijporl.2012.09.021. Epub 2012 Oct 11.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
Other Study ID Numbers
- 2014-15832
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