- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT02202174
The Safety and Efficacy of Supraglottic Airway Use in Children
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
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.
Undersøgelsestype
Tilmelding (Forventet)
Kontakter og lokationer
Studiesteder
-
-
Illinois
-
Chicago, Illinois, Forenede Stater, 60611
- Rekruttering
- Ann & Robert H. Lurie Children's Hospital of Chicago
-
Kontakt:
- Narasimhan Jagannathan, MD
- E-mail: simjag2000@yahoo.com
-
Ledende efterforsker:
- Narasimhan Jagannathan, MD
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Prøveudtagningsmetode
Studiebefolkning
Beskrivelse
Inclusion Criteria:
- Children undergoing anesthesia with use of a supraglottic airway device as a primary means of oxygenation & ventilation
Exclusion Criteria:
- N/A
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
Kohorter og interventioner
Gruppe / kohorte |
Intervention / Behandling |
|---|---|
|
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
|
Andre navne:
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Supraglottic Airway Device Failure
Tidsramme: 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
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Ease of Placement of Supraglottic Airway Device
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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
|
Samarbejdspartnere og efterforskere
Efterforskere
- Ledende efterforsker: Narasimhan Jagannathan, MD, Ann & Robert H. Lurie Children's Hospital of Chicago / Stanley Manne Research Institute
Publikationer og nyttige links
Generelle publikationer
- 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.
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Forventet)
Studieafslutning (Forventet)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Andre undersøgelses-id-numre
- 2014-15832
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