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A Comparison of the Ambu AuraGain Versus LMA Supreme in Children

17. juli 2015 opdateret af: Narasimhan Jagannathan, Ann & Robert H Lurie Children's Hospital of Chicago

A Randomized Comparison of the Ambu AuraGain™ and LMA Supreme™ in Infants and Children

The purpose of this study is to determine whether there is a clinically relevant difference in airway leak pressures between the Ambu AuraGain and the Laryngeal Mask Airway (LMA) Supreme.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

The goal of this prospective randomized study is to compare whether there is a clinically relevant difference in airway leak pressures between the Ambu AuraGain (sizes 1.5 and 2) and the Laryngeal Mask Airway (LMA) Supreme. Parameters of clinical relevance such as insertion success rates, fiberoptic view of the glottic opening, ease and speed of gastric tube placement, airway stability, and peri-operative complications will also be assessed.

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

100

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Forenede Stater
    • Illinois
      • Chicago, Illinois, Forenede Stater, 60611
        • Ann & Robert H Lurie Children's Hospital of Chicago

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

3 måneder til 6 år (Barn)

Tager imod sunde frivillige

Ja

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Scheduled for surgery utilizing a supraglottic airway device
  • ASA (American Society of Anesthesiologists) I-III classification
  • Weighing between 5 - 20 kilograms

Exclusion Criteria:

  • Active respiratory infection
  • History of difficult mask ventilation
  • Diagnosis of congenital syndrome with difficult airway management
  • Active gastrointestinal reflux
  • Coagulopathy
  • Significant Pulmonary disease
  • Emergent surgery

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Ambu AuraGain
Subjects will receive the Ambu AuraGain size 1.5 or 2.0 based on manufacturer guidelines
Enhed: Ambu AuraGain (size 1.5 or size 2.0)
The device will be inserted and timed. A leak pressure test will be performed after successful insertion and after 10 minutes. The larynx will be visualized by placing a fiberoptic bronchoscope through the device. A gastric tube will be inserted through the device and timed.
Andre navne:
  • Ambu AuraGain
Aktiv komparator: LMA Supreme
Subjects will receive the Ambu AuraGain size 1.5 or 2.0 based on manufacturer guidelines
Enhed: LMA Supreme (size 1.5 or size 2.0)
The device will be inserted and timed. A leak pressure test will be performed after successful insertion and after 10 minutes. The larynx will be visualized by placing a fiberoptic bronchoscope through the device. A gastric tube will be inserted through the device and timed.
Andre navne:
  • LMA Supreme

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Oropharyngeal (airway) leak pressure - Initial
Tidsramme: Assessed intraoperatively at the time of confirmed device placement
The airway pressure at which an airway leak is observed after successful placement of the supraglottic airway
Assessed intraoperatively at the time of confirmed device placement
Oropharyngeal (airway) leak pressure - 10 Minutes
Tidsramme: Assessed intraoperatively, 10 minutes after the initial confirmed placement of the device
The airway pressure at which an airway leak is observed 10 minutes after successful placement of the supraglottic airway
Assessed intraoperatively, 10 minutes after the initial confirmed placement of the device

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Time for Successful Placement of the Supraglottic Airway
Tidsramme: Assessed intraoperatively at the time of confirmed device placement
Time for successful placement of supraglottic device will be recorded
Assessed intraoperatively at the time of confirmed device placement
Number of attempts to placement of Supraglottic Airway
Tidsramme: Assessed intraoperatively at the time of confirmed device placement
Number of attempts and insertion techniques will be recorded (maximum of 3 attempts)
Assessed intraoperatively at the time of confirmed device placement
Fiberoptic Grade of Laryngeal View through Supraglottic Airway
Tidsramme: Assessed intraoperatively at the time of confirmed device placement
Fiberoptic Grade of Laryngeal View through either device will be graded using a previously published grading system
Assessed intraoperatively at the time of confirmed device placement
Gastric Tube Insertion Ease of Placement
Tidsramme: Assessed intraoperatively at the time of confirmed gastric tube placement
The ease of placement, based on a 1-4 scale, will be recorded following placement and confirmation of the gastric tube.
Assessed intraoperatively at the time of confirmed gastric tube placement
Gastric Tube Insertion Time
Tidsramme: Assessed intraoperatively at the time of confirmed gastric tube placement
The elapsed time from beginning insertion of the gastric tube to confirmation, will be recorded. Confirmation of gastric tube placement will be determined by injection of air with auscultation (listening for sounds) over the stomach with a stethoscope.
Assessed intraoperatively at the time of confirmed gastric tube placement
Gastric Tube Insertion Attempts
Tidsramme: Assessed intraoperatively at the time of confirmed gastric tube placement
Number of insertion attempts of the gastric tube through the SGA will be recorded. Confirmation of gastric tube placement will be determined by injection of air with auscultation (listening for sounds) over the stomach with a stethoscope.
Assessed intraoperatively at the time of confirmed gastric tube placement
Postoperative Complications
Tidsramme: Participants will be followed for the duration of hospital stay. Outcome measure will be assessed postoperatively in recovery unit.
Patient will be evaluated for sore throat, cough, dysphonia, stridor, or other airway related complications during the post-operative period.
Participants will be followed for the duration of hospital stay. Outcome measure will be assessed postoperatively in recovery unit.
Intraoperative Complications
Tidsramme: Assessed intraoperatively
Complications such as reflex activation of the airway (coughing, breath holding, laryngospasm, bronchospasm), oxygen desaturation will be recorded, if they occur.
Assessed intraoperatively

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Ann & Robert H Lurie Children's Hospital of Chicago

Efterforskere

  • Ledende efterforsker: Narasimhan Jagannathan, M.D., Ann & Robert H Lurie Children's Hospital of Chicago

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Generelle publikationer

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart

1. marts 2015

Primær færdiggørelse (Faktiske)

1. juni 2015

Studieafslutning (Faktiske)

1. juni 2015

Datoer for studieregistrering

Først indsendt

26. februar 2015

Først indsendt, der opfyldte QC-kriterier

2. marts 2015

Først opslået (Skøn)

5. marts 2015

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Skøn)

20. juli 2015

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

17. juli 2015

Sidst verificeret

1. juli 2015

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • IRB 2015-252

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

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