A Comparison of the Ambu AuraGain Versus LMA Supreme in Children
A Randomized Comparison of the Ambu AuraGain™ and LMA Supreme™ in Infants and Children
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Detaillierte Beschreibung
Studientyp
Studientyp
Einschreibung (Tatsächlich)
Einschreibung
Phase
Phase
- Unzutreffend
Kontakte und Standorte
Studienorte
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Illinois
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Chicago, Illinois, Vereinigte Staaten, 60611
- Ann & Robert H Lurie Children's hospital of Chicago
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Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
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
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Keine (Offenes Etikett)
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
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Experimental: Ambu AuraGain
Subjects will receive the Ambu AuraGain size 1.5 or 2.0 based on manufacturer guidelines
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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.
Andere Namen:
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Aktiver Komparator: LMA Supreme
Subjects will receive the Ambu AuraGain size 1.5 or 2.0 based on manufacturer guidelines
|
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.
Andere Namen:
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Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Oropharyngeal (airway) leak pressure - Initial
Zeitfenster: Assessed intraoperatively at the time of confirmed device placement
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The airway pressure at which an airway leak is observed after successful placement of the supraglottic airway
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Assessed intraoperatively at the time of confirmed device placement
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Oropharyngeal (airway) leak pressure - 10 Minutes
Zeitfenster: Assessed intraoperatively, 10 minutes after the initial confirmed placement of the device
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The airway pressure at which an airway leak is observed 10 minutes after successful placement of the supraglottic airway
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Assessed intraoperatively, 10 minutes after the initial confirmed placement of the device
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Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Time for Successful Placement of the Supraglottic Airway
Zeitfenster: Assessed intraoperatively at the time of confirmed device placement
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Time for successful placement of supraglottic device will be recorded
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Assessed intraoperatively at the time of confirmed device placement
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Number of attempts to placement of Supraglottic Airway
Zeitfenster: Assessed intraoperatively at the time of confirmed device placement
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Number of attempts and insertion techniques will be recorded (maximum of 3 attempts)
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Assessed intraoperatively at the time of confirmed device placement
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Fiberoptic Grade of Laryngeal View through Supraglottic Airway
Zeitfenster: Assessed intraoperatively at the time of confirmed device placement
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Fiberoptic Grade of Laryngeal View through either device will be graded using a previously published grading system
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Assessed intraoperatively at the time of confirmed device placement
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Gastric Tube Insertion Ease of Placement
Zeitfenster: Assessed intraoperatively at the time of confirmed gastric tube placement
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The ease of placement, based on a 1-4 scale, will be recorded following placement and confirmation of the gastric tube.
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Assessed intraoperatively at the time of confirmed gastric tube placement
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Gastric Tube Insertion Time
Zeitfenster: Assessed intraoperatively at the time of confirmed gastric tube placement
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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.
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Assessed intraoperatively at the time of confirmed gastric tube placement
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Gastric Tube Insertion Attempts
Zeitfenster: Assessed intraoperatively at the time of confirmed gastric tube placement
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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.
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Assessed intraoperatively at the time of confirmed gastric tube placement
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Postoperative Complications
Zeitfenster: Participants will be followed for the duration of hospital stay. Outcome measure will be assessed postoperatively in recovery unit.
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Patient will be evaluated for sore throat, cough, dysphonia, stridor, or other airway related complications during the post-operative period.
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Participants will be followed for the duration of hospital stay. Outcome measure will be assessed postoperatively in recovery unit.
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Intraoperative Complications
Zeitfenster: Assessed intraoperatively
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Complications such as reflex activation of the airway (coughing, breath holding, laryngospasm, bronchospasm), oxygen desaturation will be recorded, if they occur.
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Assessed intraoperatively
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Mitarbeiter und Ermittler
Sponsor
Sponsor
Ermittler
Ermittler
- Hauptermittler: Narasimhan Jagannathan, M.D., Ann & Robert H Lurie Children's hospital of Chicago
Publikationen und hilfreiche Links
Allgemeine Veröffentlichungen
- White MC, Cook TM, Stoddart PA. A critique of elective pediatric supraglottic airway devices. Paediatr Anaesth. 2009 Jul;19 Suppl 1:55-65. doi: 10.1111/j.1460-9592.2009.02997.x.
- Jagannathan N, Sohn LE, Sawardekar A, Gordon J, Langen KE, Anderson K. A randomised comparison of the LMA SupremeTM and LMAProSealTM in children. Anaesthesia. 2012 Jun;67(6):632-9. doi: 10.1111/j.1365-2044.2012.07088.x. Epub 2012 Mar 15.
- Jagannathan N, Ramsey MA, White MC, Sohn L. An update on newer pediatric supraglottic airways with recommendations for clinical use. Paediatr Anaesth. 2015 Apr;25(4):334-45. doi: 10.1111/pan.12614. Epub 2015 Jan 13.
- Jagannathan N, Sohn L, Sommers K, Belvis D, Shah RD, Sawardekar A, Eidem J, Dagraca J, Mukherji I. A randomized comparison of the laryngeal mask airway supreme and laryngeal mask airway unique in infants and children: does cuff pressure influence leak pressure? Paediatr Anaesth. 2013 Oct;23(10):927-33. doi: 10.1111/pan.12145. Epub 2013 Mar 23.
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn
Studienbeginn
Primärer Abschluss (Tatsächlich)
Primärer Abschluss
Studienabschluss (Tatsächlich)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Schätzen)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Schätzen)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- IRB 2015-252
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