The Safety and Efficacy of Supraglottic Airway Use in Children
調査の概要
詳細な説明
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.
研究の種類
入学 (予想される)
連絡先と場所
研究場所
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Illinois
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Chicago、Illinois、アメリカ、60611
- 募集
- Ann & Robert H. Lurie Children's Hospital of Chicago
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コンタクト:
- Narasimhan Jagannathan, MD
- メール:simjag2000@yahoo.com
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主任研究者:
- Narasimhan Jagannathan, MD
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
サンプリング方法
調査対象母集団
説明
Inclusion Criteria:
- Children undergoing anesthesia with use of a supraglottic airway device as a primary means of oxygenation & ventilation
Exclusion Criteria:
- N/A
研究計画
研究はどのように設計されていますか?
デザインの詳細
コホートと介入
グループ/コホート |
介入・治療 |
|---|---|
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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
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他の名前:
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この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Supraglottic Airway Device Failure
時間枠:participants will be followed for the duration of anesthesia and after surgery, an expected average of 12 hours
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Occurrence and reason for supraglottic airway device failure (ie inadequate ventilation, laryngospasm, bronchospasm, etc) will be recorded in addition to conversion to tracheal intubation
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participants will be followed for the duration of anesthesia and after surgery, an expected average of 12 hours
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Ease of Placement of Supraglottic Airway Device
時間枠:participants will be followed for the duration of anesthesia and after surgery, an expected average of 12 hours
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Ease of placement of supraglottic airway device ranging from 1 (easy) to 4 (difficult)
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participants will be followed for the duration of anesthesia and after surgery, an expected average of 12 hours
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Multiple Attempts to Place Supraglottic Airway Device
時間枠:participants will be followed for the duration of anesthesia and after surgery, an expected average of 12 hours
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change in device, placement method, and provider will be recorded
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participants will be followed for the duration of anesthesia and after surgery, an expected average of 12 hours
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Airway Maneuvers/interventions
時間枠:participants will be followed for the duration of anesthesia and after surgery, an expected average of 12 hours
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the number and type of airway maneuvers performed after device placement and during maintenance will be recorded
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participants will be followed for the duration of anesthesia and after surgery, an expected average of 12 hours
|
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Occurrence of Inadequate Ventilation
時間枠:participants will be followed for the duration of anesthesia and after surgery, an expected average of 12 hours
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cause and solution for inadequate ventilation will be recorded
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participants will be followed for the duration of anesthesia and after surgery, an expected average of 12 hours
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Intraoperative Complications
時間枠:participants will be followed for the duration of anesthesia and after surgery, an expected average of 12 hours
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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
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participants will be followed for the duration of anesthesia and after surgery, an expected average of 12 hours
|
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Postoperative Complications
時間枠:participants will be followed for the duration of anesthesia and 24 hours postoperatively
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Complications noted postoperatively relating to reflex activation of the airway, sore throat, or hoarseness
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participants will be followed for the duration of anesthesia and 24 hours postoperatively
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協力者と研究者
捜査官
- 主任研究者:Narasimhan Jagannathan, MD、Ann & Robert H. Lurie Children's Hospital of Chicago / Stanley Manne Research Institute
出版物と役立つリンク
一般刊行物
- 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.
研究記録日
主要日程の研究
研究開始
一次修了 (予想される)
研究の完了 (予想される)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
学習記録の更新
投稿された最後の更新 (見積もり)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。
Supraglottic Airway Deviceの臨床試験
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National University Hospital, Singapore完了
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Ohio State UniversityMedical University of South Carolina; Northwestern University終了しました
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Ann & Robert H Lurie Children's Hospital of Chicago完了
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University of Kansas Medical Center招待による登録
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Karolinska Institutet完了