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The Safety and Efficacy of Supraglottic Airway Use in Children
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
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.
Studietype
Inschrijving (Verwacht)
Contacten en locaties
Studiecontact
- Naam: Narasimhan Jagannathan, MD
- Telefoonnummer: 3122275170
- E-mail: njagannathan@luriechildrens.org
Studie Locaties
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Illinois
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Chicago, Illinois, Verenigde Staten, 60611
- Werving
- Ann & Robert H. Lurie Children's Hospital of Chicago
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Contact:
- Narasimhan Jagannathan, MD
- E-mail: simjag2000@yahoo.com
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Hoofdonderzoeker:
- Narasimhan Jagannathan, MD
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Bemonsteringsmethode
Studie Bevolking
Beschrijving
Inclusion Criteria:
- Children undergoing anesthesia with use of a supraglottic airway device as a primary means of oxygenation & ventilation
Exclusion Criteria:
- N/A
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
Cohorten en interventies
Groep / Cohort |
Interventie / Behandeling |
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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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Andere namen:
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
---|---|---|
Supraglottic Airway Device Failure
Tijdsspanne: 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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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
---|---|---|
Ease of Placement of Supraglottic Airway Device
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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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Medewerkers en onderzoekers
Onderzoekers
- Hoofdonderzoeker: Narasimhan Jagannathan, MD, Ann & Robert H. Lurie Children's Hospital of Chicago / Stanley Manne Research Institute
Publicaties en nuttige links
Algemene publicaties
- 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.
Studie record data
Bestudeer belangrijke data
Studie start
Primaire voltooiing (Verwacht)
Studie voltooiing (Verwacht)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Schatting)
Updates van studierecords
Laatste update geplaatst (Schatting)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Andere studie-ID-nummers
- 2014-15832
Deze informatie is zonder wijzigingen rechtstreeks van de website clinicaltrials.gov gehaald. Als u verzoeken heeft om uw onderzoeksgegevens te wijzigen, te verwijderen of bij te werken, neem dan contact op met register@clinicaltrials.gov. Zodra er een wijziging wordt doorgevoerd op clinicaltrials.gov, wordt deze ook automatisch bijgewerkt op onze website .
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