- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT07715708
First Attempt Insertion Success of Novel Two Person Lateral Rotation Technique V.S Standard Brain Technique for LMA Insertion (LMA insertion)
First-Attempt Insertion Success of a Novel Two-Person Lateral Rotation Technique Versus the Standard Brain Technique for Laryngeal Mask Airway Placement: A Randomized Controlled Trial
The goal of this clinical trial is to learn if two person lateral rotation technique of LMA insertion is more successful than the standard technique in achieving effective ventilation on the first introduction of the LMA .The main questions it aims to answer are:
Does two person lateral rotation technique of LMA insertion lower the number of times needed to inesrt the LMA ?
Researchers will compare two person lateral rotation technique of LMA insertion to standard technique to see if it is more successful
Participants will be subjected to the two way of LMA insertion
Studieöversikt
Status
Betingelser
Intervention / Behandling
Studietyp
Inskrivning (Beräknad)
Fas
- Inte tillämpbar
Kontakter och platser
Studieorter
-
-
-
Banhā, Egypten
- Benha University Hospital
-
Kontakt:
- Taghreed Sakr, MD degree of anesthesia
- Telefonnummer: 00201112723187
- E-post: taghreed.sakr@fmed.bu.edu.eg
-
-
Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
- Vuxen
- Äldre vuxen
Tar emot friska volontärer
Beskrivning
Inclusion Criteria:
- Adult patients aged 18-65 years
- American Society of Anesthesiologists (ASA) physical status I-II
- Scheduled for elective superficial surgical procedures under general anesthesia (e.g., limb orthopedic surgery, hernioplasty, soft tissue excision)
- Anticipated surgical duration < 90 minutes
- Body mass index (BMI) 18.5-30 kg/m²
Exclusion Criteria:
- - Anticipated difficult airway (Mallampati grade IV, thyromental distance < 6 cm, limited neck extension)
- History of gastroesophageal reflux disease or increased aspiration risk
- Full stomach or emergency surgery - Intra-abdominal, laparoscopic, head and neck, or prone-position procedures - Known allergy to anesthetic agents
- Pregnancy
- Previous pharyngeal or laryngeal surgery - Inability to provide informed consent
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Stödjande vård
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Enda
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
|
Placebo-jämförare: standard group
stanedred LMA insertion
|
Standard Brain Technique for Laryngeal Mask Airway Placement
|
|
Aktiv komparator: 2 persons group
2 person lateral rotation LMA insertion
|
Novel Two-Person Lateral Rotation Technique of LMA insertion
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Tidsram |
|---|---|
|
First-attempt insertion success rate, defined as successful placement achieving effective ventilation on the first introduction of the LMA into the oral cavity
Tidsram: 1 minute after LMA insertion
|
1 minute after LMA insertion
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Insertion time
Tidsram: 20-90 seconds from picking up the LMA to be inserted in the mouth
|
Interval from picking up the LMA to confirmation of effective ventilation (square-wave capnogram, no audible leak at 20 cmH₂O, normal chest movement)
|
20-90 seconds from picking up the LMA to be inserted in the mouth
|
|
Number of attempts
Tidsram: 2-3 minutes after induction of anesthesia
|
Recorded up to a maximum of three; failure defined as inability to achieve effective ventilation after three attempts
|
2-3 minutes after induction of anesthesia
|
|
Need for manipulations
Tidsram: 1-2 minutes after induction of anesthesia
|
Chin lift, jaw thrust, head extension, neck flexion, or moderate advancement recorded as binary
|
1-2 minutes after induction of anesthesia
|
|
Oropharyngeal leak pressure (OLP)
Tidsram: 1-2 minutes after insertion of LMA
|
Measured by closing the expiratory valve at a constant gas flow of 3 L/min with the upper pressure limit set to 30 cmH₂O; the pressure at which an audible leak is detected is recorded
|
1-2 minutes after insertion of LMA
|
|
Complications:
Tidsram: immediate after removal of LMA ,1,2,4,24 hours. post operative
|
Blood staining on LMA (indicating mucosal trauma), sore throat (assessed postoperatively using a 4-point verbal rating scale), laryngospasm, hypoxia (SpO₂ < 92%), and gastric insufflation (detected by epigastric auscultation)
|
immediate after removal of LMA ,1,2,4,24 hours. post operative
|
Samarbetspartners och utredare
Sponsor
Studieavstämningsdatum
Studera stora datum
Studiestart (Beräknad)
Primärt slutförande (Beräknad)
Avslutad studie (Beräknad)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Faktisk)
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- RC.14.5.2026
Plan för individuella deltagardata (IPD)
Planerar du att dela individuella deltagardata (IPD)?
Läkemedels- och apparatinformation, studiedokument
Studerar en amerikansk FDA-reglerad läkemedelsprodukt
Studerar en amerikansk FDA-reglerad produktprodukt
Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .