Trial Outcomes & Findings for Comparison Between the I-gel and the LMA-Unique (NCT NCT02163486)

NCT ID: NCT02163486

Last Updated: 2018-10-19

Results Overview

The aim of this study is to compare the effect of different head and neck positions on the oropharyngeal leak pressure in LMA-Unique and I-Gel applications. Head and neck positions are limited to neutral, extension and right laterally deviated.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

103 participants

Primary outcome timeframe

Immediately after head and neck positioning is completed

Results posted on

2018-10-19

Participant Flow

Participant milestones

Participant milestones
Measure
Group U (UNIQUE)
Group LMA- UNIQUE, inserted according to described standard method. Between 30-40 kg, no.3. Between 50-70 kg, no. 4 Between 70-100 kg, no. 5. LMA-Unique Before LMA-U is inserted, a water-based lubricant without local anesthetic, was spread on the surfaces that will touch the palate and LMA-Unique cuff was completely deflated. Group U (UNIQUE): Group Laryngeal Mask Airway-Unique. Group U (UNIQUE): Before LMA-Unique was inserted, to lubricate the surface in contact with the palate a water-based gel without local anesthetic was applied to completely cover the LMA-Unique cuff.
Group I (I-GEL ): Group I-GEL
Group I (I-GEL): Between 30-60 kg, no. 3. Between 50-90 kg, no. 4. For \> 90 kg no.5. I-GEL I-GEL: Before I-gel was inserted, to lubricate the surface in contact with the palate a water-based gel without local anesthetic was applied to completely cover the I-GEL cuff. I-GEL: K-Y Jelly® is a registered trademark of Johnson and Johnson Inc
Overall Study
STARTED
51
52
Overall Study
COMPLETED
50
50
Overall Study
NOT COMPLETED
1
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Comparison Between the I-gel and the LMA-Unique

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group U (UNIQUE)
n=50 Participants
Group LMA- UNIQUE, inserted according to described standard method. Between 30-40 kg, no.3. Between 50-70 kg, no. 4 Between 70-100 kg, no. 5. LMA-Unique Before SGAD is inserted, a water-based lubricant without local anesthetic, was spread on the surfaces that will touch the palate and LMA-U cuff was completely deflated.oup U (UNIQUE): Group Laryngeal Mask Airway-Unique. Group U (UNIQUE): Before LMA-Unique was inserted, to lubricate the surface in contact with the palate a water-based gel without local anesthetic was applied to completely cover the LMA-Unique cuff.
Group I (I-GEL ): Group I-GEL
n=50 Participants
Group I (I-GEL): Between 30-60 kg, no. 3. Between 50-90 kg, no. 4. For \> 90 kg no.5. I-GEL I-GEL: Before I-gel was inserted, to lubricate the surface in contact with the palate a water-based gel without local anesthetic was applied to completely cover the I-GEL cuff. I-GEL: K-Y Jelly® is a registered trademark of Johnson and Johnson Inc
Total
n=100 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
50 Participants
n=5 Participants
50 Participants
n=7 Participants
100 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Female
23 Participants
n=5 Participants
25 Participants
n=7 Participants
48 Participants
n=5 Participants
Sex: Female, Male
Male
27 Participants
n=5 Participants
25 Participants
n=7 Participants
52 Participants
n=5 Participants
Region of Enrollment
Turkey
50 participants
n=5 Participants
50 participants
n=7 Participants
100 participants
n=5 Participants

PRIMARY outcome

Timeframe: Immediately after head and neck positioning is completed

The aim of this study is to compare the effect of different head and neck positions on the oropharyngeal leak pressure in LMA-Unique and I-Gel applications. Head and neck positions are limited to neutral, extension and right laterally deviated.

Outcome measures

Outcome measures
Measure
Group U (UNIQUE)
n=50 Participants
Group LMA- UNIQUE, inserted according to described standard method. Between 30-40 kg, no.3. Between 50-70 kg, no. 4 Between 70-100 kg, no. 5. LMA-Unique Before SGAD is inserted, a water-based lubricant without local anesthetic, was spread on the surfaces that will touch the palate and LMA-U cuff was completely deflated.oup U (UNIQUE): Group Laryngeal Mask Airway-Unique. Group U (UNIQUE): Before LMA-Unique was inserted, to lubricate the surface in contact with the palate a water-based gel without local anesthetic was applied to completely cover the LMA-Unique cuff.
Group I (I-GEL ): Group I-GEL
n=50 Participants
Group I (I-GEL): Between 30-60 kg, no. 3. Between 50-90 kg, no. 4. For \> 90 kg no.5. I-GEL I-GEL: Before I-gel was inserted, to lubricate the surface in contact with the palate a water-based gel without local anesthetic was applied to completely cover the I-GEL cuff. I-GEL: K-Y Jelly® is a registered trademark of Johnson and Johnson Inc
Oropharyngeal Leak Pressure
when neutral position
25.06 cm H20
Standard Deviation 7.53
28.24 cm H20
Standard Deviation 8.29
Oropharyngeal Leak Pressure
when extension position
22.88 cm H20
Standard Deviation 7.83
26.62 cm H20
Standard Deviation 8.77
Oropharyngeal Leak Pressure
when right position
27.30 cm H20
Standard Deviation 7.23
26.04 cm H20
Standard Deviation 8.61

SECONDARY outcome

Timeframe: Baseline to first successful ventilation, in seconds

Duration from mouth opening to first successful ventilation, in seconds

Outcome measures

Outcome measures
Measure
Group U (UNIQUE)
n=50 Participants
Group LMA- UNIQUE, inserted according to described standard method. Between 30-40 kg, no.3. Between 50-70 kg, no. 4 Between 70-100 kg, no. 5. LMA-Unique Before SGAD is inserted, a water-based lubricant without local anesthetic, was spread on the surfaces that will touch the palate and LMA-U cuff was completely deflated.oup U (UNIQUE): Group Laryngeal Mask Airway-Unique. Group U (UNIQUE): Before LMA-Unique was inserted, to lubricate the surface in contact with the palate a water-based gel without local anesthetic was applied to completely cover the LMA-Unique cuff.
Group I (I-GEL ): Group I-GEL
n=50 Participants
Group I (I-GEL): Between 30-60 kg, no. 3. Between 50-90 kg, no. 4. For \> 90 kg no.5. I-GEL I-GEL: Before I-gel was inserted, to lubricate the surface in contact with the palate a water-based gel without local anesthetic was applied to completely cover the I-GEL cuff. I-GEL: K-Y Jelly® is a registered trademark of Johnson and Johnson Inc
The Time for Successful Placement (Second)
13.46 seconds
Standard Deviation 2.60
12.14 seconds
Standard Deviation 4.22

SECONDARY outcome

Timeframe: Baseline to first successful ventilation,

Population: The number of patients with succesful placement of airway device at the first attempt

The number of attempts until succesful placement of airway device

Outcome measures

Outcome measures
Measure
Group U (UNIQUE)
n=50 Participants
Group LMA- UNIQUE, inserted according to described standard method. Between 30-40 kg, no.3. Between 50-70 kg, no. 4 Between 70-100 kg, no. 5. LMA-Unique Before SGAD is inserted, a water-based lubricant without local anesthetic, was spread on the surfaces that will touch the palate and LMA-U cuff was completely deflated.oup U (UNIQUE): Group Laryngeal Mask Airway-Unique. Group U (UNIQUE): Before LMA-Unique was inserted, to lubricate the surface in contact with the palate a water-based gel without local anesthetic was applied to completely cover the LMA-Unique cuff.
Group I (I-GEL ): Group I-GEL
n=50 Participants
Group I (I-GEL): Between 30-60 kg, no. 3. Between 50-90 kg, no. 4. For \> 90 kg no.5. I-GEL I-GEL: Before I-gel was inserted, to lubricate the surface in contact with the palate a water-based gel without local anesthetic was applied to completely cover the I-GEL cuff. I-GEL: K-Y Jelly® is a registered trademark of Johnson and Johnson Inc
Number of Attempts
Succesful second Attempt
2 Participants
1 Participants
Number of Attempts
Succesful third Attempt
0 Participants
1 Participants
Number of Attempts
Succesful First Attempt
48 Participants
48 Participants

SECONDARY outcome

Timeframe: Baseline

Ease of placement: 1. no reaction 2. straining, retching

Outcome measures

Outcome measures
Measure
Group U (UNIQUE)
n=50 Participants
Group LMA- UNIQUE, inserted according to described standard method. Between 30-40 kg, no.3. Between 50-70 kg, no. 4 Between 70-100 kg, no. 5. LMA-Unique Before SGAD is inserted, a water-based lubricant without local anesthetic, was spread on the surfaces that will touch the palate and LMA-U cuff was completely deflated.oup U (UNIQUE): Group Laryngeal Mask Airway-Unique. Group U (UNIQUE): Before LMA-Unique was inserted, to lubricate the surface in contact with the palate a water-based gel without local anesthetic was applied to completely cover the LMA-Unique cuff.
Group I (I-GEL ): Group I-GEL
n=50 Participants
Group I (I-GEL): Between 30-60 kg, no. 3. Between 50-90 kg, no. 4. For \> 90 kg no.5. I-GEL I-GEL: Before I-gel was inserted, to lubricate the surface in contact with the palate a water-based gel without local anesthetic was applied to completely cover the I-GEL cuff. I-GEL: K-Y Jelly® is a registered trademark of Johnson and Johnson Inc
Ease of Placement
no reaction
49 participants
49 participants
Ease of Placement
straining, retching
1 participants
1 participants

SECONDARY outcome

Timeframe: at postoperative 1st and 24th hours

Patients were asked about the presence of sore throat - defined as the presence of constant pain in the throat, voice loss and difficulty swallowing , at postoperative 1st and 24th hours.

Outcome measures

Outcome measures
Measure
Group U (UNIQUE)
n=50 Participants
Group LMA- UNIQUE, inserted according to described standard method. Between 30-40 kg, no.3. Between 50-70 kg, no. 4 Between 70-100 kg, no. 5. LMA-Unique Before SGAD is inserted, a water-based lubricant without local anesthetic, was spread on the surfaces that will touch the palate and LMA-U cuff was completely deflated.oup U (UNIQUE): Group Laryngeal Mask Airway-Unique. Group U (UNIQUE): Before LMA-Unique was inserted, to lubricate the surface in contact with the palate a water-based gel without local anesthetic was applied to completely cover the LMA-Unique cuff.
Group I (I-GEL ): Group I-GEL
n=50 Participants
Group I (I-GEL): Between 30-60 kg, no. 3. Between 50-90 kg, no. 4. For \> 90 kg no.5. I-GEL I-GEL: Before I-gel was inserted, to lubricate the surface in contact with the palate a water-based gel without local anesthetic was applied to completely cover the I-GEL cuff. I-GEL: K-Y Jelly® is a registered trademark of Johnson and Johnson Inc
Incidence of Post-operative Sore Throat
5 participants
0 participants

Adverse Events

Group U (UNIQUE)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Group I (I-GEL ): Group I-GEL

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Bahar Kuvaki

DorkuzEU

Phone: 902324122836

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place