Trial Outcomes & Findings for Effect of Laryngeal Mask Cuff Pressure in Geriatric Patients (NCT NCT02189954)

NCT ID: NCT02189954

Last Updated: 2015-08-31

Results Overview

The primary outcome was a composite endpoint of any pharyngolaryngeal complications such as sore throat, dysphonia and dysphagia according to Likert scale ranges from 1 (none) to 4 (severe) at postoperative 1.hour

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

90 participants

Primary outcome timeframe

Postoperative 1.hour

Results posted on

2015-08-31

Participant Flow

Participant milestones

Participant milestones
Measure
Group Routine Care
The placement according to the manufacturer's instructions. The placement according to the manufacturer's instructions: Before insertion the laryngeal mask used in daily routine (Laryngeal Mask Unique® (LMU) was lubricated with a water-based gel and the cuff was completely deflated. After induction when bispectral index (BIS) values were between 40 and 60 and sufficient chin relaxation was obtained for patients weighing less than 50 kg no. 3 LMU, for those between 50-90 kg no. 4 and for patients above 90 kg no. 5 LMU was inserted by an anesthetist with more than five years experience
Group Pressure Limiting
Cuff inner pressure was held below 44 mmHg Cuff inner pressure was held below 44 mmHg: cuff pressure limitation (Group Pressure Limiting (PL)), n=45) cuff inner pressure was held below 60 centimeter of water (cmH2O) (44 mmHg)
Overall Study
STARTED
45
45
Overall Study
COMPLETED
45
45
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Effect of Laryngeal Mask Cuff Pressure in Geriatric Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group Routine Care
n=45 Participants
The placement according to the manufacturer's instructions. The placement according to the manufacturer's instructions: Before insertion the laryngeal mask used in daily routine (Laryngeal Mask Unique®) was lubricated with a water-based gel and the cuff was completely deflated. After induction when BIS values were between 40 and 60 and sufficient chin relaxation was obtained for patients weighing less than 50 kg no. 3 LMU, for those between 50-90 kg no. 4 and for patients above 90 kg no. 5 LMU was inserted by an anesthetist with more than five years experience
Group Pressure Limiting
n=45 Participants
Cuff inner pressure was held below 44 mmHg Cuff inner pressure was held below 44 mmHg: cuff pressure limitation (Group PL, n=45) cuff inner pressure was held below 60 cmH2O (44 mmHg)
Total
n=90 Participants
Total of all reporting groups
Age, Continuous
71.9 years
STANDARD_DEVIATION 5.4 • n=5 Participants
72.8 years
STANDARD_DEVIATION 6.2 • n=7 Participants
72.4 years
STANDARD_DEVIATION 5.8 • n=5 Participants
Sex: Female, Male
Female
22 Participants
n=5 Participants
23 Participants
n=7 Participants
45 Participants
n=5 Participants
Sex: Female, Male
Male
23 Participants
n=5 Participants
22 Participants
n=7 Participants
45 Participants
n=5 Participants
Region of Enrollment
Turkey
45 participants
n=5 Participants
45 participants
n=7 Participants
90 participants
n=5 Participants

PRIMARY outcome

Timeframe: Postoperative 1.hour

The primary outcome was a composite endpoint of any pharyngolaryngeal complications such as sore throat, dysphonia and dysphagia according to Likert scale ranges from 1 (none) to 4 (severe) at postoperative 1.hour

Outcome measures

Outcome measures
Measure
Group Routine Care
n=45 Participants
The placement according to the manufacturer's instructions. The placement according to the manufacturer's instructions: Before insertion the laryngeal mask used in daily routine (Laryngeal Mask Unique®) was lubricated with a water-based gel and the cuff was completely deflated. After induction when BIS values were between 40 and 60 and sufficient chin relaxation was obtained for patients weighing less than 50 kg no. 3 LMU, for those between 50-90 kg no. 4 and for patients above 90 kg no. 5 LMU was inserted by an anesthetist with more than five years experience
Group Pressure Limiting
n=45 Participants
Cuff inner pressure was held below 44 mmHg Cuff inner pressure was held below 44 mmHg: cuff pressure limitation (Group PL, n=45) cuff inner pressure was held below 60 cmH2O (44 mmHg)
Postoperative Pharyngolaryngeal Morbidity Postoperative 1.Hour
1 units on a scale
Interval 1.0 to 4.0
1 units on a scale
Interval 1.0 to 2.0

SECONDARY outcome

Timeframe: Postoperative 24.hour

Population: Chi Square Test for categorical variables, for constant variables t test when suitable for normal distribution and when unsuitable for normal distrubition Mann Whitney U have been used for analysis. p \< 0.05 was considered significant.

The primer outcome was a composite endpoint of any pharyngolaryngeal complications such as sore throat, dysphonia and dysphagia according to Likert scale ranges from 1 (none) to 4 (severe) at postoperative 24.hour

Outcome measures

Outcome measures
Measure
Group Routine Care
n=45 Participants
The placement according to the manufacturer's instructions. The placement according to the manufacturer's instructions: Before insertion the laryngeal mask used in daily routine (Laryngeal Mask Unique®) was lubricated with a water-based gel and the cuff was completely deflated. After induction when BIS values were between 40 and 60 and sufficient chin relaxation was obtained for patients weighing less than 50 kg no. 3 LMU, for those between 50-90 kg no. 4 and for patients above 90 kg no. 5 LMU was inserted by an anesthetist with more than five years experience
Group Pressure Limiting
n=45 Participants
Cuff inner pressure was held below 44 mmHg Cuff inner pressure was held below 44 mmHg: cuff pressure limitation (Group PL, n=45) cuff inner pressure was held below 60 cmH2O (44 mmHg)
Postoperative Pharyngolaryngeal Morbidity at Postoperative 24.Hour
1 units on a scale
Interval 1.0 to 3.0
1 units on a scale
Interval 1.0 to 1.0

Adverse Events

Group Routine Care

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

Group Pressure Limiting

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

Anaesthesiology and Reanimation, Dr. Sule Ozbilgin

DorkuzEU

Phone: 0905055252901

Results disclosure agreements

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