Trial Outcomes & Findings for Geriatric Patients and Laryngeal Mask Unique (NCT NCT02219282)

NCT ID: NCT02219282

Last Updated: 2017-06-29

Results Overview

The aim of this study is primarily to measure the success of placement on first try in dentulous and edentulous elderly patients for success of placement on first try.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

66 participants

Primary outcome timeframe

Baseline

Results posted on

2017-06-29

Participant Flow

Participant milestones

Participant milestones
Measure
Group Dentulous
Laryngeal Mask Unique insertion Laryngeal Mask Unique insertion: 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 three years experience.
Group Edentulous
Laryngeal Mask Unique insertion Laryngeal Mask Unique insertion: 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 three years experience.
Overall Study
STARTED
33
33
Overall Study
COMPLETED
32
32
Overall Study
NOT COMPLETED
1
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Geriatric Patients and Laryngeal Mask Unique

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group Dentulous
n=33 Participants
Laryngeal Mask Unique insertion Laryngeal Mask Unique insertion: 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 three years experience.
Group Edentulous
n=33 Participants
Laryngeal Mask Unique insertion Laryngeal Mask Unique insertion: 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 three years experience.
Total
n=66 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Age, Categorical
>=65 years
33 Participants
n=93 Participants
33 Participants
n=4 Participants
66 Participants
n=27 Participants
Sex: Female, Male
Female
22 Participants
n=93 Participants
24 Participants
n=4 Participants
46 Participants
n=27 Participants
Sex: Female, Male
Male
11 Participants
n=93 Participants
9 Participants
n=4 Participants
20 Participants
n=27 Participants
Region of Enrollment
Turkey
33 participants
n=93 Participants
33 participants
n=4 Participants
66 participants
n=27 Participants

PRIMARY outcome

Timeframe: Baseline

Population: For one patient in each group, dentulous and edentulous, insertion of the LMU was unsuccessful on the third attempt, and these patients were intubated; therefore, these two patients were excluded from the study and were not included in the statistical analysis

The aim of this study is primarily to measure the success of placement on first try in dentulous and edentulous elderly patients for success of placement on first try.

Outcome measures

Outcome measures
Measure
Group Dentulous
n=32 Participants
Laryngeal Mask Unique insertion Laryngeal Mask Unique insertion: 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 three years experience.
Group Edentulous
n=32 Participants
Laryngeal Mask Unique insertion Laryngeal Mask Unique insertion: 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 three years experience.
Number of Participants With Successful Laryngeal Mask Placement
First Attempt
26 Participants
20 Participants
Number of Participants With Successful Laryngeal Mask Placement
Second Attempt
6 Participants
11 Participants
Number of Participants With Successful Laryngeal Mask Placement
Third attempt
0 Participants
1 Participants

SECONDARY outcome

Timeframe: Baseline

Oropharyngeal leak pressure (cm H20) in dentulous and edentulous elderly patients.

Outcome measures

Outcome measures
Measure
Group Dentulous
n=32 Participants
Laryngeal Mask Unique insertion Laryngeal Mask Unique insertion: 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 three years experience.
Group Edentulous
n=32 Participants
Laryngeal Mask Unique insertion Laryngeal Mask Unique insertion: 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 three years experience.
Oropharyngeal Leak Pressure
21.75 cm H20
Standard Deviation 4.62
20.75 cm H20
Standard Deviation 5.04

SECONDARY outcome

Timeframe: Before anesthesia induction, before laryngeal mask insertion and in the 1st, 2nd, 3rd and 5th minutes after laryngeal mask insertion

Mean blood pressure (MBP) (mmHg) were recorded in both groups.

Outcome measures

Outcome measures
Measure
Group Dentulous
n=32 Participants
Laryngeal Mask Unique insertion Laryngeal Mask Unique insertion: 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 three years experience.
Group Edentulous
n=32 Participants
Laryngeal Mask Unique insertion Laryngeal Mask Unique insertion: 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 three years experience.
Haemodynamic Response to Insertion of Airway Device.
Before anesthesia induction
94.3 mmHg
Standard Deviation 10
95.1 mmHg
Standard Deviation 12
Haemodynamic Response to Insertion of Airway Device.
before laryngeal mask insertion
80.1 mmHg
Standard Deviation 8
80.2 mmHg
Standard Deviation 9
Haemodynamic Response to Insertion of Airway Device.
1 minutes after laryngeal mask insertion
80.1 mmHg
Standard Deviation 5
79.2 mmHg
Standard Deviation 6
Haemodynamic Response to Insertion of Airway Device.
2 minutes after laryngeal mask insertion
70.2 mmHg
Standard Deviation 8
73.1 mmHg
Standard Deviation 6
Haemodynamic Response to Insertion of Airway Device.
3 minutes after laryngeal mask insertion
71.2 mmHg
Standard Deviation 7
70.3 mmHg
Standard Deviation 8
Haemodynamic Response to Insertion of Airway Device.
5 minutes after laryngeal mask insertion
70.4 mmHg
Standard Deviation 7
72.6 mmHg
Standard Deviation 8

SECONDARY outcome

Timeframe: During Laryngeal mask placement

Ease (according to Likert scale 1-4 point from easy to diffucult).

Outcome measures

Outcome measures
Measure
Group Dentulous
n=32 Participants
Laryngeal Mask Unique insertion Laryngeal Mask Unique insertion: 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 three years experience.
Group Edentulous
n=32 Participants
Laryngeal Mask Unique insertion Laryngeal Mask Unique insertion: 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 three years experience.
Ease of Placement Laryngeal Mask
1
30 Participants
25 Participants
Ease of Placement Laryngeal Mask
2
2 Participants
7 Participants

SECONDARY outcome

Timeframe: During placement of Laryngeal Mask

Duration of insertion (second) Laryngeal Mask;second

Outcome measures

Outcome measures
Measure
Group Dentulous
n=32 Participants
Laryngeal Mask Unique insertion Laryngeal Mask Unique insertion: 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 three years experience.
Group Edentulous
n=32 Participants
Laryngeal Mask Unique insertion Laryngeal Mask Unique insertion: 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 three years experience.
Insertion Time of Laryngeal Mask
14.40 seconds
Standard Deviation 4.80
13.43 seconds
Standard Deviation 4.11

Adverse Events

Group Dentulous

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

Group Edentulous

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

Semih Kucukguclu

DorkuzEU

Phone: 902324125707

Results disclosure agreements

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