A Study Comparing the Supraglottic Airway Devices and Endotracheal Tube During Controlled Ventilation for Laparoscopic Surgery
NCT ID: NCT02462915
Last Updated: 2015-11-16
Study Results
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Basic Information
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UNKNOWN
NA
40 participants
INTERVENTIONAL
2015-06-30
2017-12-31
Brief Summary
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The lungs were ventilated at tidal volumes (8mL/kg) using volume controlled. After that, we wanted to observe the respiratory parameters, such as leak fraction, leak volume, tidal volume, peak airway pressure and mean airway pressure.
In our hypothesis, the i-gel may be used reasonable alternative to tracheal tube during volume controlled ventilation in laparoscopic surgeries.
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Detailed Description
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Our patient receive i-gel or endotracheal tube by draw. These patients were Included by the criteria:1.ASA I-II2.Age from 20-80 years old, who were underwent elective GYN laparoscopic surgery and had ability to give inform consent.
The excluding criteria was: 1.presence of any significant lung, heart, brain disease 2. pathology of the neck or upper respiratory tract 3.Potential difficult intubation 4.an increased risk of aspiration, ex:gastroesophageal reflux, full stomach,Obese (BMI\>30), and pregnant woman, who were confirmed by patient history and medical chart.
Preoxygenation was maintained for three minutes to avoid bag and mask ventilation. Anesthesia was induced with the routine medication, such as lidocaine、 propofol, fentanyl and cisatracurium. The i-gel or endotracheal tubes were inserted. The lungs were ventilated at the tidal volume (8mL/kg) using volume controlled. After that, we wanted to observe the respiratory parameters, such as leak fraction, leak volume, tidal volume, peak airway pressure and mean airway pressure.
In our hypothesis, the i-gel may be used reasonable alternative to tracheal tube during volume controlled ventilation in laparoscopic surgeries.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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i-gel, an brand of supraglottic airway device
a supraglottic airway devices with a gastric suction channel
i-gel
a supraglottic airway devices without cuff and the material was Styrene Ethylene Butadiene Styrene.
gastric channel to the The gastric suction channel can facilitate venting and reduce the aspiration.
lidocaine, propofol, fentanyl and cisatracurium
endotracheal tube
traditional use for protect airway during the surgery
endotracheal tube
traditional and regularly use in many surgeries for maintaining the airway.
lidocaine, propofol, fentanyl and cisatracurium
Interventions
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i-gel
a supraglottic airway devices without cuff and the material was Styrene Ethylene Butadiene Styrene.
gastric channel to the The gastric suction channel can facilitate venting and reduce the aspiration.
endotracheal tube
traditional and regularly use in many surgeries for maintaining the airway.
lidocaine, propofol, fentanyl and cisatracurium
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* pathology of the neck or upper respiratory tract
* Potential difficult intubation
* an increased risk of aspiration, ex:gastroesophageal reflux, full stomach,
* Obese (BMI\>30),
* pregnant woman, who were confirmed by patient history and medical chart
20 Years
80 Years
FEMALE
No
Sponsors
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National Taiwan University Hospital
OTHER
Responsible Party
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Locations
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Department of Anesthesiology, National Taiwan University Hospital
Taipei, , Taiwan
Countries
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Central Contacts
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Facility Contacts
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References
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Uppal V, Fletcher G, Kinsella J. Comparison of the i-gel with the cuffed tracheal tube during pressure-controlled ventilation. Br J Anaesth. 2009 Feb;102(2):264-8. doi: 10.1093/bja/aen366.
Lai CJ, Liu CM, Wu CY, Tsai FF, Tseng PH, Fan SZ. I-Gel is a suitable alternative to endotracheal tubes in the laparoscopic pneumoperitoneum and trendelenburg position. BMC Anesthesiol. 2017 Jan 6;17(1):3. doi: 10.1186/s12871-016-0291-1.
Other Identifiers
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201502043RINC
Identifier Type: -
Identifier Source: org_study_id
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