Effect of Head Elevation on LMA Insertion

NCT ID: NCT04229862

Last Updated: 2020-05-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

110 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-02-14

Study Completion Date

2020-05-05

Brief Summary

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The purpose of this study is to compare the first attempt success rate of laryngeal mask airway insertion according to the degree of head elevation.

Detailed Description

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The purpose of this study is to compare the first attempt success rate of laryngeal mask airway insertion between 7 cm head elevation and 14 cm head elevation in patients who undergoing transurethral bladder tumor resection.

Conditions

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Laryngeal Masks Urinary Bladder Neoplasms

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Evaluation with 14 cm high pillow

When inserting laryngeal mask airway, head elevation is performed using a 14 cm high pillow.

Group Type EXPERIMENTAL

Laryngeal mask airway insertion

Intervention Type PROCEDURE

Laryngeal mask airway insertion in patients who undergoing transurethral bladder tumor resection

Evaluation with 7 cm high pillow

When inserting laryngeal mask airway, head elevation is performed using a 7 cm high pillow.

Group Type ACTIVE_COMPARATOR

Laryngeal mask airway insertion

Intervention Type PROCEDURE

Laryngeal mask airway insertion in patients who undergoing transurethral bladder tumor resection

Interventions

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Laryngeal mask airway insertion

Laryngeal mask airway insertion in patients who undergoing transurethral bladder tumor resection

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients who are scheduled transurethral bladder tumor resection under general anesthesia
* 20-79 years of age
* American Society of Anesthesiologists physical status ≤3
* Patients who are voluntarily agreed to this clinical study

Exclusion Criteria

* History of difficult airway
* Expected difficult airway by physical examination
* Unstable teeth or teeth loss
* Obesity (body mass index ≥ 30)
* Recent history of upper respiratory infection
* Patients who are not fasted or who are at risk of aspiration
Minimum Eligible Age

20 Years

Maximum Eligible Age

79 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Asan Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Young-Kug Kim

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Young-Kug Kim, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Asan Medical Center

Locations

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Asan Medical Center

Seoul, , South Korea

Site Status

Countries

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South Korea

References

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Mohta M. Head elevation beyond sniffing position - An aid to airway management. J Anaesthesiol Clin Pharmacol. 2018 Apr-Jun;34(2):247-248. doi: 10.4103/joacp.JOACP_173_17. No abstract available.

Reference Type BACKGROUND
PMID: 30104838 (View on PubMed)

Katsiampoura AD, Killoran PV, Corso RM, Cai C, Hagberg CA, Cattano D. Laryngeal mask placement in a teaching institution: analysis of difficult placements. F1000Res. 2015 Apr 29;4:102. doi: 10.12688/f1000research.6415.1. eCollection 2015.

Reference Type BACKGROUND
PMID: 26401265 (View on PubMed)

Horton WA, Fahy L, Charters P. Defining a standard intubating position using "angle finder". Br J Anaesth. 1989 Jan;62(1):6-12. doi: 10.1093/bja/62.1.6.

Reference Type BACKGROUND
PMID: 2917111 (View on PubMed)

Takenaka I, Aoyama K, Iwagaki T, Ishimura H, Kadoya T. The sniffing position provides greater occipito-atlanto-axial angulation than simple head extension: a radiological study. Can J Anaesth. 2007 Feb;54(2):129-33. doi: 10.1007/BF03022009.

Reference Type BACKGROUND
PMID: 17272252 (View on PubMed)

Jun JH, Baik HJ, Kim JH, Kim YJ, Chang RN. Comparison of the ease of laryngeal mask airway ProSeal insertion and the fiberoptic scoring according to the head position and the presence of a difficult airway. Korean J Anesthesiol. 2011 Apr;60(4):244-9. doi: 10.4097/kjae.2011.60.4.244. Epub 2011 Apr 26.

Reference Type BACKGROUND
PMID: 21602973 (View on PubMed)

Park JY, Yu J, Hong JH, Hwang JH, Kim YK. Head elevation and laryngeal mask airway Supreme insertion: A randomized controlled trial. Acta Anaesthesiol Scand. 2021 Mar;65(3):343-350. doi: 10.1111/aas.13742. Epub 2020 Nov 28.

Reference Type DERIVED
PMID: 33174199 (View on PubMed)

Other Identifiers

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2020-0020

Identifier Type: -

Identifier Source: org_study_id