Flexible Reinforced Laryngeal Mask Airway Versus Endotracheal Tube for Childhood Adenotonsillectomy

NCT ID: NCT06356298

Last Updated: 2024-04-24

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

PHASE2

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-08-01

Study Completion Date

2023-12-31

Brief Summary

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The goal of this clinical trial is to compare the airway management effects of flexible reinforced laryngeal mask and endotracheal tube in childhood adenotonsillectomy.

Participants will be randomly allocated to two groups: endotracheal tube group (ETT) and flexible reinforced laryngeal mask group (FLMA). For those in ETT group: they will be intubated after induction of anesthesia .For those in FLMA group: they will be put in flexible reinforced laryngeal mask after induction of anesthesia .

The investigators will compare FLMA with ETT to see if flexible reinforced laryngeal mask can be used safely and effectively in childhood adenotonsillectomy,and if there will be less severe adverse events in FLMA.

Detailed Description

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Conditions

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Anesthesia Intubation Complication Airway Adenotonsillectomy Children

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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FLMA group

In the FLMA group, a FLMA was applied.

Group Type EXPERIMENTAL

Airway Management: Flexible Reinforced Laryngeal Mask Airway

Intervention Type OTHER

In the FLMA group, a FLMA was applied according to the manufacturer's recommendations. After lubrication of the posterior surface with oxybuprocaine hydrochloride gel, the FLMA was inserted after propping the shoulders. Its cuff was fully deflated before insertion, and the pressure was adjusted to 40 cm H2O with a manometer after insertion.

ETT group

In the ETT group, guided by a visual laryngoscope, a ETT was intubated.

Group Type EXPERIMENTAL

Airway Management: Endotracheal Tube

Intervention Type OTHER

In the ETT group, guided by a visual laryngoscope, a ETT was intubated after lubrication of the surface with oxybuprocaine hydrochloride gel: endotracheal tube size = (16+ age) /4. The cuff pressure of ETT was adjusted to 20 cm H2O with a handheld manometer after inflation.

Interventions

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Airway Management: Flexible Reinforced Laryngeal Mask Airway

In the FLMA group, a FLMA was applied according to the manufacturer's recommendations. After lubrication of the posterior surface with oxybuprocaine hydrochloride gel, the FLMA was inserted after propping the shoulders. Its cuff was fully deflated before insertion, and the pressure was adjusted to 40 cm H2O with a manometer after insertion.

Intervention Type OTHER

Airway Management: Endotracheal Tube

In the ETT group, guided by a visual laryngoscope, a ETT was intubated after lubrication of the surface with oxybuprocaine hydrochloride gel: endotracheal tube size = (16+ age) /4. The cuff pressure of ETT was adjusted to 20 cm H2O with a handheld manometer after inflation.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* patients who choose to have adenotonsillectomy surgery
* the American Society of Anesthesiologists (ASA) physical status ranked I-II
* the oropharyngeal anatomy is normal
* competent to provide informed consent

Exclusion Criteria

* upper respiratory tract infection one week before surgery
* oropharyngeal anatomy is abnormal
* high risk of reflux aspiration
* liver or kidney failure
* psychiatric disorders
Minimum Eligible Age

2 Years

Maximum Eligible Age

10 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Maternal and Child Health Hospital of Hubei Province

OTHER

Sponsor Role lead

Responsible Party

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Li Na

Deputy Chief Physician

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Na Li, MD

Role: PRINCIPAL_INVESTIGATOR

Maternal and Child Health Hospital of Hubei Province

Locations

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Maternal and Child Health Hospital of Hubei Province

Wuhan, Hubei, China

Site Status

Countries

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China

Other Identifiers

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MCHH_004

Identifier Type: -

Identifier Source: org_study_id

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