Airway Management Clinical Trial
Official title:
Identification of Laryngeal Mask Airway Failure in Pediatric Patients With Objective Criteria: a Pilot Study
There are a significant number of studies identifying risk factors for misplacement of LMAs. However, despite objective data indicating that tracheal intubation is performed inappropriately, such as air leaks, high air pressures, insufficient lung ventilation and single lung ventilation, which are easily identified after tracheal intubation, there are no objective data to define the misplacement of LMAs. The aim of the study was to describe unsuccessful LMA placement in pediatric patients with objective data.
Status | Recruiting |
Enrollment | 50 |
Est. completion date | June 15, 2024 |
Est. primary completion date | June 15, 2024 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 2 Years to 12 Years |
Eligibility | Inclusion Criteria: - During surgery, the upper airway is planned to be supported with LMA by the Anesthesiologist. - American Society of Anesthesiologists (ASA) physical status I or II Exclusion Criteria: - Surgery duration longer than 1 hour, - Airway difficulty is expected, - Restriction in opening the mouth, - Airway malformation, - Active upper respiratory tract infections, - History of narrow airway, - Hyperthyroidism, goiter, airway mass, - Patients at risk of gastroesophageal reflux and aspiration of stomach contents |
Country | Name | City | State |
---|---|---|---|
Turkey | Samsun University | Samsun | Canik |
Lead Sponsor | Collaborator |
---|---|
Samsun University |
Turkey,
Farbood A, Tayyebi G, Naderi-Boldaji V, Asmarian N. Comparison of the ease of insertion and complications of the classical method of laryngeal mask airway insertion with an alternative method. Saudi J Anaesth. 2023 Apr-Jun;17(2):182-186. doi: 10.4103/sja.sja_681_22. Epub 2023 Mar 10. — View Citation
Hernandez MR, Klock PA Jr, Ovassapian A. Evolution of the extraglottic airway: a review of its history, applications, and practical tips for success. Anesth Analg. 2012 Feb;114(2):349-68. doi: 10.1213/ANE.0b013e31823b6748. Epub 2011 Dec 16. — View Citation
Van Zundert AAJ, Gatt SP, Kumar CM, Van Zundert TCRV, Pandit JJ. 'Failed supraglottic airway': an algorithm for suboptimally placed supraglottic airway devices based on videolaryngoscopy. Br J Anaesth. 2017 May 1;118(5):645-649. doi: 10.1093/bja/aex093. No abstract available. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Evaluation of the unsuccess of placement of the laryngeal mask airway | Identification of variables associated with unsuccessful LMA placement | 15 minute | |
Secondary | The relationship between LMA placement failure and postoperative airway complications | Relationship between LMA placement failure with postoperative airway complications | 2 hour |
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