Viewing Study NCT01704118


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Study NCT ID: NCT01704118
Status: COMPLETED
Last Update Posted: 2012-10-11
First Post: 2012-10-04
Is NOT Gene Therapy: True
Has Adverse Events: False

Brief Title: Comparison of Size 1 I-gel and ProSeal Laryngeal Mask
Sponsor:
Organization:

Raw JSON

{'hasResults': False, 'derivedSection': {'miscInfoModule': {'versionHolder': '2025-12-24'}}, 'protocolSection': {'designModule': {'phases': ['NA'], 'studyType': 'INTERVENTIONAL', 'designInfo': {'allocation': 'RANDOMIZED', 'maskingInfo': {'masking': 'SINGLE', 'whoMasked': ['OUTCOMES_ASSESSOR']}, 'interventionModel': 'PARALLEL'}, 'enrollmentInfo': {'type': 'ACTUAL', 'count': 50}}, 'statusModule': {'overallStatus': 'COMPLETED', 'startDateStruct': {'date': '2012-01'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2012-10', 'completionDateStruct': {'date': '2012-10', 'type': 'ACTUAL'}, 'lastUpdateSubmitDate': '2012-10-09', 'studyFirstSubmitDate': '2012-10-04', 'studyFirstSubmitQcDate': '2012-10-09', 'lastUpdatePostDateStruct': {'date': '2012-10-11', 'type': 'ESTIMATED'}, 'studyFirstPostDateStruct': {'date': '2012-10-11', 'type': 'ESTIMATED'}, 'primaryCompletionDateStruct': {'date': '2012-09', 'type': 'ACTUAL'}}, 'outcomesModule': {'primaryOutcomes': [{'measure': 'Airway leak pressure', 'timeFrame': '1 year (After anesthesia induction)', 'description': "Fresh gas flow will adjust to 3 L.min-1, and after closing the expiratory valve the airway pressure at which an audible leak in the mouth occurred will be recorded as the 'Pleak'."}], 'secondaryOutcomes': [{'measure': 'Insertion time and conditions', 'timeFrame': '1year (During maintainance of anesthesia)', 'description': 'The time between picking up the device and the appearance of the first stable capnographic trace will be recorded as the insertion time. The conditions for insertion were scored according to mouth (1: full, 2: partial, 3: nil), gagging or coughing (1: nil, 2: slight, 3: gross), swallowing (1: nil, 2: slight, 3: gross), head or limb movement (1: nil, 2: slight, 3: gross), laryngospasm (1: nil, 2: slight, 3: complete) and ease of insertion (1: easy, 2: difficult, 3: impossible).'}, {'measure': 'Initial airway quality', 'timeFrame': 'During maintainance of anesthesia', 'description': 'Initial airway quality will be evaluated with manual ventilation by adjusting APL valve to 20 cm H2O. Evaluation will be performed with a scale as excellent (no leaks heard), good/acceptable (a slight, clinically insignificant leak, sufficient ventilation) and poor/unacceptable (significant leak and insufficient ventilation which requires reposition or relocation of device) by listening to lungs, epigastrium and perilaryngeal field and observing the expansion of thorax.'}, {'measure': 'Evaluation of fiberoptic view', 'timeFrame': '1 year (During maintainance of anesthesia)', 'description': 'The breathing system will be disconnected and fiberoptic bronchoscope will be inserted through the ventilation tube to evaluate glottic view. Fiberoptic images will be recorded by using a digital camera. The images will be graded according to the score of 1 to 5.'}, {'measure': 'Complications', 'timeFrame': '1year(During maintainance of anesthesia)', 'description': 'Complications encountered during and at the end of the operation such as desaturation, gastric insufflation, aspiration, laryngospasm, bronchospasm and blood stain on the airway device during removal will be recorded.'}]}, 'oversightModule': {'oversightHasDmc': True}, 'conditionsModule': {'keywords': ['I-gel', 'ProSeal laryngeal mask', 'small infants', 'neonates'], 'conditions': ['Laryngeal Masks']}, 'referencesModule': {'references': [{'pmid': '25793219', 'type': 'DERIVED', 'citation': 'Kayhan GE, Begec Z, Sanli M, Gedik E, Durmus M. Performance of size 1 I-gel compared with size 1 ProSeal laryngeal mask in anesthetized infants and neonates. ScientificWorldJournal. 2015;2015:426186. doi: 10.1155/2015/426186. Epub 2015 Feb 22.'}]}, 'descriptionModule': {'briefSummary': 'Objective of this prospective, randomized and controlled study is to compare the performances of recently-released size 1 I-gel and size 1 PLMA proven to be superior to classical LMA with prospective studies. In this study, primer endpoint was value of airway leak pressure and secondary insertion time, insertion success and conditions, initial airway quality, hemodynamic parameters, fiberoptic view and complications will be assessed.', 'detailedDescription': "Routine monitorization will be performed. Lidocaine 1 mg.kg-1, remifentanil 1 mcg.kg-1 (slow bolus in approximately 1 minute) and 3 mg.kg-1 propofol will be administered in anaesthesia induction.\n\nIn Group P, PLMA with fully deflated cuff and applied water-based lubricant, will be inserted using a metal introducer. After insertion, cuff will be inflated with a recommended volume of air and then cuff pressure will be adjusted to 60 cm H2O with manometer.\n\nIn Group I, I-gel with its cuff lubricated will be orally inserted along the hard palate until resistance will be felt, as recommended by the manufacturer.\n\nThe time between picking up the prepared PLMA (with introducer and deflated cuff) or I-gel and the appearance of the first stable capnographic trace will be recorded as the insertion time. The conditions for insertion will be ere scored according to mouth (1: full, 2: partial, 3: nil), gagging or coughing (1: nil, 2: slight, 3: gross), swallowing (1: nil, 2: slight, 3: gross), head or limb movement (1: nil, 2: slight, 3: gross), laryngospasm (1: nil, 2: slight, 3: complete) and ease of insertion (1: easy, 2: difficult, 3: impossible).\n\nFresh gas flow will be adjusted to 3 L.min-1, and after closing the expiratory valve the airway pressure at which an audible leak in the mouth occurred will recorded as the 'Pleak'. When Pleak reach 35 cm H2O, expiratory valve will be opened.\n\nAnatomical position of airway device will viewed by inserting fiberoptic bronchoscope through the ventilation tube.\n\nComplications encountered during and at the end of the operation such as desaturation (sPO2 less than 90%), gastric insufflation, aspiration, laryngospasm, bronchospasm and blood stain on the airway device during removal will be recorded."}, 'eligibilityModule': {'sex': 'ALL', 'stdAges': ['CHILD'], 'maximumAge': '6 Months', 'healthyVolunteers': False, 'eligibilityCriteria': 'Inclusion Criteria:\n\nInfants and neonates, that to be used supraglottic airway and that plan to be taken elective surgery\n\nExclusion Criteria:\n\nInfants having a history of pulmonary disease and expect to have aspiration (gastroesophageal reflux, gastrointestinal stenosis or stricture) and a difficult airway'}, 'identificationModule': {'nctId': 'NCT01704118', 'briefTitle': 'Comparison of Size 1 I-gel and ProSeal Laryngeal Mask', 'organization': {'class': 'OTHER', 'fullName': 'Inonu University'}, 'officialTitle': 'Is Size 1 I-gel More Effective Than Size 1 ProSeal Laryngeal Mask for Anesthetized Infants and Neonates?', 'orgStudyIdInfo': {'id': 'Inonu University'}}, 'armsInterventionsModule': {'armGroups': [{'type': 'EXPERIMENTAL', 'label': 'I-gel', 'description': 'I-gel (Intersurgical Ltd, Wokingham, Berkshire, UK) is a disposable supraglottic airway device with a non-inflatable cuff in which part of that is fixed on glottis is made of thermoplastic elastomer, unlike other laryngeal masks', 'interventionNames': ['Device: I-gel']}, {'type': 'ACTIVE_COMPARATOR', 'label': 'ProSeal Laryngeal mask', 'description': 'ProSeal laryngeal mask (PLMA) (LMA North America, Inc., San Diego, USA) is a modified type of LMA (larger and deeper bowl and enlarged and softer cuff) with gastric drainage tube.', 'interventionNames': ['Device: ProSeal Laryngeal mask']}], 'interventions': [{'name': 'I-gel', 'type': 'DEVICE', 'description': 'Supraglottic airway device', 'armGroupLabels': ['I-gel']}, {'name': 'ProSeal Laryngeal mask', 'type': 'DEVICE', 'otherNames': ['PLMA'], 'description': 'Supraglottic airway device', 'armGroupLabels': ['ProSeal Laryngeal mask']}]}, 'contactsLocationsModule': {'locations': [{'zip': '44315', 'city': 'Malatya', 'country': 'Turkey (Türkiye)', 'facility': 'Inonu University Turgut Ozal Medical Center', 'geoPoint': {'lat': 38.35018, 'lon': 38.31667}}], 'overallOfficials': [{'name': 'Gulay Erdogan Kayhan', 'role': 'STUDY_DIRECTOR', 'affiliation': 'Assistant Professor, MD'}]}, 'sponsorCollaboratorsModule': {'leadSponsor': {'name': 'Inonu University', 'class': 'OTHER'}, 'responsibleParty': {'type': 'PRINCIPAL_INVESTIGATOR', 'investigatorTitle': 'Assistant Prof,MD', 'investigatorFullName': 'Gulay ERDOGAN KAYHAN', 'investigatorAffiliation': 'Inonu University'}}}}