Different Techniques for Insertion of the ProSeal Laryngeal Mask Airway in Patients With Difficult Airway

Sponsor
Medical University Innsbruck (Other)
Overall Status
Completed
CT.gov ID
NCT00500916
Collaborator
(none)
0
1
9
0

Study Details

Study Description

Brief Summary

The ProSeal laryngeal mask airway (PLMA) is a new laryngeal mask device with a modified cuff to improve the seal and a drain tube to prevent aspiration and gastric insufflation. The manufacturer recommends inserting the PLMA using digital manipulation, like the Classic LMA, or with an introducer tool (IT), like the Intubating LMA. The mean (range) frequency of insertion success at the first attempt for these techniques is 84% (81-100) and 95% (90-100) respectively, with the main causes of insertion difficulty being impaction at the back of the mouth and failure of the distal cuff to reach the hypopharynx. Howarth et al described an insertion technique which overcomes these difficulties by using a gum elastic bougie (GEB) placed in the esophagus to guide the PLMA around the back of the mouth and into its correct position in the hypopharynx. Howarth et al reported no failed uses from 100 consecutive insertions. In the following study, we test the hypothesis that GEB-guided insertion is more frequently successful than the digital and IT techniques in patients with difficult airway.

Condition or Disease Intervention/Treatment Phase
  • Device: ProSeal LMA
N/A

Study Design

Study Type:
Interventional
Anticipated Enrollment :
0 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Different Techniques for Insertion of the ProSeal Laryngeal Mask Airway in Patients With Difficult Airway
Study Start Date :
Mar 1, 2007
Actual Study Completion Date :
Dec 1, 2007

Outcome Measures

Primary Outcome Measures

  1. Insertion success rate [5 min]

Secondary Outcome Measures

  1. Time to successful insertion [5 min]

Eligibility Criteria

Criteria

Ages Eligible for Study:
19 Years to 70 Years
Sexes Eligible for Study:
Female
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Female patient

  • 19-70 yr

  • Body mass index <35 kg/m2

  • Difficult airway

Exclusion Criteria:
  • < 19 yr

  • Body mass index >35 kg/m2

  • Risk of aspiration

Contacts and Locations

Locations

Site City State Country Postal Code
1 Department of Anesthesia and Intensive Care Innsbruck Austria 6020

Sponsors and Collaborators

  • Medical University Innsbruck

Investigators

  • Principal Investigator: Christian Keller, MD, M.Sc., Dept of Anesthesia and Intensive Care

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
, ,
ClinicalTrials.gov Identifier:
NCT00500916
Other Study ID Numbers:
  • UN2532
First Posted:
Jul 13, 2007
Last Update Posted:
Dec 4, 2007
Last Verified:
Dec 1, 2007

Study Results

No Results Posted as of Dec 4, 2007