LMA Unique TM & the Self Pressurized Air-Q TM Intubating Laryngeal Airway in Children
Study Details
Study Description
Brief Summary
The purpose of this study is to compare the clinical efficacy of the air-Q ILA-SP with the current standard of care, the LMA Unique in anesthetized non-paralyzed pediatric patients.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
The goal for this randomized, non-crossover investigation is to compare a disposable version of the standard LMA, LMA Unique TM,with the air-Q ILA-SP in pediatric patients. Oropharyngeal leak pressure is commonly used as an indicator of airway seal adequacy. Similarly, flexible fiberoptic bronchoscope examination is often employed to assess proper placement of airway devices. We hypothesize that airway leak pressures with the ILA-SP will be superior to the LMA upon initial device placement, and ten minutes after device placement. Airway leak pressures will be measured by recording the circuit pressure at which equilibrium is reached. Ease of placement, fiberoptic grade of laryngeal view, and complications (airway related, gastric insufflation, trauma) will also be assessed.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Laryngeal Mask airway (LMA) children weighing 20 to 30 kg |
Device: Laryngeal Mask Airway
Each child will be randomized to either receiving the LMA or air-Q ILA-SP as their supraglottic airway device for primary airway maintenance.
Other Names:
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Intubating Laryngeal Airway (ILA-SP) Children weighing 20-30 kg |
Device: air-QTM Intubating Laryngeal Airway
Each child will be randomized to either receiving the LMA or air-Q ILA-SP as their supraglottic airway device for primary airway maintenance.
Other Names:
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Outcome Measures
Primary Outcome Measures
- Oropharyngeal leak pressure [2 months]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Children undergoing general anesthesia using a supraglottic airway device
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3 to 9 years of age
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20 to 30 kilograms in weight
Exclusion Criteria:
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History of a difficult airway
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Active gastrointestinal reflux
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Active upper respiratory tract infection
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Childrens Memorial Hospital | Chicago | Illinois | United States | 60618 |
Sponsors and Collaborators
- Ann & Robert H Lurie Children's Hospital of Chicago
Investigators
- Principal Investigator: Narasimhan Jagannathan, MD, Childrens Memorial Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
- Jagannathan N, Sohn LE, Mankoo R, Langen KE, Roth AG, Hall SC. Prospective evaluation of the self-pressurized air-Q intubating laryngeal airway in children. Paediatr Anaesth. 2011 Jun;21(6):673-80. doi: 10.1111/j.1460-9592.2011.03576.x.
- Shimbori H, Ono K, Miwa T, Morimura N, Noguchi M, Hiroki K. Comparison of the LMA-ProSeal and LMA-Classic in children. Br J Anaesth. 2004 Oct;93(4):528-31. Epub 2004 Aug 6.
- White MC, Cook TM, Stoddart PA. A critique of elective pediatric supraglottic airway devices. Paediatr Anaesth. 2009 Jul;19 Suppl 1:55-65. doi: 10.1111/j.1460-9592.2009.02997.x. Review.
- IRB#2011-14642