A Comparison of Supraglottic Airway Devices
1 other identifier
interventional
90
1 country
1
Brief Summary
This study aimed to compare the advantages and disadvantages of LMA Supreme, LMA Classic and LMA Fastrach regarding ease of insertion, repositioning, insertion time, effects on hemodynamic parameters, provision of adequate and safe airway, and oropharyngeal and systemic complications.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_4
Started Jan 2015
Shorter than P25 for phase_4
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2015
CompletedFirst Submitted
Initial submission to the registry
January 3, 2015
CompletedFirst Posted
Study publicly available on registry
January 15, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2015
CompletedDecember 8, 2015
December 1, 2015
5 months
January 3, 2015
December 7, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Ease of insertion will be rated using a 4-point scale (4: success at the first attempt without tactile resistance; 3: success at the first attempt with tactile resistance; 2: success at the second attempt; 1: failure at the second attempt).
1 month
Secondary Outcomes (4)
Composite measure of Hemodynamic parameters , change 20% from baseline in Mean Blood Pressure and Heart Rate
baseline and 1 month
Number of Participants with oropharyngeal ( edema, haemorragie, blood in sputum) and systemic complications (anaflactic reactions)
1 month
Time to successful insertion time and effective airway [ time to observation of 3 consequtive correct End-Tidal CO2 (EtCO2 )waves after insertion ] defined as insertion time and was recorded.
1 monyh
Measure if the inserted device failed to provide adequate ventilation, the device position was changed within the oral cavity, which was then defined as repositioning
1 month
Study Arms (3)
group LMA supreme
ACTIVE COMPARATORPatients who received Laryngeal Mask Airway; LMA supreme
group LMA classic
ACTIVE COMPARATORPatients who received Laryngeal Mask Airway; LMA classic
group Fastrach
ACTIVE COMPARATORPatients who received Laryngeal Mask Airway; LMA fastrach
Interventions
Classic LMA consists of a mask with a surrounding inflatable bag compatible to the shape of the hypopharynx and a tube that has a 30° angle with a mask.
Fastrach LMA has similar features to the LMA Classic, but it is designed to provide upper airway during intubation via blind intubation or fiberoptic assistance. It has a rigid handle that allows one-handed insertion, removal or adjustment.
Supreme LMA is a novel, sterile, single use, new generation supraglottic airway device which provides more rapid and higher volume gas passage through airway and can be inserted in a rapid and safe manner.
Eligibility Criteria
You may qualify if:
- normotensive patients with mouth aperture \> 3 cm,
- thyromental distance \> 6 cm,
- sternomental distance \> 12.5 cm,
- body mass index \< 35 kg m-2 were included in the study.
You may not qualify if:
- patients with ASA III-IV,
- those with a history of gastroesophageal reflux,
- pregnancy,
- cardiovascular and central nerve system disease,
- those with difficulty in cooperation,
- those undergoing intracranial, intraabdominal and Ear-nose-throat surgeries were excluded from study.
- None of the methods changed after commencement of the study.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Istanbul Umraniye Education and Research Hospital
Istanbul, Turkey, Turkey (Türkiye)
Related Publications (2)
Timmermann A, Cremer S, Heuer J, Braun U, Graf BM, Russo SG. [Laryngeal mask LMA Supreme. Application by medical personnel inexperienced in airway management]. Anaesthesist. 2008 Oct;57(10):970-5. doi: 10.1007/s00101-008-1425-8. German.
PMID: 18712321BACKGROUNDSeet E, Rajeev S, Firoz T, Yousaf F, Wong J, Wong DT, Chung F. Safety and efficacy of laryngeal mask airway Supreme versus laryngeal mask airway ProSeal: a randomized controlled trial. Eur J Anaesthesiol. 2010 Jul;27(7):602-7. doi: 10.1097/eja.0b013e32833679e3.
PMID: 20540172BACKGROUND
Study Officials
- PRINCIPAL INVESTIGATOR
Erdal Komur, MD
Istanbul Umraniye Education and Research Hospital
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- INVESTIGATOR
- Purpose
- PREVENTION
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER GOV
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- MD
Study Record Dates
First Submitted
January 3, 2015
First Posted
January 15, 2015
Study Start
January 1, 2015
Primary Completion
June 1, 2015
Study Completion
June 1, 2015
Last Updated
December 8, 2015
Record last verified: 2015-12