Study Stopped
Unsuccessful attempts to recruit participants
AuraGain and iGel Crossover Comparison
Randomised Crossover Comparison of the Ambu AuraGain and the iGel in Anaesthetised Adults
1 other identifier
interventional
2
1 country
1
Brief Summary
This study will look at key performance indicators of 2 supraglottic airway devices in anaesthetised adults in a crossover manner.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Oct 2016
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
December 4, 2015
CompletedFirst Posted
Study publicly available on registry
January 1, 2016
CompletedStudy Start
First participant enrolled
October 1, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2017
CompletedDecember 26, 2017
December 1, 2017
7 months
December 4, 2015
December 21, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
oropharyngeal leak pressure
If successful ventilation is achieved with the device, the investigator will measure OLP by closing the Adjustable Pressure Limiting valve on the anaesthetic machine; with a fresh gas flow of 3l/min. Pressure at which equilibrium is reached will be deemed the OLP. Pressure will not be allowed to exceed 40cmH20.
Up to 3 minutes of successful insertion of each device
Secondary Outcomes (7)
Ease of insertion
Up to 1 minute on each insertion attempt
Number of attempts required to insert
Up to 1 minute of completion of total insertion attempts
Evidence of Airway Trauma
Up to 1 minute after removal of first device used
Adequacy of positive pressure ventilation
Up to 1 minute after successful insertion of device and after completion of outcome 4 measurement
Fibreoptic assessment of device position
Up to 5 minutes after successful insertion and after completion of outcome 5 measurement
- +2 more secondary outcomes
Study Arms (2)
i-Gel and AuraGain
ACTIVE COMPARATORIn this arm of the crossover study, patients will undergo insertion of Ambu AuraGain laryngeal mask airway and iGel and will undergo initial management with the iGel. Primary and Secondary outcomes will be assessed. The initial device will be removed and subsequent Airway management will then be undertaken with the Ambu AuraGain and the same outcomes will be assessed. Interventions with both devices will be 1. Insertion of the laryngeal mask airway 2. Assessment of ease of insertion 3. Ability to perform positive pressure ventilation 4. Measurement of OLP 5. Fibreoptic assessment with Ambu A-scope 6. Ability to insert nasogastric tube 7. Record number of manipulations 8. An assessment of device related trauma
AuraGain and i-Gel
ACTIVE COMPARATORIn this arm of the crossover study, patients will undergo insertion of the Ambu AuraGain laryngeal mask airway and i-Gel and will undergo initial management with the Ambu AuraGain.. Primary and Secondary outcomes will be assessed. Airway management will then be undertaken with the iGel device and the same outcomes will be assessed. Interventions with both devices will be 1. Insertion of the laryngeal mask airway 2. Assessment of ease of insertion 3. Ability to perform positive pressure ventilation 4. Measurement of OLP 5. Fibreoptic assessment with Ambu A-scope 6. Ability to insert nasogastric tube 7. Record number of manipulations 8. An assessment of device related trauma
Interventions
Insertion of Ambu AuraGain and iGel laryngeal mask airways in accordance with manufacturer instruction
Passage of Ambu a-scope fibrescope down shaft of laryngeal mask airway and assessment of alignment with glottis in relation to amount of glottis that is easily visualised
Passage of nasogastric tube down the gastric drainage channel of the device in accordance with manufacturer guidance
Measurement of OLP by closing the adjustable pressure limiting valve against a constant fresh gas flow rate of 3 litres/minute
The ability to deliver 6 mls/kg volumes breaths by means of positive pressure ventilation will be assessed
Ease of insertion will be subjectively assessed by operator in relation to presence and nature of resistance to insertion of the device
The number of manipulations/adjustments will be recorded for the second device only for the remainder of the device use during surgery until the patient wakes.
Observation and assessment of any trauma caused by the insertion of the first device used
Eligibility Criteria
You may qualify if:
- patients who have read and understood patient information leaflets about the study and undergo informed consent.
- patients whose anaesthesia management is being carried out by one of the named investigators
- adult (age \>18 years) patients undergoing general anaesthesia
- American Society of Anaesthesiology Grading (ASA) 1-3
- suitability for general anaesthesia using a laryngeal mask airway device
You may not qualify if:
- the presence of significant acute or chronic lung disease
- pathology of neck or upper respiratory tract
- an identified or anticipated difficult intubation
- an increased risk of aspiration (hiatus hernia, gastro-oesophageal reflux or full stomach etc.) pregnant women
- a body mass index greater than 35kg.m-2
- patients unable to communicate fully in English.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- NHS Taysidelead
Study Sites (1)
Ninewells Hospital
Dundee, Angus, DD1 9SY, United Kingdom
Study Officials
- PRINCIPAL INVESTIGATOR
Simon M Crawley, MBChB FRCA
Consultant Anaesthetist
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER GOV
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 4, 2015
First Posted
January 1, 2016
Study Start
October 1, 2016
Primary Completion
May 1, 2017
Study Completion
August 1, 2017
Last Updated
December 26, 2017
Record last verified: 2017-12
Data Sharing
- IPD Sharing
- Will not share