NCT02644837

Brief Summary

This study will look at key performance indicators of 2 supraglottic airway devices in anaesthetised adults in a crossover manner.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
2

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Oct 2016

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
terminated

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

Completed
28 days until next milestone

First Posted

Study publicly available on registry

January 1, 2016

Completed
9 months until next milestone

Study Start

First participant enrolled

October 1, 2016

Completed
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2017

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2017

Completed
Last Updated

December 26, 2017

Status Verified

December 1, 2017

Enrollment Period

7 months

First QC Date

December 4, 2015

Last Update Submit

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 COMPARATOR

In 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

Device: Insertion of Ambu AuraGain laryngeal mask airway and IgelDevice: Fibreoptic assessment with Ambu A-scopeDevice: Ability to insert nasogastric tubeDevice: Measurement of OLPDevice: Ability to perform positive pressure ventilationDevice: Assessment of ease of insertionDevice: Record number of manipulationsDevice: Assessment of device related trauma

AuraGain and i-Gel

ACTIVE COMPARATOR

In 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

Device: Insertion of Ambu AuraGain laryngeal mask airway and IgelDevice: Fibreoptic assessment with Ambu A-scopeDevice: Ability to insert nasogastric tubeDevice: Measurement of OLPDevice: Ability to perform positive pressure ventilationDevice: Assessment of ease of insertionDevice: Record number of manipulationsDevice: Assessment of device related trauma

Interventions

Insertion of Ambu AuraGain and iGel laryngeal mask airways in accordance with manufacturer instruction

AuraGain and i-Geli-Gel and AuraGain

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

AuraGain and i-Geli-Gel and AuraGain

Passage of nasogastric tube down the gastric drainage channel of the device in accordance with manufacturer guidance

AuraGain and i-Geli-Gel and AuraGain

Measurement of OLP by closing the adjustable pressure limiting valve against a constant fresh gas flow rate of 3 litres/minute

AuraGain and i-Geli-Gel and AuraGain

The ability to deliver 6 mls/kg volumes breaths by means of positive pressure ventilation will be assessed

AuraGain and i-Geli-Gel and AuraGain

Ease of insertion will be subjectively assessed by operator in relation to presence and nature of resistance to insertion of the device

AuraGain and i-Geli-Gel and AuraGain

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.

AuraGain and i-Geli-Gel and AuraGain

Observation and assessment of any trauma caused by the insertion of the first device used

AuraGain and i-Geli-Gel and AuraGain

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

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

Study Sites (1)

Ninewells Hospital

Dundee, Angus, DD1 9SY, United Kingdom

Location

Study Officials

  • Simon M Crawley, MBChB FRCA

    Consultant Anaesthetist

    PRINCIPAL INVESTIGATOR

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

Locations