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Comparation of Proseal Laryngeal Mask Airway With Flexible Laryngeal Airway Mask

Not Applicable
Conditions
Anesthesia Intubation Complication
Interventions
Device: proseal laryngeal mask airway
Device: flexible laryngeal airway mask
Registration Number
NCT04268043
Lead Sponsor
Eye & ENT Hospital of Fudan University
Brief Summary

Objective To investigate the comparative effect of proseal laryngeal mask airway and flexible laryngeal airway mask during otitis media surgery. Methods 200 patients of ASA I or II classification, 18-65 years old, BMI\<30 kg/m2 undergoing otitis media surgery are randomly divided into two groups (Group P with proseal laryngeal mask airway and Group F with flexible laryngeal airway mask, respectively). After induction, selecting a appropriate size of LMA to patient,s weight, using the standard index finger-guided technique inserting the LMA, and then the patients were ventilated mechanically. The success rate of inserting laryngeal mask, the intubation time, surgery time and wake time were also recorded. Tidal volume and leakage pressure in patients with supine and lateral positioning were assessed respectively. The scale of fiberoptic bronchoscopy was also recorded to show airway exposure. Related complications such as sore throat, hoarseness, cough, laryngospasm, bloating, nausea and vomiting, soft tissue injury, blood residue after pulling out the LMA were analyzed.Postoperative voice and laryngopharyngeal symptom are also recorded.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
200
Inclusion Criteria

Clinical diagnosis of otitis media.

Exclusion Criteria

Problems with the upper airway. Gastric carcinoma. Reflux esophagitis.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
proseal laryngeal mask airwayproseal laryngeal mask airway-
flexible laryngeal airwayflexible laryngeal airway mask-
Primary Outcome Measures
NameTimeMethod
successful insert rate0 minute after insertion

success rate of inserting laryngeal mask

tidal volume5 minute afer successful insertion

tidal volume at 15cmH2O in patients with supine and lateral positioning

Number of Participants with cranial nerve injury1hours after the surgery

Number of Participants with cranial nerve injury

leakage pressure5 minute afer successful insertion

leakage pressure in patients with supine and lateral positioning

The scale of fiberoptic bronchoscopy0 minute afer successful insertion

1 = only vocal cords visible; 2 = vocal cords plus posterior epiglottis visible; 3 = vocal cords plus anterior epiglottis visible; and 4 = vocal cords invisible

Secondary Outcome Measures
NameTimeMethod
Number of Participants with hoarseness1hours after the surgery

Number of Participants with hoarseness

Number of Participants with laryngospasm1hours after the surgery

Number of Participants with laryngospasm

Number of Participants with sore throat1hours after the surgery

Number of Participants with sore throat

Number of Participants with cough1hours after the surgery

Number of Participants with cough

Number of Participants with soft tissue injury1hours after the surgery

Number of Participants with soft tissue injury

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