Determining size of supralaryngeal device I gel by body weight method or measurement of thenar eminence dimension in paediatric patients

Not yet recruiting

Conditions: Unilateral inguinal hernia, without obstruction or gangrene,

Registration Number: CTRI/2020/11/029110

Lead Sponsor: Government of Gujarat

Brief Summary: I gel is most widely used second generation supraglottic device. In pediatric day care surgery, I gel can be used safely and effectively in anesthetized children. Four sizes (1, 1.5, 2 and 2.5) of pediatric I gel is available. The manufacturer recommends the size of I gel to be used in children should be based on actual body weight but this method has several limitations. One important limitation is size of oropharyngeal cavity which is related to height and age rather than weight of child. All these factors may lead to inappropriate size selection, which may result in larger sized I gel causing trauma/injury to the airway and smaller size causing obstruction or insufficient ventilation.To overcome these concerns, some alternatives have been tried by few researchers. One of them is association between thenar eminence and I gel dimension in paediatric patients. Considering this we therefore would like to know whether the thenar eminence dimension based method can be used for I gel size selection in pediatric surgical patients.

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 100

Inclusion Criteria

Weight 5 to 25 kg Elective surgeries Surgeries last less than 2hours ASA classification I, II, III.

Exclusion Criteria

Any morphological changes of hand Patient had previous hand surgeries ASA classification IV, V Patient and parent refusal Children with anticipated difficult airway Patient needed rapid sequence induction History of upper respiratory tract infection in past 2 weeks.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Proper Placement of device and Adequacy of Ventilation	Time for the initiation of insertion of i gel and the adequacy of ventilation achieved

Secondary Outcome Measures

Name	Time	Method
Number of attempts, Leak fraction LF, Total insertion time and Incidence of complications	starting of I gel insertion to 20 minutes after adequate ventilation with I gel

Trial Locations

Locations (1): Pediatric operation theater
🇮🇳
Ahmadabad, GUJARAT, India
Pediatric operation theater
🇮🇳Ahmadabad, GUJARAT, India
Sivashankari b
Principal investigator
8667479075
shankarisiva24@gmail.com