Laryngeal Mask Airway Versus Air Q Laryngeal Airway

Not Applicable

Completed

• Conditions: Airway Devices
• Interventions: Device: AirQ group; Device: LMA group

• Registration Number: NCT04021407
• Lead Sponsor: Menoufia University

Brief Summary

Nowadays, supraglottic airway devices are simple and effective alternatives to endotracheal intubation. Both laryngeal mask airway LMA and air-Q airway are supraglottic airway devices that can be used to maintain and protect airways from aspiration of secretions and blood during DCR surgery. The present study was designed to compare standard LMA versus air Q as regards the sealing effect and aspiration of blood in DCR surgery.

Detailed Description

72 patients were divided into two groups, 36 patients each, named LMA group, and air Q group according to supraglottic devices used. The following parameters were recorded in both studied groups, continuous Electrocardiography (ECG), heart rate (HR), means arterial pressure (MAP), arterial oxygen saturation (SpO2), end tidal carbon di-oxide (PCO2)..Oro pharyngeal leak pressure in (cmH2O), exhaled tidal volume in (ml), leak volume in (ml), leak fraction in (%) number of shifting from LMA to air Q or ETT and shifting from air Q to LMA or ETT was recorded with absence or presence of surgical blood on The undersurface of the device used.

Study Timeline

• Study Start: 2018-04-01
• Primary Completion: 2019-06-01
• Study Completion: 2019-06-01
• Status Verified: 2019-07
• Study First Submitted: 2019-07-10
• Study First Submitted QC: 2019-07-12
• Last Update Submitted: 2019-07-12
• Study First Posted: 2019-07-16
• Last Update Posted: 2019-07-16

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 72

Inclusion Criteria

• Both sex
• Age: 18-60 years
• ASA I-II
• Patients scheduled for dacryocystorhinostomy surgery

Exclusion Criteria

• Any pathology of the neck, upper respiratory tract, upper alimentary tract
• Patients with a history of gastric regurgitation, heartburn
• Morbid obese,
• Patients with esophageal reflux (hiatus hernia)
• Anticipating difficult airway management
• Patients with coagulation disorders

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
AirQ	AirQ group	36 patients each were ventilated with air Q airway during dacryocystorhinostomy surgery
LMA	LMA group	36 patients were ventilated with LMA during dacryocystorhinostomy surgery

Primary Outcome Measures

Name	Time	Method
Oro pharyngeal leak pressure in (cmH2O)	Just after insertion of supraglottic airway devices	By setting the pop-off valve to limit peak airway pressure to 40 cm H2O and allowing airway pressure to increase at a fresh gas flow of 3 L/min until audible noise was heard over the mouth and no further increase in airway pressure is observed.

Secondary Outcome Measures

Name	Time	Method
Leak fraction in (%)	Just after insertion of supraglottic airway devices	Leak fraction in (%)( Leak was calculated by subtracting the expiratory volume from the inspiratory volume and expressed as a fraction of the inspiratory volume). were evaluated just before surgery

Trial Locations

Locations (1)

Ashraf Eskandr; 🇪🇬 Shibīn Al Kawm, Menoufiya, Egypt