First-Attempt Insertion Success of a Novel Two-Person Lateral Rotation Technique Versus the Standard Brain Technique for Laryngeal Mask Airway Placement: A Randomized Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Benha University
- Enrollment
- 70
- Locations
- 1
- Primary Endpoint
- First-attempt insertion success rate, defined as successful placement achieving effective ventilation on the first introduction of the LMA into the oral cavity
Study Overview
Brief Summary
The goal of this clinical trial is to learn if two person lateral rotation technique of LMA insertion is more successful than the standard technique in achieving effective ventilation on the first introduction of the LMA .The main questions it aims to answer are:
Does two person lateral rotation technique of LMA insertion lower the number of times needed to inesrt the LMA ?
Researchers will compare two person lateral rotation technique of LMA insertion to standard technique to see if it is more successful
Participants will be subjected to the two way of LMA insertion
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Supportive Care
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Adult patients aged 18-65 years
- •American Society of Anesthesiologists (ASA) physical status I-II
- •Scheduled for elective superficial surgical procedures under general anesthesia (e.g., limb orthopedic surgery, hernioplasty, soft tissue excision)
- •Anticipated surgical duration < 90 minutes
- •Body mass index (BMI) 18.5-30 kg/m²
Exclusion Criteria
- •- Anticipated difficult airway (Mallampati grade IV, thyromental distance < 6 cm, limited neck extension)
- •History of gastroesophageal reflux disease or increased aspiration risk
- •Full stomach or emergency surgery - Intra-abdominal, laparoscopic, head and neck, or prone-position procedures - Known allergy to anesthetic agents
- •Pregnancy
- •Previous pharyngeal or laryngeal surgery - Inability to provide informed consent
Outcomes
Primary Outcomes
First-attempt insertion success rate, defined as successful placement achieving effective ventilation on the first introduction of the LMA into the oral cavity
Time Frame: 1 minute after LMA insertion
Secondary Outcomes
- Insertion time(20-90 seconds from picking up the LMA to be inserted in the mouth)
- Number of attempts(2-3 minutes after induction of anesthesia)
- Need for manipulations(1-2 minutes after induction of anesthesia)
- Oropharyngeal leak pressure (OLP)(1-2 minutes after insertion of LMA)
- Complications:(immediate after removal of LMA ,1,2,4,24 hours. post operative)
Investigators
Taghreed Elshahat Sakr
lecturer
Benha University