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Appropriate Laryngeal Mask Airway Size in Patients With Overweight: A Comparison of the Actual Body Weight and Ideal Body Weight

Not Applicable
Completed
Conditions
General Anesthesia
Interventions
Device: ideal body weight based size
Device: actual body weight based size
Registration Number
NCT01843270
Lead Sponsor
Yonsei University
Brief Summary

The classic laryngeal mask airway is one of the keystones of modern anaesthetic practice. It achieves a reliable airway with a low incidence of major complications and pharynges-laryngeal morbidity. The manufactures of laryngeal mask airway recommend the proper size selection by actual body weight. It was recommended a size 3 for 30-70kg, a size 4 for 70-90 kg, and size 5 for \> 90 kg. Obesity increases the fat tissue around an upper airway and decreases the pharyngeal cross sectional area. Also it was reported that pharyngeal area was reduced according to the increasing of BMI. Therefore, the aim of this study is to determine which of actual body weight or ideal body weight is proper on the size selection of laryngeal mask airway.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
100
Inclusion Criteria
  • age 20~70
  • body mass index > 25 kg/m2
  • patient who needs surgery with laryngeal mask airway
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Exclusion Criteria
  • difficult airway
  • upper airway infection or disease of airway
  • history of gastroesophageal reflux
  • history of head and neck surgery
Read More

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
ideal body weightideal body weight based sizeLMA size based on ideal body weight
actual body weightactual body weight based sizeLMA size according to actual body weight
Primary Outcome Measures
NameTimeMethod
Oropharyngeal leak pressure10mins

Oropharyngeal leak pressure is measured when the airway pressure becomes the plateau state in condition of gas flow 3 L/min and flow out valve 30 cmH2O.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Severance Hospital

🇰🇷

Seoul, Korea, Republic of

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