Comparision of two airways(LMA) in patients undergoing appendicectomy(surgery to remove the appendix when it is infected) under general anaesthesia

Phase 2

Not yet recruiting

Conditions: Unspecified appendicitis,

Registration Number: CTRI/2022/10/046196

Lead Sponsor: S Nijalingappa Medical College and HSK Hospital

Brief Summary: The developmentof supraglottic airway devices has revolutionized airway management duringgeneral anaesthesia. Theyprovide niche between facemask and tracheal tube. Itprovides less traumatic and less invasive means of securing airway in surgical patients. High SAD (supraglottic airway device)oropharyngeal leakage pressure is required for airway protection duringlaparoscopic surgery, on obese patients and in patients with restrictive lungdisease. If airway sealing is inadequate, theuse of SADs is a potential risk, such as cause gastric insufflations, exposingthe patient to the risk of pulmonary aspiration of gastric content. In this study we will be comparing theoropharyngeal leak pressure of two second generation laryngeal mask airways, BlockbusterLMA(laryngeal mask airway) and Proseal LMA inpatients undergoing laparoscopic appendicectomy under general anaesthesia. A total of 80 patientsof American society of Anaesthesiologists(ASA)physical status I-III of age group 18-60years will be randomly allocated into 2 groups ( group ABlockbuster LMA and group B Proseal LMA) of 40 each.Oropharyngeal leak pressure (OLP),ease of insertion, insertion attempts,insertion time, ease of orogastric tube(OGT) insertion ,fibreopticvisualization of glottis and complications will be assessed.

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 80

Inclusion Criteria

1.ASA physical status I-III 2.Airway assessment by Malampatti grade I-III 3.Patients undergoing elective laparoscopic appendicectomy under general anaesthesia.

Exclusion Criteria

1.Patient refusal to give consent 2.Anticipated difficult airway(mouth opening<2cm) 3.Upper respiratory tract infection 4.BMI â‰¥35kg/mÂ² 5.History of radiotherapy of neck 6.Pregnancy 7.Oropharyngeal pathology 8.Previous airway surgeries.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To compare oropharyngeal leak pressure of Blockbuster laryngeal mask airway and Proseal laryngeal mask airway in patients undergoing laparoscopic appendicectomy under general anaesthesia	10 minutes

Secondary Outcome Measures

Name	Time	Method
To compare both the devices for ease of insertion, time of insertion,number of insertion attempts, ease of orogastric tube placement, fibreoptic visualisation of glottis and perioperative pharyngolaryngeal complications if any	2 hours

Trial Locations

Locations (1): 1st floor,major OT Complex
🇮🇳
Bagalkot, KARNATAKA, India
1st floor,major OT Complex
🇮🇳Bagalkot, KARNATAKA, India
Dr Anilkumar Ganeshnavar
Principal investigator
9964526598
anilganesh22@gmail.com