Airway Management in Morbidly Obese Patients: A Comparison of Intubating Laryngeal Mask Fastrack and Air Q as a Conduit for Fiberoptic Intubation

Not Applicable

Completed

• Conditions: Intubation; Difficult or Failed
• Interventions: Device: Air-Q. ILA insertion of proper size; Device: ILMA insertion of proper size

• Registration Number: NCT04453683
• Lead Sponsor: Zagazig University

Brief Summary

To compare air Q versus ILMA intubation in obese adult paralyzed patient

Detailed Description

Evaluate the process of endo-tracheal intubation through Air Q compared to through ILMA regarding number and duration of attempts, laryngeal view grade, time to removal of device over tube without dislodgement and any complication

Study Timeline

• Study Start: 2019-06-20
• Primary Completion: 2020-06-20
• Study Completion: 2020-06-20
• Study First Submitted: 2020-06-28
• Study First Submitted QC: 2020-06-28
• Study First Posted: 2020-07-01
• Status Verified: 2023-01
• Last Update Submitted: 2023-01-02
• Last Update Posted: 2023-01-04

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 80

Inclusion Criteria

All morbidly obese patient defined as BMI >40 kg/m2 scheduled for an elective surgery requiring general anesthesia with tracheal intubation were enrolled on the day of their surgery.

ASA physical status (I-II)

Exclusion Criteria physical status of IV or V or had a history of impossible tracheal intubation or awake fibreoptic intubation or if preoperative evaluation showed limited mouth aperture <3.5 cm or showed evidence that an awake fiberoptic intubation or rapid sequence induction would be required patients at increased risk for aspiration of gastric contents, coagulopathy or those with unstable cervical spines or requiring nasal route for tracheal intubation

Exclusion Criteria

Not provided

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Group I ( Air Q)	Air-Q. ILA insertion of proper size	nsertion of proper size Air-Q. ILA
Group II (ILMA)	ILMA insertion of proper size	nsertion of proper size ILMA

Primary Outcome Measures

Name	Time	Method
success rate of tracheal intubation through each device.	Within a maximum of 5 minutes to confirm success of tracheal intubation through each supraglottic airway devices	success rate of tracheal intubation through each device is defined as end tidal carbon dioxide confirmed placement of TT within a maximum of 5 min tracheal intubation time

Secondary Outcome Measures

Name	Time	Method
Insertion time of supraglottic airway devices	It is about 13-19 second for insertion of supraglottic airway devices	Time necessary for insertion was measured from the time the face mask was taken away until the appearance of Co2 on the capnograph while supraglottic airway device in place

Trial Locations

Locations (1)

Zagazig University; 🇪🇬 Zagazig, Egypt