Glottic View Using Supraglottic Devices in Pediatric Patients
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- Acceptable View of the Glottic Aperature (Grade I-II)
Study Overview
Brief Summary
Endotracheal intubation is the gold standard for securing the airway. However, while managing patients with difficult airways, various supraglottic devices have been used as rescue airway devices. The aim of this study is to compare the fiberoptic view through the internal aspect of the i-gel versus the Air-Q LMA in pediatric patients. By examining the fiberoptic view through these two devices, the investigators will determine which device provides a clearer passage to the glottic opening and is therefore the preferred conduit to aid endotracheal intubation in difficult airways.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Diagnostic
- Masking
- None
Eligibility Criteria
- Ages
- — to 18 Years (Child, Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients less than 18 years of age who will be receiving an LMA as part of standard of care for their procedure.
Exclusion Criteria
- Not provided
Arms & Interventions
Air-Q
The Air-Q is composed of an airway tube that connects to an elliptical mask with a cuff which is inserted through the patient's mouth, down the windpipe, and once deployed forms an airtight seal on top the glottis (unlike tracheal tubes which pass through the glottis) allowing a secure airway to be managed by a health care provider.
Intervention: Air-Q (Device)
i-gel
The i-gel is designed to create a non-inflatable anatomical seal of the pharyngeal, laryngeal and perilaryngeal structures whilst avoiding the compression trauma that can occur with inflatable supraglottic airway devices.
Intervention: i-gel (Device)
Outcomes
Primary Outcomes
Acceptable View of the Glottic Aperature (Grade I-II)
Time Frame: 15 seconds after insertion of Air-Q or i-gel
Grade I view - Glottic aperture seen completely without any obstruction, Grade II view - Glottic aperture seen only partially but visual obstruction is less than 50%.
Secondary Outcomes
- Airway Insertion Time(Immediately after anesthesia induction)
- Time to Achieve Best Fiberoptic View(15 seconds after insertion of Air-Q or i-gel)
Investigators
Senthil G. Krishna
Assistant Clinical Professor
Nationwide Children's Hospital