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Fiberoptic Evaluation of the LMA(Laryngel Mask Airway) Position During Anesthesia With Spontaneous Respiration or Controlled Ventilation in Children

Completed
Conditions
Pediatric Urologic Surgery
Registration Number
NCT02220075
Lead Sponsor
Yonsei University
Brief Summary

LMA(Laryngel Mask Airway) is useful for pediatrics surgery, and there are various methods of LMA insertion. When the investigators evaluate the LMA position, the investigators can use fiberoptic bronchoscope (Grade 1 to 4). For pediatric patients, clinical signs(airway pressure\<20cmH2O, expiratory CO2 level)are seen normal but the grade is 3 or 4. And this will bring high risk of aspiration. Recent studies reported the LMA position after general anesthesia induction not after operation. Therefore, the investigators will observe the LMA position three times; after general anesthesia induction, after caudal block, and after operation as well as the difference regarding to spontaneous and controlled ventilation.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
100
Inclusion Criteria
  1. ASA physical status 1 or 2,
  2. pediatric patients from 1month to 7 years old
  3. under general anesthesia using LMA
  4. getting informed consent from the guardian
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Exclusion Criteria
  1. difficult airway
  2. airway diseases ; URI, asthma, pneumonia
  3. not getting informed consent from the guardian
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Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
sucess rate of LMA insertion1 hour
Secondary Outcome Measures
NameTimeMethod
FOB(fiberoptic bronchoscope) grading of LMA position1 hour

Grade 1: only the larynx visible, Grade 2: larynz and epiglottis visible, Grade 3: epiglottis was impinging on the LMA grille, Grade 4: epiglottis was downfolded and the larynx could not be seen)

Trial Locations

Locations (1)

Severance Hospital

🇰🇷

Seoul, Korea, Republic of

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