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Laryngeal Mask, Video Laryngoscopy

K

Kocaeli Derince Education and Research Hospital

Status

Completed

Conditions

Difficult Intubation

Treatments

Other: laryngeal mask insertion
Device: larengeal mask insertion with video laryngoscopy

Study type

Observational

Funder types

Other

Identifiers

NCT04311775
2019/514/150/21

Details and patient eligibility

About

LMA insertion provide an intact airway for many surgeries during general anesthesia . LMA insertion technique was defined when it was first produced by Archie Brain . Accordingly, it is recommended to advance the device to the level where resistance is felt blindly. However, placing LMA may not always be smooth and uncomplicated. Thus, gas leaks may occur and intragastric pressure increase may occur due to gastric insufflation. To overcome these difficulties, the placement of the LMA under direct vision using a laryngoscope has been described in several studies . Previous studies have shown that the reliability of the laryngeal mask can be demonstrated by the oropharyngeal cuff leak test . In addition, the classification of the image of the laryngeal structures mediated by fiberoptic imaging and vocal cords from the LMA gives us information about the availability of effective positive pressure ventilation.

Full description

LMA insertion provide an intact airway for many surgeries during general anesthesia . LMA insertion technique was defined when it was first produced by Archie Brain . Accordingly, it is recommended to advance the device to the level where resistance is felt blindly. However, placing LMA may not always be smooth and uncomplicated. Thus, gas leaks may occur and intragastric pressure increase may occur due to gastric insufflation. To overcome these difficulties, the placement of the LMA under direct vision using a laryngoscope has been described in several studies . Previous studies have shown that the reliability of the laryngeal mask can be demonstrated by the oropharyngeal cuff leak test . In addition, the classification of the image of the laryngeal structures mediated by fiberoptic imaging and vocal cords from the LMA gives us information about the availability of effective positive pressure ventilation.In cases where difficulties are found in laryngeal mask placement, using direct laryngoscope or videosingoscope, placement is frequently applied in anesthesia practice. Kim GW et al investigated LMA placement with direct laryngoscope. However, there is no study investigating the effectiveness of videongoscopes. Videoingoscopes have wide viewing angles through their cameras located at the blade tips. For this reason, we think that it will be advantageous in placing a laryngeal mask.

Enrollment

100 patients

Sex

All

Ages

18 to 65 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

  • Patients between 18-65 years old
  • ASA1,2,3 group patients
  • Patients undergoing general anesthesia Patients scheduled for elective surgery

Exclusion criteria

  • The patient's refusal to participate in the study
  • Contraindication for placement of the laryngeal mask

Trial design

100 participants in 2 patient groups

video laryngoscopy
Description:
video laryngoscope is a camera laryngoscope system used to see the larynx with camera
Treatment:
Device: larengeal mask insertion with video laryngoscopy
laryngoscopy
Description:
laryngoscopy is a method used to see the larynx.
Treatment:
Other: laryngeal mask insertion

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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