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The Effect of Paratracheal Pressure on the Glottic View

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Seoul National University

Status

Completed

Conditions

Cricoid Pressure
Airway Management
Sellick's Maneuver
Paratracheal Pressure

Treatments

Procedure: Paratracheal pressure
Procedure: Sellick's maneuver

Study type

Interventional

Funder types

Other

Identifiers

NCT03908411
10-2019-16

Details and patient eligibility

About

Paratracheal pressure may have a role in the prevention of pulmonary aspiration. The effects of paratracheal pressure on glottic view, ease of facemask ventilation, or tracheal intubation are not studied yet. In this study, the subjects are divided into two groups (group I: paratracheal pressure applied during induction of anesthesia, group II: conventional Sellick's maneuver applied during induction of anesthesia). Investigators will assess the glottic view during direct laryngoscopy.

Full description

Primary outcome:

-Cormack-Lehane grade

Secondary outcome:

  • POGO score before and after application of each intervention
  • Difficulties of mask ventilation after application of each intervention
  • Inspiratory pressure and tidal volume during manual mask ventilation
  • Rates of worsening of the glottic view after intervention
  • The difficulty of endotracheal intubation
  • Intubation time

Enrollment

140 patients

Sex

All

Ages

18+ years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

Adult patient undergoing elective surgery with general anesthesia

Exclusion criteria

A patient who does not agree to participate in this study A patient who has a history of cervical/esophageal operation A patient who has a risk of gastric regurgitation A patient who has atherosclerosis of the left carotid artery or history of stroke or angina in 3 months.

Trial design

Primary purpose

Prevention

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Double Blind

140 participants in 2 patient groups

Paratracheal pressure
Active Comparator group
Description:
Left Paratracheal pressure is applied by ultrasound transducer after confirmation of the location of the esophagus.
Treatment:
Procedure: Paratracheal pressure
Sellick's maneuver
Active Comparator group
Description:
Conventional Sellick's maneuver is applied.
Treatment:
Procedure: Sellick's maneuver

Trial contacts and locations

2

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Data sourced from clinicaltrials.gov

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