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Airway MorbidityNCT04109898

Comparison of Ease of I-gel Insertion With Two Different Techniques in Adults

A study testing Supraglottic airway device (I-gel) insertion in people with Airway Morbidity, run by Aga Khan University at 1 site in Pakistan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Study will evaluate the I-gel airway device standard insertion technique versus interventional (modified jaw thurst) insertion technique in adult patients. The half of the patients will receive standard and other half will receive the modified jaw thrust insertion technique Read more about this study

Who is it for?
Ages 16 to 60 yearsHealthy volunteers can take part
Conditions the study is for
Airway Morbidity
What is being tested?
Supraglottic airway device (I-gel) insertion
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
114 participants
Where
1 sitePakistan
Study dates
7 Sep 2019to 19 Mar 2020
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 16 to 60 years
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult

Who may be able to join

  • ASA I and II patients.
  • Age 16 years to 60 years.
  • Patient scheduled for elective surgical procedure.

Who cannot join

  • Gastroesophageal reflux disorders
  • Obesity BMI more than 30.
  • Pregnancy
  • Reactive airway disease/asthma
  • Patients with mallampati score III \& IV
  • Anticipated difficult airway
  • Emergent surgery.
  • Known allergic to isoflurane and propofol.

Trial locations and contacts

1 site in 1 country.

Pakistan1 site
  • Aga Khan University

    Karachi, Sindh, 74800

Other trials in Pakistan

About this study

Study will evaluate the I-gel airway device standard insertion technique versus interventional (modified jaw thurst) insertion technique in adult patients. The half of the patients will receive standard and other half will receive the modified jaw thrust insertion technique

Read the detailed description

The I-gel is used to provide the oxygenation and ventilation in anaesthetised patients. The inventor suggested insertion technique is called standard technique.

Standard I-gel insertion technique: I-gel insertion will be performed by firmly grasping the lubricated I-gel along the integral bite block site. I-gel cuff outlet will face towards the patient's chin and before insertion chin will be gently pressed down. The I-gel soft tip will be introduced into patient's mouth in a direction towards the hard palate. Then I-gel will be slide downwards and backwards along the hard palate with a continuous but gentle push until a definitive resistance is felt.

Modified jaw thrust technique: I-gel insertion will be performed by firmly grasping the lubricated I-gel along the integral bite block. I-gel cuff outlet will face towards the patient's chin and before insertion chin will be gently pressed down. The I-gel soft tip will be introduced into patient's mouth in a direction towards the hard palate and it slides gently into the oropharynx. I-gel will be left in oral cavity and both hands will be used to thrust the jaw by lifting the angle of mandible with little fingers and other fingers to stabilize the jaw then both thumbs will used to apply the balance force towards the final I-gel placement position by looking at the integral bite block mark at incisor teeth level.

Being tested
Supraglottic airway device (I-gel) insertion
Keywords
airway management, I-gel, anaesthesia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Supraglottic airway device (I-gel) insertionDevice

    Modified I-gel insertion technique believed to be easier and non traumatic in anaesthetised patients.

Study groups in NCT04109898
Study groupRoleWhat they receive
standard I-gel insertion techniqueNo interventionInvestigator will apply the recommended (standard) I-gel insertion technique in patients
Modified I-gel insertion techniqueExperimentalInvestigator will apply the modified (interventional) I-gel insertion technique in patients
Receives: Device: Supraglottic airway device (I-gel) insertion

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. adverse airway events

    All study patients will be monitored for I-gel insertion resistance, insertion time duration, insertion attempts.

    Measured: 5 minutes

Secondary outcomes (1)
  1. adverse airway events

    All study patients will be monitored forI-gel insertion complications such as an laryngospasm, hypoxemia (Sp02<92%) and trauma to surrounding airway structures will be observe as blood stained I-gel at removal.

    Measured: 60 minutes

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Oct 2019
  2. Study start7 Sep 2019
  3. Primary completion15 Mar 2020
  4. Study completion19 Mar 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
114 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04109898
Sponsor's protocol ID
2019-1878-4900.
Status last verified
Feb 2021
First submitted
27 Sep 2019
Last updated
16 Feb 2021
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Supraglottic airway device (I-gel) insertion in people with Airway Morbidity, run by Aga Khan University at 1 site in Pakistan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 16 Feb 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

adverse airway events (time frame: 5 minutes). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Feb 2021.

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