Tokyo, Feb. 1 -- UMIN Clinical Trials Registry (UMIN-CTR) received information related to the study (UMIN000059553) titled 'Comparison of the Effectiveness of Mandibular Elevation Technique and Conventional Method in i-gel Insertion: A Randomized Controlled Trial' on Feb. 1.
Study Type:
Interventional
Study Design:
Basic Design - Parallel
Randomization - Randomized
Blinding - Double blind -all involved are blinded
Control - Active
Primary Sponsor:
Institute - Seirei Mikatahara General Hospital
Condition:
Condition - Patients Under General Anesthesia
Classification by malignancy - Others
Genomic information - NO
Objective:
Narrative objectives1 - The significance of this study is to reduce ventilation failure and the need for intubation due to insertion failure, thereby improving the safety of anesthesia management. From an educational perspective, establishing a reproducible technique for beginners is important. Verifying the usefulness of the mandibular elevation method as an alternative to the standard method may contribute to future anesthesia education and clinical guideline revisions.
Basic objectives2 - Safety,Efficacy
Intervention:
Interventions/Control_1 - During insertion, the i-gel is inserted while lifting the mandible along with the tongue using one hand to create space in the oral cavity.
Interventions/Control_2 - Without rotating the head, the i-gel is inserted in the sniffing position by pushing the patient's chin forward to open the mouth, and advancing it along the hard palate into the oral cavity.
Eligibility:
Age-lower limit - 50
years-old
<=
Age-upper limit - Not applicable
Gender - Male and Female
Key inclusion criteria - Patients aged 50 years or older undergoing general anesthesia who require airway management.
Patients who provided consent to participate in this study by signing a written informed consent form.
[Justification] Since insertion difficulties with the i-gel are rare in younger individuals, the age criterion was set at 50 years or older.
Key exclusion criteria - Refusal to participate in the study
Day surgery
Pre-existing neurological or cognitive disorders
Use of antipsychotic medications
Body mass index (BMI) over 35 kg/m2 or body weight over 90 kg
Mouth opening less than 2.5 cm
Acute sore throat
Conditions with a risk of aspiration (e.g., pregnancy, gastroesophageal reflux disease, hiatal hernia)
History of difficult intubation
Limited neck mobility (e.g., atlantoaxial subluxation, history of cervical spine or head and neck surgery)
Target Size - 200
Recruitment Status:
Recruitment status - Preinitiation
Date of protocol fixation - 2025 Year 10 Month 22 Day
Anticipated trial start date - 2025 Year 10 Month 22 Day
Last follow-up date - 2027 Year 03 Month 31 Day
To know more, visit https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000068118
Disclaimer: Curated by HT Syndication.