Viewing Study NCT00272194



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Last Modification Date: 2024-10-26 @ 9:22 AM
Study NCT ID: NCT00272194
Status: COMPLETED
Last Update Posted: 2016-03-23
First Post: 2006-01-02

Brief Title: Ambu Laryngeal Mask as an Intubation Conduit
Sponsor: The University of Texas Health Science Center Houston
Organization: The University of Texas Health Science Center Houston

Study Overview

Official Title: The Ambu Laryngeal Mask as an Intubation Conduit For Patients Undergoing Routine General Anesthesia
Status: COMPLETED
Status Verified Date: 2016-03
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: The purpose of this study is to determine if the Ambu Laryngeal Mask can be used as an intubation conduit for endotracheal intubation
Detailed Description: The laryngeal mask airway LMA is an established supra-glottic device that provides better ventilation than traditional mask ventilation and is less invasive than endotracheal intubation Being less invasive it is commonly used for short elective surgical procedures Its ability to be both easily and rapidly inserted also makes it useful as a rescue device in difficult and failed intubations Being a supra-glottic device the LMA does not protect patients from regurgitation and aspiration Additionally patients requiring alternative positions such as prone or lateral or those having surgery in the neckhead area are contra-indicated for LMA use due to risk of possible movement of the LMA and therefore possible loss of airway patency Thus the LMA can be utilized as an intermediary method of airway management to endotracheal intubation

The manufacturer of the reusable LMA-ClassicTM states that the success rate of intubation through the standard LMA-ClassicTM is highly variable 30-93 whereas the success rate of the disposable version LMA-UniqueTM has been found to be only 211 An LMA specifically designed for intubation now exists and improves the success rate of intubation The reusable LMA-FastrachTM or Intubating-LMATM ILMA is a rigid and anatomically curved airway tube It is wide enough to accommodate 80 mm cuffed endotracheal tubes Attached to the ILMA is a rigid handle to aid in one-handed insertion removal and adjustment Success rates for intubating through the ILMA are 965 when inserted blindly and 100 with fiberoptic guidance2 No disposable version of the ILMA presently exists

The Ambu Laryngeal Mask ALMA is a new disposable laryngeal mask with an anatomical curve similar to the ILMA The reasons for the use of disposable products can be many and varied The residual risk of the transmission of germs and protein particles represents one indication If supra-glottic airway devices are used electively or in emergencies eg for HIV-positive patients or those infected with Creutzfeldt-Jacob disease reuse of the products is not desirable Disposable products on the other hand offer the benefit that the transmission of germs is avoided and at the same time offer considerable economic advantages due to the much lower price of the product The disposable ALMA has been proven as an effective and safe supra-glottic airway device3 Upon fiberoptic visualization through its shaft the glottis was visualized 915 of the time indicating that this device may be used as an intubation conduit The purpose of this study is to determine if the ALMA is also safe and effective as an intubating conduit The hypothesis is that the ALMA will perform as well as if not better than the LMA-UniqueTM

Study Oversight

Has Oversight DMC: None
Is a FDA Regulated Drug?: None
Is a FDA Regulated Device?: None
Is an Unapproved Device?: None
Is a PPSD?: None
Is a US Export?: None
Is an FDA AA801 Violation?: None