General Anesthesia With ETT vs LMA in Patients Undergoing Ablation for Atrial Fibrillation
Atrial Fibrillation
About this trial
This is an interventional health services research trial for Atrial Fibrillation
Eligibility Criteria
Inclusion Criteria:
- Patients undergoing primary ablation for paroxysmal atrial fibrillation
- Able to obtain consent in English language
- BMI <35
Exclusion Criteria:
- Patients <18 years old
- Patients undergoing ablation for arrhythmias other than paroxysmal atrial fibrillation
- American Society of Anesthesiologist physical status of 4 or greater
- Patients undergoing repeat ablation
- BMI >35
- Pregnancy
- Prisoners
- Patients unable to give their own consent
- Patients having trans esophageal echo on the same day
- Patients unable to give consent in English language
- Patients will also be excluded if the attending anesthesiologist determines that they would not be suitable candidates for intubation with either method (ETT tube or LMA mask).
- Patients with severe gastroesophageal reflux disease
- Patients with high risk of aspiration
Sites / Locations
- Virginia Commonwealth University
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
General Anesthesia with endotracheal tube
General Anesthesia with laryngeal mask airway
Patients assigned to the ETT tube group will have ETT placed in the safest manner deemed appropriate by attending anesthesiologist. Possible ways to have ETT placed will be using direct laryngoscopy, glidescope or fiberoptic intubations. Size of ETT will be decided based on patient characteristics and discretion of attending anesthesiologist. Once placed, auscultation and capnography will be used to ensure correct placement of ETT.
Patients assigned to the LMA group will have LMA placed in a standard fashion by anesthesia provider. LMA size will be decided based on patient characteristics and at the discretion of attending anesthesiologist. LMA used will be LMA Supreme (Teleflex Medicals, Ireland). Once placed auscultation will be used to ensure correct placement of LMA.