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Impact on Postoperative Pain of Three Single-use Adult Supraglottic Airway Devices in Short General Anesthetic Under Controlled Ventilation (DISPOSITIF LAR)

Primary Purpose

Pharyngolaryngeal Postoperative Pain

Status
Completed
Phase
Not Applicable
Locations
France
Study Type
Interventional
Intervention
Insertion of LMA-UNIQUE(TM) device
Insertion of LMA-SUPREME(TM) device
Insertion of I-GEL(R) device
Sponsored by
Centre Hospitalier Universitaire de Nīmes
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Pharyngolaryngeal Postoperative Pain

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • The patient must have given their free and informed consent and signed the consent form
  • The patient must be a member or beneficiary of a health insurance plan
  • Adult patients > 18
  • ASA score I-III
  • Patient scheduled to undergo elective surgery lasting less than two hours under general anaesthetic without tracheal intubation
  • The subject is participating in an interventional study, or is in a period of exclusion determined by a previous study
  • The subject refuses to sign the consent
  • It is impossible to give the subject informed information
  • The patient is under safeguard of justice or state guardianship
  • The patient is pregnant or breastfeeding
  • Emergency surgery
  • Sore thoat ≤ 1 month
  • Risk of aspiration of gastric contents
  • Body mass index (BMI) > 35
  • Patients with expected airway difficulties
  • Contra-indication for any of the devices (symptomatic hiatal hernias, pathological obesity, poly trauma or serious injury, delayed gastric emptying, use of opiates during fasting)
  • Patients who are not fasting for routine and emergency anesthesia
  • Trismus, limited mouth opening, abscess or pharyngoperilaryngeal mass

Sites / Locations

  • CHU Nimes

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Active Comparator

Active Comparator

Active Comparator

Arm Label

LMA-UNIQUE™

LMA-SUPREME™

I-GEL®

Arm Description

Outcomes

Primary Outcome Measures

Incidence of pharyngolaryngeal postoperative pain of the three devices
Sore throat Y/N

Secondary Outcome Measures

Pharyngolaryngeal postoperative pain between groups
Sore throat Y/N
Time taken to place device
From first attempt at introduction until acceptable exhaled CO2 curve attained (seconds)
Number of attempts needed to place device
Necessity of altering the size of the device
Y/N
Any patient movement during procedure
Y/N
Difficulty of insertion
5-point scale: very easy-failure
Total leakage pressure of the devices
measured directly by the respirator
Ventilatory pressure of the devices
Device stability during surgery
Need to change the management system airways (orotracheal intubation or others) Y/N
Difficulty of device removal
4-point scale: very easy-very difficult

Full Information

First Posted
July 20, 2018
Last Updated
July 30, 2018
Sponsor
Centre Hospitalier Universitaire de Nīmes
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1. Study Identification

Unique Protocol Identification Number
NCT03614598
Brief Title
Impact on Postoperative Pain of Three Single-use Adult Supraglottic Airway Devices in Short General Anesthetic Under Controlled Ventilation
Acronym
DISPOSITIF LAR
Official Title
Impact on Postoperative Pain of Three Single-use Adult Supraglottic Airway Devices in Short General Anesthetic Under Controlled Ventilation
Study Type
Interventional

2. Study Status

Record Verification Date
July 2018
Overall Recruitment Status
Completed
Study Start Date
April 22, 2009 (Actual)
Primary Completion Date
September 5, 2012 (Actual)
Study Completion Date
September 5, 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Centre Hospitalier Universitaire de Nīmes

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The investigators hypothesize that incidence of pharyngolaryngeal postoperative pain caused by the I-gel and LMA-Suprême devices will be ≤ 5%

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pharyngolaryngeal Postoperative Pain

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderOutcomes Assessor
Allocation
Randomized
Enrollment
546 (Actual)

8. Arms, Groups, and Interventions

Arm Title
LMA-UNIQUE™
Arm Type
Active Comparator
Arm Title
LMA-SUPREME™
Arm Type
Active Comparator
Arm Title
I-GEL®
Arm Type
Active Comparator
Intervention Type
Procedure
Intervention Name(s)
Insertion of LMA-UNIQUE(TM) device
Intervention Description
LMA-UNIQUE(TM) single-use adult supraglottic airway device inserted during short general anesthesia under controlled ventilation
Intervention Type
Procedure
Intervention Name(s)
Insertion of LMA-SUPREME(TM) device
Intervention Description
LMA-SUPREME(TM) single-use adult supraglottic airway device inserted during short general anesthesia under controlled ventilation
Intervention Type
Procedure
Intervention Name(s)
Insertion of I-GEL(R) device
Intervention Description
I-GEL(R) single-use adult supraglottic airway device inserted during short general anesthesia under controlled ventilation
Primary Outcome Measure Information:
Title
Incidence of pharyngolaryngeal postoperative pain of the three devices
Description
Sore throat Y/N
Time Frame
24 hours
Secondary Outcome Measure Information:
Title
Pharyngolaryngeal postoperative pain between groups
Description
Sore throat Y/N
Time Frame
2 hours
Title
Time taken to place device
Description
From first attempt at introduction until acceptable exhaled CO2 curve attained (seconds)
Time Frame
End of surgery (maximum 2 hours)
Title
Number of attempts needed to place device
Time Frame
End of surgery (maximum 2 hours)
Title
Necessity of altering the size of the device
Description
Y/N
Time Frame
End of surgery (maximum 2 hours)
Title
Any patient movement during procedure
Description
Y/N
Time Frame
End of surgery (maximum 2 hours)
Title
Difficulty of insertion
Description
5-point scale: very easy-failure
Time Frame
End of surgery (maximum 2 hours)
Title
Total leakage pressure of the devices
Description
measured directly by the respirator
Time Frame
End of surgery (maximum 2 hours)
Title
Ventilatory pressure of the devices
Time Frame
End of surgery (maximum 2 hours)
Title
Device stability during surgery
Description
Need to change the management system airways (orotracheal intubation or others) Y/N
Time Frame
End of surgery (maximum 2 hours)
Title
Difficulty of device removal
Description
4-point scale: very easy-very difficult
Time Frame
End of surgery (maximum 2 hours)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: The patient must have given their free and informed consent and signed the consent form The patient must be a member or beneficiary of a health insurance plan Adult patients > 18 ASA score I-III Patient scheduled to undergo elective surgery lasting less than two hours under general anaesthetic without tracheal intubation The subject is participating in an interventional study, or is in a period of exclusion determined by a previous study The subject refuses to sign the consent It is impossible to give the subject informed information The patient is under safeguard of justice or state guardianship The patient is pregnant or breastfeeding Emergency surgery Sore thoat ≤ 1 month Risk of aspiration of gastric contents Body mass index (BMI) > 35 Patients with expected airway difficulties Contra-indication for any of the devices (symptomatic hiatal hernias, pathological obesity, poly trauma or serious injury, delayed gastric emptying, use of opiates during fasting) Patients who are not fasting for routine and emergency anesthesia Trismus, limited mouth opening, abscess or pharyngoperilaryngeal mass
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Joël L'Hermite, MD
Organizational Affiliation
CHU Nimes
Official's Role
Principal Investigator
Facility Information:
Facility Name
CHU Nimes
City
Nîmes
ZIP/Postal Code
30029
Country
France

12. IPD Sharing Statement

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Impact on Postoperative Pain of Three Single-use Adult Supraglottic Airway Devices in Short General Anesthetic Under Controlled Ventilation

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