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CTRI Number  CTRI/2024/03/064941 [Registered on: 28/03/2024] Trial Registered Prospectively
Last Modified On: 23/03/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Comparing position of an airway device known as ProSeal LMA using ultrasound and flexible bronchoscopy in children scheduled for surgery under general anaesthesia  
Scientific Title of Study   Comparison of ultrasonography and flexible bronchoscopy for evaluation of placement of ProSeal Laryngeal Mask Airway in paediatric patients undergoing elective surgery under general anaesthesia 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  KIRANJOT KAUR 
Designation  First year Post graduate resident  
Affiliation  Vardhman Mahavir Medical College and Safdarjung hospital 
Address  Department of Anaesthesia Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi

South West
DELHI
110029
India 
Phone  9205864409  
Fax    
Email  doctor7k.official@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Suniti Kale 
Designation  Professor 
Affiliation  Department of Anaesthesia Vardhman Mahavir medical college and Safdarjung hospital 
Address  Department of Anaesthesia Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi

South West
DELHI
110029
India 
Phone  9810287852  
Fax    
Email  findsuniti@gmail.com  
 
Details of Contact Person
Public Query
 
Name  KIRANJOT KAUR 
Designation  Post graduate resident 
Affiliation  Department of Anaesthesia Vardhman Mahavir medical college and Safdarjung hospital 
Address  Department of Anaesthesia Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi

South West
DELHI
110029
India 
Phone  9205864409  
Fax    
Email  doctor7k.official@gmail.com  
 
Source of Monetary or Material Support  
Vardhman Mahavir medical college and Safdarjung hospital 
 
Primary Sponsor  
Name  Vardhman Mahavir medical college and Safdarjung hospital 
Address  Vardhman Mahavir medical college and Safdarjung hospital 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
KIRANJOT KAUR  Vardhman Mahavir medical college and Safdarjung hospital  Department of Anaesthesia Vardhman Mahavir medical college
South West
DELHI 
9205864409

doctor7k.official@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee VMMC and Safdarjung Hospital   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: R00-R99||Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Nil  Nil 
 
Inclusion Criteria  
Age From  3.00 Year(s)
Age To  12.00 Year(s)
Gender  Both 
Details  Paediatric patients aged 3 to 12 years belonging to American Society of Anesthesiologists ASA grade I and II scheduled for elective surgery in supine position under general anaesthesia requiring ProSeal LMA placement as an airway device 
 
ExclusionCriteria 
Details  Anticipated difficult airway
Children at increased risk of aspiration
Obese children with BMI more than 30 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment    
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To find the agreement between Ultrasonographic and Flexible bronchoscopic evaluation of placement of ProSeal Laryngeal Mask Airway in paediatric patients undergoing elective surgery under general anaesthesia.  Baseline, after induction, immediately after LMA insertion, 5 minutes after LMA insertion, 10 minutes after LMA insertion 
 
Secondary Outcome  
Outcome  TimePoints 
To compare the time taken to evaluate the placement of ProSeal Laryngeal Mask Airway in paediatric patients by Ultrasonography & Flexible bronchoscopy  Baseline 
 
Target Sample Size   Total Sample Size="90"
Sample Size from India="90" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/06/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

This study is intended to evaluate the feasibility of using ultrasound to evaluate the placement of a ProSeal LMA (PLMA) compared to the gold standard bronchoscopy. Children aged 3 to 12 years planned for elective surgery in supine position under general anaesthesia with ProSeal LMA placement will be selected for this study. Inj Fentanyl (2 mcg/kg) + Inj Propofol (2 mg/kg) will be given for induction. Inj Vecuronium (0.1 mcg/kg) will be given for facilitating PLMA placement. PLMA of appropriate size (according to weight based criteria) will be inserted. Placement of PLMA will be confirmed using clinical parameters (Visible bilateral chest rise , bilateral equal air entry on auscultation, SPO2 > 95%, successful insertion of gastric tube, capnogram). Patients with ‘Clinically acceptable’ placed PLMA will be selected for this study. In these patients USG will be done followed by flexible bronchoscopy. Ultrasonographic evaluation of placement of PLMA will be done in 3 planes and scoring will be done. Flexible bronchoscopic evaluation of placement of PLMA and Brimacombe grading will be done.  After completion of surgery, neuromuscular blockade reversal will be given and trachea will be extubated. Patient will be observed in PACU for 2 hours. This study aims to correlate the number of USG-acceptable PLMA placements with number of flexible bronchoscope confirmed correct PLMA placements. 

 
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