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CTRI Number  CTRI/2026/03/105139 [Registered on: 02/03/2026] Trial Registered Prospectively
Last Modified On: 01/04/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Single Arm Study 
Public Title of Study   A Study to Assess the Safety and Effectiveness of the LMA Supreme Breathing Device in Pregnant Women Undergoing Caesarean Section at a Tertiary Care Hospital 
Scientific Title of Study   Evaluation of LMA Supreme Supraglottic Airway (SGA) in Caesarean Section: A Clinical Study on Safety and Efficacy 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DR RENU WAKHLOO  
Designation  PROFESSOR  
Affiliation  GOVERNMENT MEDICAL COLLEGE JAMMU  
Address  GOVERNMENT MEDICAL COLLEGE JAMMU BAKSHI NAGAR JAMMU
DR SIVASHREE S P D/O S PALANIVELU OPPOSITE TO KARAN HOTEL AND SUDESH SHARMA CLINIC 24S BAKSHI NAGAR JAMMU
Jammu
JAMMU & KASHMIR
180001
India 
Phone  9419193040  
Fax    
Email  drrenuwakhloo2710@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  SIVASHREE S P 
Designation  POST GRADUATE  
Affiliation  GOVERNMENT MEDICAL COLLEGE JAMMU  
Address  DR SIVASHREE S P D/O S PALANIVELU 421 F1 SAROJINEES FLAT EAST END ROAD PANEER NAGAR MOGDR SIVASHREE S P D/O S PALANIVELU 421 F1 SAROJINEES FLAT EAST END ROAD PANEER NAGAR MOG

Chennai
TAMIL NADU
600037
India 
Phone  06005405676  
Fax    
Email  sivashree1326@gmail.com  
 
Details of Contact Person
Public Query
 
Name  SIVASHREE S P 
Designation  POST GRADUATE  
Affiliation  GOVERNMENT MEDICAL COLLEGE JAMMU  
Address  DR SIVASHREE S P D/O S PALANIVELU 421 F1 SAROJINEES FLAT EAST END ROAD PANEER NAGAR MOGDR SIVASHREE S P D/O S PALANIVELU 421 F1 SAROJINEES FLAT EAST END ROAD PANEER NAGAR MOG

Chennai
TAMIL NADU
600037
India 
Phone  06005405676  
Fax    
Email  sivashree1326@gmail.com  
 
Source of Monetary or Material Support  
NIL  
 
Primary Sponsor  
Name  Government medical college Jammu  
Address  Government Medical College Jammu Maheshpura Chowk Bakshi Nagar Jammu Jammu And Kashmir Pin Code 180001 India 
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 
Dr Renu Wakhloo  Government Medical College And Associated Hospitals Jammu  Department Of Anaesthesiology Government Medical College And Associated Hospitals Bakshi Nagar Jammu Jammu And Kashmir India Pin Code 180001
Jammu
JAMMU & KASHMIR 
9419193040

drrenuwakhloo2710@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Government Medical College, Jammu (IEC-GMCJ)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O82||Encounter for cesarean delivery without indication,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  LMA Supreme Supraglottic Airway Device  Insertion Of Lma Supreme After Rapid Sequence Induction For Airway Management In Elective Caesarean Section Under General Anaesthesia. Device Placement Confirmed By Capnography Chest Rise And Oxygen Saturation. Orogastric Tube Inserted Through Gastric Channel And Anaesthesia Maintained With Standard Protocol. 
Comparator Agent  Not applicable   Not applicable  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  35.00 Year(s)
Gender  Female 
Details  Pregnant Women Scheduled For Elective Caesarean Section Under General Anaesthesia. Asa Physical Status Two. Gestational Age Thirty Seven Weeks Or More. Body Mass Index Between Eighteen Point Five And Thirty Five Kilogram Per Meter Square. Mallampati Grade One Or Two. Fasting For At Least Eight Hours For Solids. Low Risk Of Aspiration Confirmed By Gastric Ultrasound. Written Informed Consent Obtained. 
 
ExclusionCriteria 
Details  Refusal To Participate. Emergency Caesarean Section. Asa Physical Status Three Or More. Mallampati Grade Three Or Four. Known Difficult Airway. History Of Gastroesophageal Reflux Disease. High Risk Of Aspiration Or Delayed Gastric Emptying. Any Contraindication To Supraglottic Airway Device. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Adequacy Of Ventilation will be Achieved Using Lma Supreme Defined By Oxygen Saturation Ninety Five Percent Or More With Visible Chest Expansion And Continuous Capnography Without Need For Additional Airway Intervention  From Device Insertion Until Completion Of Surgery 
 
Secondary Outcome  
Outcome  TimePoints 
Maintenance Of Heart Rate And Blood Pressure Within Twenty Percent Of Baseline Values  From Induction Of Anaesthesia Until Completion Of Surgery
 
Presence Of Blood On Device Or Evidence Of Mucosal Injury  Immediately After Removal Of LMA Supreme 
Neonatal outcomes Assessed Using Apgar Score  At One Minute And Five Minutes After Delivery 
Ph Measurement At Distal Tip Of Lma Supreme To Detect Gastric Content Exposure  Immediately After Device Removal 
Incidence Of Nausea Or Vomiting  From End Of Surgery Up To Twelve Hours Postoperatively
 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="50" 
Phase of Trial   N/A 
Date of First Enrollment (India)   15/03/2026 
Date of Study Completion (India) 02/07/2026 
Date of First Enrollment (Global)  15/03/2026 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="4"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
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 Prospective Clinical Study Is Designed To Evaluate The Safety And Efficacy Of Lma Supreme Supraglottic Airway Device In Elective Caesarean Section Under General Anaesthesia. Pregnancy Is Associated With Physiological Changes That Increase The Risk Of Difficult Airway Management And Aspiration. Second Generation Supraglottic Airway Devices Provide A Gastric Drain Channel And Improved Airway Seal Which May Offer A Safe Alternative To Endotracheal Intubation In Selected Low Risk Parturients. The Study Will Assess Successful Ventilation Hemodynamic Stability Airway Related Complications And Neonatal Outcome In Fifty Patients Undergoing Elective Caesarean Delivery.


 
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