CTRI Number |
CTRI/2019/05/019126 [Registered on: 14/05/2019] Trial Registered Prospectively |
Last Modified On: |
09/05/2019 |
Post Graduate Thesis |
Yes |
Type of Trial |
Interventional |
Type of Study
|
Medical Device Surgical/Anesthesia |
Study Design |
Randomized, Parallel Group, Active Controlled Trial |
Public Title of Study
|
Comparison of the clinical performance of I gel and Ambu Aura Gain supra glottic airway devices in paediatric patients under controlled ventilation. |
Scientific Title of Study
|
Comparison of the clinical performance of I-gel and Ambu Aura Gain -supra-glottic airway devices in paediatric patients under controlled ventilation. |
Trial Acronym |
|
Secondary IDs if Any
|
Secondary ID |
Identifier |
NIL |
NIL |
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
Name |
Ashka V Surve |
Designation |
Second Year Resident |
Affiliation |
Government Medical College and SSG Hospital Vadodara |
Address |
303-TOWER 2/A, NATRAJ ENCLAVE,
RBG COMPLEX, JALARAM TEMPLE RD KARELIBAUG 390018 Department of anesthesiology, ssg hospital , jail road, baroda. Vadodara GUJARAT 390018 India |
Phone |
9033694150 |
Fax |
|
Email |
ashkasurve@gmail.com |
|
Details of Contact Person Scientific Query
|
Name |
Dr Mamta Patel |
Designation |
Assocoate Professor |
Affiliation |
Government Medical College and SSG Hospital Vadodara |
Address |
Government Medical College and SSG Hospital, jail road, beside police bhavan, Vadodara
Vadodara GUJARAT 390018 India |
Phone |
9825453024 |
Fax |
|
Email |
mgpatel111@yahoo.com |
|
Details of Contact Person Public Query
|
Name |
Ashka V Surve |
Designation |
Second Year Resident |
Affiliation |
Government Medical College and SSG Hospital Vadodara |
Address |
303-Tower 2/A, Natraj Enclave,
RBG Complex, Beside Jalaram Temple Karelibaug, vadodara, 390018
Vadodara GUJARAT 390018 India |
Phone |
9033694150 |
Fax |
|
Email |
ashkasurve@gmail.com |
|
Source of Monetary or Material Support
|
SSG hoapital and medical college, baroda, jail road, beside police bhavan, vadodara. |
|
Primary Sponsor
|
Name |
Ashka V Surve |
Address |
303, Tower 2A, Natraj Enclave, RBG complex, Jalaram Temple Road, Karelibaug , Vadodara. |
Type of Sponsor |
Other [self money] |
|
Details of Secondary Sponsor
|
|
Countries of Recruitment
|
India |
Sites of Study
|
No of Sites = 1 |
Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
ashka surve |
SSG Hospital and GOvernment Medical COllege Baroda |
SSG Hospital and Government Medical College , Jail Road, Beside Police Bhavan, Vadodara. Vadodara GUJARAT |
9033694150
ashkasurve@gmail.com |
|
Details of Ethics Committee
|
No of Ethics Committees= 1 |
Name of Committee |
Approval Status |
Institutional Ethics Committee for Human Research Medical College and SSG Hospital Baroda |
Approved |
|
Regulatory Clearance Status from DCGI
|
|
Health Condition / Problems Studied
|
Health Type |
Condition |
Patients |
, (1) ICD-10 Condition: K402||Bilateral inguinal hernia, withoutobstruction or gangrene, (2) ICD-10 Condition: L029||Cutaneous abscess, furuncle and carbuncle, unspecified, |
|
Intervention / Comparator Agent
|
Type |
Name |
Details |
Comparator Agent |
Ambu Aura Gain |
Ambu Aura family of Supra-glottic Airway Devices contains various airways. The first generation devices among them are Ambu Aura Once, Ambu Aura Straight, Ambu Aura Flex, Ambu Aura I, Ambu Aura 40.
The Ambu AuraGain is made of PVC material.
The second generation device is Ambu Aura Gain with gastric access. It is anatomically curved supra-glottic airway device with integrated gastric access and intubation capability.
It is designed to conform to the contours of the hypopharynx with its lumen facing the laryngeal opening. When correctly inserted, the distal tip of the cuff rests against the upper oesophageal sphincter.
Its original anatomical curve follows the anatomy of human airway and the soft rounded curve ensures rapid placement and long term performance.
|
Comparator Agent |
I-gel |
• I-gel was launched in 2007 after years of extensive research and development, I-gel now has an established reputation in anesthesia and it can be used safely and effectively for airway management under controlled ventilation in pediatric patients. • The soft non inflatable cuff is also designed that it matches the peri laryngeal anatomy.
The device has buccal cavity stabilizer which has propensity to adopt its shape to oropharyngeal curvature of the patients. It is anatomically widened and concaved to eliminate the potential for rotation, thereby reducing the risk of malposition. This buccal cavity stabilizer houses airway tubing and separate gastric channel. The tube section is firmer than the soft bowl of the gastric channel. The firmness of tube section and its natural oropharyngeal curvature allows the device to be inserted by grasping the proximal end of it against the hard palate into the pharynx without inserting the fingers into the mouth of the patients.
The device has a built-in bite block and it has a gastric channel and an epiglottis blocker.
|
Intervention |
Insertion of Ambu Aura Gain |
ï€ The device insertion technique will be based on anufacturer’s recommendation. Ventilator parameters will be adjusted according to the patient in all cases. |
Intervention |
Insertion of I-gel |
ï€ The device insertion technique will be based on anufacturer’s recommendation. We will use “finger technique†for all the insertions. Ventilator parameters will be adjusted according to the patient in all cases. |
|
Inclusion Criteria
|
Age From |
3.00 Year(s) |
Age To |
10.00 Year(s) |
Gender |
Both |
Details |
1.Patients age group 3-10 years
2.Either gender
3.Weight 10-35 kg
4.ASA physical status I/II
5.Patients admitted in SSGH and posted for 6.Elective surgeries requiring general anesthesia ( abdominal surgeries, upper limb surgeries, lower limb surgeries, head and neck surgeries etc. )
|
|
ExclusionCriteria |
Details |
1.Patient with risk factors of difficult airway (mouth opening of < 2cm, mallampatti class III and IV, limited neck extension, history of previous difficult tracheal intubation).
2.Patients with recent upper respiratory tract infection.
3.Patient with any known pulmonary and cardiovascular diseases.
4.Patient with any conditions that increase the risk of gastro esophageal regurgitation.
5.Parents or guardian not willing for participation.
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
Method of Concealment
|
On-site computer system |
Blinding/Masking
|
Participant Blinded |
Primary Outcome
|
Outcome |
TimePoints |
The oropharyngeal seal pressure of I-gel is higher than Ambu Aura Gain in their individual studies. Whereas insertion of Ambu aura gain is faster than I-Gel. |
at 5 minute after insertion of the device, oropharyngeal leak pressure will be noted. |
|
Secondary Outcome
|
Outcome |
TimePoints |
Secondary outcomes are haemodynamic and respiratory parameters. |
These secondary outcomes are observed throughout the duration of surgery. |
|
Target Sample Size
|
Total Sample Size="60" Sample Size from India="60"
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)
|
23/05/2019 |
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="0" Months="4" Days="0" |
Recruitment Status of Trial (Global)
|
Not Applicable |
Recruitment Status of Trial (India) |
Not Yet Recruiting |
Publication Details
|
Publication will be done after completion of the trial. |
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
|
Brief Summary
|
As newer pediatric sized supra-glottic airway devices like I-gel and Ambu Aura Gain are available for use in clinical practice in children. It is important to evaluate their clinical performance and safety to establish superiority or equivalence to the existing devices. So, we choose this study to evaluate and compare overall performance of I-gel versus Ambu Aura Gain in pediatric patients undergoing general anesthesia. To compare the clinical performance of I gel with Ambu Aura Gain in pediatric population for providing adequate airway seal under controlled mechanical ventilation under general anesthesia. | |