The Effect Of I-Gel And Ambu Aura-I Use On Laryngofaryngeal Mucosa

Study Overview
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Brief Summary
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Supraglottic airway devices (SGADs) are frequently preferred in surgical surgery for pediatric patients. i-gel LMA (laryngeal mask airway) and Ambu Aura-i LMA are the new generation supraglottic airway devices. The aim of this study was to compare airway trauma and postoperative complications due to i-gel and Ambu Aura in infants. In the study patients were divided into two groups performed on minor surgery ASA I (American Society of Anesthesiologists score) and 40 infants. After standard anesthesia i-Gel was placed into a group and Ambu Aura-i was placed to the other. Flexible bronchoscopy was performed at the end of surgery. Mucosal damage and postoperative complications in laryngopharyngeal structures were compared.

Detailed Description
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This study was conducted as prospective, randomized and double-blind study. After confirmation the approval from the Interventional Ethics Committee of the Bezmialem Vakif University, dated…. Number…., the study was started. Forty ASA I patients under the age of 1, with a body weight of more than 10 kg, without anatomical pathology in the upper airway with no general anesthesia within the last 2 weeks who underwent minor surgery (circumcision, inguinal hernia, undescended testis, hypospadias, etc.) by the Pediatric Surgery Clinic at Bezmialem Vakif University Medical School Hospital were included in the study. Patients who are older than 1 year of age and have a body weight of more than 10 kg, who have symptoms of upper or lower respiratory tract infection, who have more than one trial performed during the SADs placement, who are known and expected to be difficult airway, who has undergone surgery for more than 2 hours and patients who underwent emergency surgery were not included in the study.

Official Title
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Comparison Of The Effect Of I-Gel And Ambu Aura-I Use On Laryngofaryngeal Mucosa Wıth Flexible Bronchoscopy in Infants

Conditions
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Mucosal Damage

Intervention / Treatment
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* Device: I-gel
* Device: Ambu aura i


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: ASA I patients under the age of 1, body weight of less than 10 kg without anatomical pathology in the upper airway no general anesthesia within the last 2 weeks who underwent minor surgery Exclusion Criteria: older than 1 year of age body weight of more than 10 kg symptoms of upper or lower respiratory tract infection more than one trial performed during the SADs placement known and expected to be difficult airway undergone surgery for more than 2 hours and patients underwent emergency surgery

Ages Eligible for Study
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Maximum Age: 2 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Screening
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Mucosal damage and postoperative complications in laryngopharyngeal structures were compared.
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: I-gel LMA<br>After standard anesthesia i-Gel was placed into the patient. | Device: I-gel<br>* After standard anesthesia i-Gel was placed into the patient<br>* Other names: I-gel laryngeal mask airway;|
| Active Comparator: Ambu Aura-i<br>After standard anesthesia Ambu Aura-i was placed into the patient. | Device: Ambu aura i<br>* After standard anesthesia ambu aura was placed into the patient<br>* Other names: Ambu aura i laryngeal mask airway;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| airway trauma | 4 point scoring system 1- no hyperemia 2- mild hyperemia 3- severe hyperemia 4-mucosal damage and bleeding | up to 1 minute after extubation | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Laryngeal Mask, I-gel, Ambu Aura i, Flexible bronchoscopy, Laryngopharyngeal damage, Infant