Evaluation of Differences in Video Laryngeal Mask Airway and Fastrack Laryngeal Mask

Study Overview
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Brief Summary
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In our study, patients who are intubated using VLM and Fastrack LMA for intubation purposes will be included. The placement times, intubation times, and the number of failed attempts for both devices will be recorded. Additionally, postoperative complications (sore throat, hoarseness, nausea-vomiting, additional antiemetic medication requirements, etc.) will be monitored and recorded.

Detailed Description
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The 2015 Difficult Airway Society guidelines specify that in cases where an unexpectedly difficult airway is encountered, and the initial intubation attempt is unsuccessful, the insertion of a supraglottic airway device (SAD) is recommended to maintain ventilation and oxygenation, followed by tracheal intubation through the SAD. SAD has been designated as a rescue airway device in difficult airway algorithms and resuscitation guidelines to buy time. Additionally, SAD is used to maintain airway and anesthesia in surgeries that do not require intubation. The Video Laryngeal Mask (VLM) is a newly developed type of SAD. With VLM, direct visualization of the glottis is achieved immediately after SAD placement. VLM has a channel that allows for endotracheal tube passage for intubation purposes and provides direct visualization. The Fastrack LMA, on the other hand, possesses all the ventilation features of classic SADs but is designed for blind or fiberoptic-guided tracheal intubations. These devices are used as rescue devices in cases of limited neck extension and difficult airway situations. Both devices are routinely used for ventilation and intubation purposes in patients. The use of these two devices is preferred in patients where neck extension is undesirable or neck movements are restricted for intubation purposes. In our study, patients who are intubated using VLM and Fastrack LMA for intubation purposes will be included. The placement times, intubation times, and the number of failed attempts for both devices will be recorded. Additionally, postoperative complications (sore throat, hoarseness, nausea-vomiting, additional antiemetic medication requirements, etc.) will be monitored and recorded.

Official Title
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Evaluation of Differences in Placement Success and Postoperative Complications Between Video Laryngeal Mask Airway and Fastrack Laryngeal Mask

Conditions
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The Device Placement Times, Intubation Times, Postoperative Complications

Intervention / Treatment
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* Other: Video Laryngeal Mask
* Other: Fastrack Laryngeal Mask


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Individuals between the ages of 18 and 80. Patients with ASA (American Society of Anesthesiologists) scores I, II, or III. Patients undergoing surgery under general anesthesia in the operating room. Exclusion Criteria: Patients under 18 years old or over 80 years old. Patients who refuse to participate in the study.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Video Laryngeal Mask<br>Patients who are intubated using Video Laryngeal Mask for intubation purposes will be included. | Other: Video Laryngeal Mask<br>* Patients who are intubated using Video Laryngeal Mask for intubation purposes will be included.<br>|
| Fastrack Laryngeal Mask<br>Patients who are intubated using Fastrack Laryngeal Mask for intubation purposes will be included. | Other: Fastrack Laryngeal Mask<br>* Patients who are intubated using Fastrack Laryngeal Mask for intubation purposes will be included.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Laryngeal Mask Placement times(minute) | Laryngeal Mask Placement times(minute) | 3 minutes after induction of anesthesia | 
| Intubation times | Intubation times | 3 minutes after induction of anesthesia | 
| Number of failed attempts | Number of failed attempts | 3 minutes after induction of anesthesia | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Sore throat | Postoperative complications | 0-2-4-8-12-24 hours postoperatively | 
| Hoarseness | Postoperative complications | 0-2-4-8-12-24 hours postoperatively | 
| Nausea-vomiting | Postoperative complications | 0-2-4-8-12-24 hours postoperatively | 
| Need for additional antiemetic medication | Postoperative complications | 0-2-4-8-12-24 hours postoperatively | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Fastrack Laryngeal Mask, Video Laryngeal Mask