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Trial registered on ANZCTR
Registration number
ACTRN12610000250033
Ethics application status
Approved
Date submitted
12/03/2010
Date registered
24/03/2010
Date last updated
24/09/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
Randomised controlled trial: Respiratory complications in infants undergoing general anaesthesia with a laryngeal mask airway versus an endotracheal tube
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Scientific title
Randomised controlled trial: Respiratory complications in infants undergoing general anaesthesia with a laryngeal mask airway versus an endotracheal tube
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Secondary ID [1]
1512
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Respiratory complications in children receiving either a laryngeal mask airway or an endotracheal tube
256965
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Condition category
Condition code
Anaesthesiology
257108
257108
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0
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Anaesthetics
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Endotracheal intubation for airway maintenance for elective surgical procedure following induction of anaesthesia.
The procedure is a one off intervention with the endotracheal tube staying in place for the total duration of the procedure which ranges from approx. 30 min to 2 hours.
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Intervention code [1]
256142
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Treatment: Devices
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Intervention code [2]
256167
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Prevention
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Comparator / control treatment
Laryngeal mask airway for airway maintenance for elective surgical procedure
following induction of anaesthesia.
The procedure is a one off intervention with the laryngeal mask airway staying in place for the total duration of the procedure which ranges from approx. 30 min to 2 hours.
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Control group
Active
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Outcomes
Primary outcome [1]
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total of respiratory complications.
Presence of perioperative respiratory complication as defined by one or more of the following:
Bronchospasm, laryngospasm, severe coughing, desaturation < 95%, airway obstruction and/or stridor.
The presence/absence of respiratory complications will be recorded during the time of anaesthesia and the time spent in recovery. The overall presence of respiratory complications will be taken for the analysis
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Assessment method [1]
258003
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Timepoint [1]
258003
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during the time of anaesthesia and the time spent in recovery.
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Secondary outcome [1]
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occurrence and frequency of the individual respiratory complications in both intra-operatively and in the recovery area.
THe outcome will be assessed by clinical monitoring.
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Assessment method [1]
263557
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Timepoint [1]
263557
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during the time of anaesthesia and the time spent in recovery.
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Eligibility
Key inclusion criteria
Children, aged 0 to 12 months, male or female undergoing combined general and regional (e.g. caudal, penile block) anaesthesia with the plan to use either a laryngeal mask airway or endotracheal tube (as assessed by an anaesthetist independent of the study team).
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Minimum age
No limit
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Maximum age
12
Months
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Known cardiac disease, airway or thoracic malformations, need for premedication with midazolam, contraindication of laryngeal mask airway or endotracheal tube use as assessed by an anaesthetist independent of the study team.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
All patients will be recruited at the pre-anaesthetic visit. Only patients who meet the inclusion criteria for the study will be enrolled and only after informed consent is given voluntarily by the parent/guardian. The patients will be randomised by computer generated block randomisation. The participant will be assigned the next available Participant Number
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
The patients will be randomised by computer generated block randomisation. Following written informed consent, the participant will be assigned the next available Participant Number. The Participant Number will correspond to a numbered randomisation envelope. The randomisation is concealed in the closed envelope and will only be opened by the anaesthetist in charge of the patient at induction of anaesthesia. The participant number will be used to identify the patient for the duration of the study
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Date of first participant enrolment
Anticipated
1/05/2010
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Actual
8/07/2010
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Date of last participant enrolment
Anticipated
20/04/2016
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Actual
7/05/2015
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
290
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Accrual to date
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Final
181
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Recruitment in Australia
Recruitment state(s)
WA
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Funding & Sponsors
Funding source category [1]
256645
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Hospital
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Name [1]
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Princess Margaret Hospital for Children
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Address [1]
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Department of Anaesthesia
Roberts Road
SUBIACO, WA 6008
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Country [1]
256645
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Australia
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Funding source category [2]
288367
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Charities/Societies/Foundations
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Name [2]
288367
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Princess Margaret Hospital Foundation
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Address [2]
288367
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68 Hay St
Subiaco
WA 6008
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Country [2]
288367
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Australia
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Primary sponsor type
Individual
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Name
Britta Regli-von Ungern-Sternberg
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Address
Princess Margaret Hospital for Children
Department of Anaesthesia
Roberts Road
SUBIACO,
WA 6008
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Neil Chambers
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Address [1]
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Princess Margaret Hospital for Children
Department of Anaesthesia
Roberts Road
SUBIACO,
WA 6008
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Country [1]
255932
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
258669
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Princess Margaret Hospital for Children Ethics Committee
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Ethics committee address [1]
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Princess Margaret Hospital for Children Ethics Committee Roberts Road Subiaco WA 6008 Australia
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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11/03/2010
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Approval date [1]
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20/05/2010
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Ethics approval number [1]
258669
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1786/EP
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Summary
Brief summary
Infants undergoing minor elective surgery have their airway managed at the discretion of the anaesthetist in charge with either an endotracheal tube or an laryngeal mask airway. Research already done witin the Princess Margaret Hospital for Children (PMH) Anaesthetic Unit has identified some patients with asthma, eczema, hay fever, a current cold & exposure to smoking have a higher risk of airway complications following their surgery. However, the best practice for the management of an infant's airway is still under debate. The aim of this study is to identify which airway support, laryngeal mask or endotracheal tube, is safer in regards to respiratory problems in the perioperative period for infants (0-12 months) undergoing minor general surgery.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Britta Regli-von Ungern-Sternberg
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Address
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Princess Margaret Hospital for Children
Department of Anaesthesia
Roberts Road
SUBIACO,
WA 6008
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Country
30931
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Australia
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Phone
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+61893408109
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Fax
30931
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Email
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[email protected]
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Contact person for public queries
Name
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Britta Regli-von Ungern-Sternberg
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Address
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Department of Anaesthesia
Roberts Road
SUBIACO, WA 6008
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Country
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Australia
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Phone
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+61893408109
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Fax
14178
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Email
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[email protected]
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Contact person for scientific queries
Name
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Britta Regli-von Ungern-Sternberg
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Address
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Department of Anaesthesia
Roberts Road
SUBIACO, WA 6008
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Country
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Australia
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Phone
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+61893408109
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
The effect of endotracheal tubes versus laryngeal mask airways on perioperative respiratory adverse events in infants: a randomised controlled trial.
2017
https://dx.doi.org/10.1016/S0140-6736%2816%2931719-6
N.B. These documents automatically identified may not have been verified by the study sponsor.
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