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Trial registered on ANZCTR
Registration number
ACTRN12611000037909
Ethics application status
Approved
Date submitted
11/01/2011
Date registered
11/01/2011
Date last updated
27/11/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
Performance of two commonly used supraglottic airway devices in paediatric anaesthesia: laryngeal mask airway vs i-Gel
– a randomized controlled trial
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Scientific title
Performance of two commonly used supraglottic airway devices in paediatric anaesthesia: laryngeal mask airway vs i-Gel
– a randomized controlled trial
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Secondary ID [1]
253390
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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:
Supraglottic airway - comparison between Laryngeal Mask Airway and iGel
260944
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Condition category
Condition code
Anaesthesiology
259077
259077
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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
Patients are randomised to receive either an Laryngeal Mask Airway or an igel Airway.
Both devices will be inserted into the mouth using the same technique.
The laryngeal mask airway has an inflatable cuff while the igel has a soft gel cuff.
They will be utilised for the length of the procedure the patient is undergoing (normally 1-4 hours)
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Intervention code [1]
257835
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Treatment: Devices
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Comparator / control treatment
Laryngeal mask airway: control
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Control group
Active
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Outcomes
Primary outcome [1]
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Amount of leakage around the cuff of the supraglottic airway device in ml/kg as defined in the difference between the inspiratory and expiratory tidal volume
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Assessment method [1]
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Timepoint [1]
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prior to surgery
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Secondary outcome [1]
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Incidence of sore throat
Outcome will be assessed via a facial pain scale or in older patients a VAS-Scale
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Assessment method [1]
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Timepoint [1]
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3-5 hours post surgery
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Secondary outcome [2]
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Incidence of airway trauma (e.g. blood staining)
Assessed via observation of the patient
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Assessment method [2]
268839
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Timepoint [2]
268839
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on removal of the device
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Eligibility
Key inclusion criteria
0-16 years
elective surgery not involveing the airway
weight > 5kg, < 60 kg
No contraindications for use of supraglottic airway device as determined by anaesthetist independent of the study team
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Minimum age
0
Years
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Maximum age
16
Years
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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
Contraindications for use of supraglottic airway device as determined by anaesthetist independent of the study team, airway malformations, surgery involving the airway
Weight < 5kg or > 60 kg
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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. 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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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
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
15/02/2011
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Actual
15/07/2011
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Date of last participant enrolment
Anticipated
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Actual
18/06/2013
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
200
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Accrual to date
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Final
200
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Recruitment in Australia
Recruitment state(s)
WA
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Funding & Sponsors
Funding source category [1]
258304
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Hospital
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Name [1]
258304
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Princess Margaret Hospital for Children
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Address [1]
258304
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Roberts Road
SUBIACO, WA 6008
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Country [1]
258304
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Australia
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Funding source category [2]
288381
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Charities/Societies/Foundations
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Name [2]
288381
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Princess Margaret Hospital Foundation
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Address [2]
288381
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68 Hay Street
Subiaco
WA 6008
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Country [2]
288381
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Australia
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Primary sponsor type
Hospital
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Name
Princess Margaret Hospital for Children
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Address
Roberts Road
SUBIACO, WA 6008
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Country
Australia
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Secondary sponsor category [1]
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University
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Name [1]
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School of Medicine and Pharmacolgy
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Address [1]
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University of Western Australia
35 Stirling Highway
Crawley, Perth
Western Australia 6009
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Country [1]
257468
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
260293
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Child and Adolescent Health Campus Ethics Committee
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Ethics committee address [1]
260293
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Princess Margaret Hospital for Children Roberts Road, SUBIACO, WA 6008
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Ethics committee country [1]
260293
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Australia
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Date submitted for ethics approval [1]
260293
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17/01/2011
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Approval date [1]
260293
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22/03/2011
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Ethics approval number [1]
260293
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1876 EP
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Summary
Brief summary
To ensure the safe delivery of oxygen and anaesthesia gases to a child, the anaesthetist will insert a tube into the child’s mouth. There are two tubes which can be used for this purpose. Both look very similar and do the same thing. One type of tube, the laryngeal mask, has an inflatable soft silicone cuff at the end while the other, called an Igel, has a non-inflatable cuff made of soft gel. Both devices have been independently shown to be safe in children’s anaesthesia. However, a direct comparison between the two devices is lacking in the paediatric population, which we are doing.
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Trial website
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Trial related presentations / publications
Anaesthesia. 2015 Dec;70(12):1412-7. doi: 10.1111/anae.13206. Epub 2015 Sep 10. A comparison of the i-gel(™) and the PRO-Breathe(®) laryngeal mask during pressure support ventilation in children. Drake-Brockman TF1,2, Ledowski T3, Hegarty M1, Gessner M1, von Ungern-Sternberg BS1,3.
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Public notes
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Contacts
Principal investigator
Name
32081
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Prof Britta Regli-von Ungern-Sternberg
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Address
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Department of Anaesthesia and Pain management
Princess Margaret Hospital
Roberts Road
Subiaco
WA 6008
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Country
32081
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Australia
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Phone
32081
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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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Contact person for public queries
Name
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Britta Regli-von Ungern
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Address
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Chair of Paediatric Anaesthesia
Princess Margaret Hospital for Children
Roberts Road
SUBIACO, WA 6008
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Country
15328
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Australia
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Phone
15328
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+61893408109
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Fax
15328
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Email
15328
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[email protected]
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Contact person for scientific queries
Name
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Britta Regli-von Ungern
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Address
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Chair of Paediatric Anaesthesia
Princess Margaret Hospital for Children
Roberts Road
SUBIACO, WA 6008
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Country
6256
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Australia
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Phone
6256
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+61893408109
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Fax
6256
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Email
6256
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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
No additional documents have been identified.
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