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Trial registered on ANZCTR
Registration number
ACTRN12615000300572
Ethics application status
Not yet submitted
Date submitted
13/03/2015
Date registered
31/03/2015
Date last updated
31/03/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
Comparing fibreoptic-guided tracheal intubation using two supraglottic devices: Ambu AuraGain Laryngeal Mask Airway 'Registered Trademark' and LMA Fastrach 'Registered Trademark'
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Scientific title
A randomized controlled trial in adults undergoing surgery, to compare the speed and efficacy of fibreoptic-guided tracheal intubation through two supraglottic devices: Ambu AuraGain LMA 'Registered Trademark' and LMA Fastrach 'Registered Trademark'
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Secondary ID [1]
286354
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Nil
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Universal Trial Number (UTN)
U111111682489
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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:
difficult airway intubation
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Condition category
Condition code
Anaesthesiology
294789
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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
Ambu AuraGain LMA 'Registered Trademark'. The Ambu AuraGain will be inserted and after achieving satisfactory ventilation via the supraglottic airway device, fibreopitc-guided tracheal intubation will then commence. A maximum of 2 attempts at intubation will be given. The intubation will be performed by an experienced anaesthetist (>10 years’ since commencement of specialist training) who is familiar with the use of both devices (>10 uses on each device) prior to the study. Assessment of any complications will occur directly post-operatively in recovery by the anaesthetist performing the intubation.
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Intervention code [1]
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Treatment: Devices
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Comparator / control treatment
LMA Fastrach 'Registered Trademark'. The LMA Fastrach will be inserted and after achieving satisfactory ventilation via the supraglottic airway device, fibreopitc-guided tracheal intubation will then commence. A maximum of 2 attempts at intubation will be given. The intubation will be performed by an experienced anaesthetist (>10 years’ since commencement of specialist training) who is familiar with the use of both devices (>10 uses on each device) prior to the study. Assessment of any complications will occur directly post-operatively in recovery by the anaesthetist performing the intubation.
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Control group
Active
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Outcomes
Primary outcome [1]
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Comparison of fibreoptic scores which evaluate the laryngeal alignment according to the standardized scale proposed by Brimacombe
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Assessment method [1]
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Timepoint [1]
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Time of intubation
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Secondary outcome [1]
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Time needed to insert the supraglottic device (SAD)
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Assessment method [1]
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Timepoint [1]
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At the time of insertion of the supraglottic device (SAD)
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Secondary outcome [2]
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Time taken for endotracheal intubation
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Assessment method [2]
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Timepoint [2]
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At the time of intubation
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Secondary outcome [3]
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Number of insertion attempts with the allocated SAD (a failed insertion attempt is defined as complete withdrawal of the device from the mouth following an unsuccessful placement).
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Assessment method [3]
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Timepoint [3]
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Time of insertion of SAD
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Secondary outcome [4]
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Number of fibreoptic-guided intubation attempts (a failed intubation is defined as complete withdrawal of the fibreoptic scope from the patient following unsuccessful placement).
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Assessment method [4]
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Timepoint [4]
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Time of intubation
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Secondary outcome [5]
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Any complications associated with the intubation will be recorded, such as, injury to lips, oral mucosal and dentition, hypoxia (SpO2 < 90%) during intubation, sore throat, dysphagia and dysphonia
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Assessment method [5]
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Timepoint [5]
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conclusion of procedure
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Eligibility
Key inclusion criteria
ASA I, II or III and > 18 years of age, who are scheduled for surgery requiring oro-tracheal intubation at the Royal Melbourne Hospital will be recruited for this study.
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Minimum age
18
Years
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Maximum age
No limit
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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
Patients who are non-English speaking, require an awake fibreoptic intubation, have a known laryngeal pathology or with contra-indications to the use of supraglottic airway device (weight >100 kg, interincisor distance <2.5cm, or aspiration risk) are not included
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
20/05/2015
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
120
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Royal Melbourne Hospital - City campus - Parkville
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Royal Melbourne Hospital
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Address [1]
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300 Grattan St
Parkville
Victoria
3050
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Elizabeth Judson
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Address
Royal Melbourne Hospital
300 Grattan St
Parkville
Victoria
3050
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
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HREC RMH
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Ethics committee address [1]
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Royal Melbourne Hospital 300 Grattan St Parkville Victoria 3050
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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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26/03/2015
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Approval date [1]
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Ethics approval number [1]
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Summary
Brief summary
To compare fibroptic guided intubation through two supraglottic devices. This is helpful in the management of patients with difficult airways where conventional intubation is unable to be achieved
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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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Dr Elizabeth Judson
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Address
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Royal Melbourne Hospital
300 Grattan St
Parkville
Victoria
3050
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Country
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Australia
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Phone
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+61 03 93427000
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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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Elizabeth Judson
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Address
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Royal Melbourne Hospital
300 Grattan St
Parkville
Victoria
3050
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Country
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Australia
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Phone
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+61 03 93427000
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Fax
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+61 03 93427000
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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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Reny Segal
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Address
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Royal Melbourne Hospital
300 Grattan St
Parkville
Victoria
3050
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Country
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Australia
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Phone
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+61 03 93427000
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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
A Randomised Controlled Trial Comparing Fibreoptic-Guided Tracheal Intubation through Two Supraglottic Devices: Ambu AuragainTM Laryngeal Mask and LMA FastrachTM.
2018
https://dx.doi.org/10.1177/0310057X1804600508
N.B. These documents automatically identified may not have been verified by the study sponsor.
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