Standardized laryngeal mask airway placement with cuff pressure monitoring for older adults
Official title: The Influence of Standardized Process Management of Laryngeal Mask Airway Placement Based on Pressure Monitoring on the Incidence of Adverse Reactions in Elderly Patients During the Perioperative Period
Run by First Affiliated Hospital of Chongqing Medical University · NCT06954857 · Data updated 2026-11-12
This tests whether using a cuff pressure monitor when placing a laryngeal mask airway reduces airway-related adverse reactions in older adults having elective surgery.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 60 Years and up |
| Sex | All |
| Enrollment | 78 (estimated) |
| Sponsor | First Affiliated Hospital of Chongqing Medical University Academic / other |
| Locations | 1 site (Chongqing, Chongqing Municipality) |
| Status | Recruiting |
| Started | May 9, 2025 |
| Main results expected | March 1, 2027 |
| Study ends | March 31, 2027 |
| Registry record updated | July 10, 2025 |
| Trial ID | NCT06954857 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 60 or older scheduled for elective, non-cardiothoracic and non-head/neck surgery under general anesthesia who are ASA I–III, NYHA I–II, with BMI 18.5–24.9 and expected operation time between 30 minutes and 2 hours.
✕Probably not a fit
Patients with predicted difficult airways, chronic obstructive respiratory disease or asthma, emergency surgeries, non-supine positions, allergy to LMA materials, or inability to cooperate are unlikely to benefit or be eligible.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
The trial enrolls patients aged 60 and older undergoing elective, non-cardiothoracic and non-head/neck surgery with expected duration of 30–120 minutes and BMI 18.5–24.9. Participants receive LMA placement managed through a standardized process that includes cuff pressure monitoring, compared with routine placement practices. The primary outcome is the incidence of perioperative adverse airway reactions and pressure-related injuries. Key exclusions include predicted difficult airway, significant respiratory disease, emergency or non-supine procedures, and allergy to LMA materials.
Why it matters
Potential benefit: If successful, this could reduce airway injury and postoperative throat complications in elderly surgical patients.
How similar studies have gone: Animal experiments and some clinical reports suggest appropriate LMA cuff pressure reduces tissue injury, but standardized pressure-monitoring protocols in elderly perioperative patients are limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age ≥60 years old * Non-cardiothoracic surgery and head and neck surgery * Elective surgery * ASA I-III grade * NYHA cardiac function class I-II * The operation time is expected to be ≥30 minutes and ≤2 hours * 18.5≤BMI (kg/m2) ≤24.9 Exclusion Criteria: * Change to emergency surgery * Difficult airway that can be predicted before operation, such as difficulty in opening mouth and limited neck movement * Loose teeth * Laryngeal obstruction, laryngeal edema, laryngeal abscess, acute airway inflammation, full stomach, acute abdomen, abdominal trauma, drug poisoning, gastrointestinal bleeding * Complicated with chronic obstructive pulmonary disease, asthma and other respiratory diseases * Allergic to laryngeal mask materials * Non-supine position * Inability to cooperate with the investigator for any reason * Taking other investigational drugs or participating in other clinical trials within 3 months before study entry * The investigators considered it inappropriate to be included in the study
Where it's running
-
The First Affiliated Hospital of Chongqing Medical University
Chongqing, Chongqing Municipality, China Recruiting
Study contacts
- Study coordinator: Xuanqi Yang
- Email: 734357421@qq.com
- Phone: +8613408631952
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Artificial Intelligence-Supported Pressure Injury Prevention in ICU Patients
This study tests PRESS AI, a mobile app, to help nurses prevent and manage pressure injuries in adult ICU patients by guiding risk and wound assessment and care decisions.
-
Ultrasound Measurements and Age-Related Anatomy to Guide LMA Placement
This study tests whether ultrasound measurements of the upper airway and age-related anatomy affect how easily and accurately a laryngeal mask is placed in young adults and older adults.
-
AI-assisted ultrasound check for LMA placement in adults
A prospective study tests if artificial intelligence using ultrasound images can determine whether a laryngeal mask airway is placed correctly in adults having surgery.
-
I-scoop vs C-Mac D-Blade for airway management with spontaneous breathing
This study tests whether the i-scoop videolaryngoscope makes airway management with the patient breathing on their own and light sedation easier and safer than the C-Mac D-Blade in adults having surgery under general anesthesia.
-
Paraffin oil to protect skin from tourniquet damage during upper limb surgery
This trial will try applying topical paraffin oil to the skin of adults having elective upper extremity surgery to see if it prevents tourniquet-related redness, blisters, or abrasions.
-
Continuous monitoring and stepwise control of laryngeal mask airway cuff pressure to reduce throat problems after surgery in older adults
This trial will test whether continuously monitoring and progressively adjusting the inflatable laryngeal mask airway (LMA) cuff pressure reduces postoperative sore throat and swallowing problems in people aged 60 or older having elective non-thoracic, non-head-and-neck surgery.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.