Using a combined airway management technique to reduce emergence phenomena after anesthesia
Limiting Emergence Phenomena After General Anesthesia for Laparoscopic Surgery With Combined Laryngeal Mask Airway and Endotracheal Tube Airway Management Technique
This study tests a new way of managing airways during anesthesia to see if it can help patients wake up more comfortably after surgery.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 130 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Milton S. Hershey Medical Center Academic / other |
| Locations | 1 site (Hershey, Pennsylvania) |
| Trial ID | NCT02708836 on ClinicalTrials.gov |
What this trial studies
This study investigates a novel airway management technique that combines the use of a laryngeal mask airway (LMA) and an endotracheal tube (ETT) during general anesthesia. The goal is to minimize emergence phenomena such as coughing, straining, and restlessness, which can lead to complications like hypertension and tachycardia. By utilizing the secure airway provided by the ETT while potentially reducing the noxious stimuli associated with emergence from anesthesia, the study aims to improve patient outcomes during recovery. Patients undergoing elective laparoscopic surgery will be monitored for physiological changes and overall emergence experience.
Who should consider this trial
Good fit: Ideal candidates for this study are patients classified as ASA 1-3 who are undergoing elective laparoscopic surgery.
Not a fit: Patients who are high risk for gastric reflux, require translation services, or have anticipated difficult airways may not benefit from this study.
Why it matters
Potential benefit: If successful, this approach could lead to smoother recoveries from anesthesia, reducing complications and improving patient comfort.
How similar studies have performed: While the approach of combining LMA and ETT is innovative, similar studies have shown that optimizing airway management can lead to improved outcomes, suggesting potential for success.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * ASA 1-3 * Patients undergoing elective laparoscopic surgery Exclusion Criteria: * Individuals who cannot provide consent * Individuals who would require translation services to provide consent * Prisoners * Parturients * Non-fasted patients (as per HMC Anesthesiology Department NPO policy) * Patients felt to be high risk for gastric reflux and pulmonary aspiration (those with gastroparesis, symptomatic GERD, etc.: at the discretion of primary anesthesia team) Those patients with anticipated difficult airway requiring maintenance of spontaneous ventilation (awake intubation)
Where this trial is running
Hershey, Pennsylvania
- Penn State Health - Hershey Medical Center — Hershey, Pennsylvania, United States (Recruiting)
Study contacts
- Principal investigator: Arne Budde, MD — Penn State M.S. Hershey Medical Center
- Study coordinator: Arne Budde, MD
- Email: abudde@pennstatehealth.psu.edu
- Phone: 717-531-6140
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.