Unique ID issued by UMIN | UMIN000035504 |
---|---|
Receipt number | R000040438 |
Scientific Title | Is muscle relaxant useful to facilitate insertion of LMA-Supreme: a prospective randomized controlled trial |
Date of disclosure of the study information | 2019/01/10 |
Last modified on | 2019/12/17 10:24:53 |
Is muscle relaxant useful to facilitate insertion of LMA-Supreme: a prospective randomized controlled trial
Is muscle relaxant useful to facilitate insertion of LMA-Supreme: a prospective randomized controlled trial
Is muscle relaxant useful to facilitate insertion of LMA-Supreme: a prospective randomized controlled trial
Is muscle relaxant useful to facilitate insertion of LMA-Supreme: a prospective randomized controlled trial
Japan |
breast cancer
Breast surgery | Anesthesiology |
Malignancy
NO
This study is aimed at determining whether muscle relaxants facilitates insertion efficacy of the LMA-Supreme by novice doctors in anesthetized patients.
Efficacy
Confirmatory
Explanatory
Not applicable
the proportion of first attempt to successful insertion
sealing pressure, the number of attempts required for successful insertion, the incidence of sore throat and hoarseness one day after surgery,subjective difficulty of insertion
Interventional
Parallel
Randomized
Individual
Double blind -all involved are blinded
Placebo
YES
NO
YES
Numbered container method
2
Treatment
Medicine |
Routine monitoring of electrocardiography, non-invasive blood pressure, pulse oximetry, and end-tidal carbon dioxide tension was performed. All patients are preoxygenated for 3 min with a total flow adjusted to 6 L/min. Anesthesia is induced with propofol 2.5mg/kg and fentanyl one microgram/kg. After loss of consciousness, rocuronium 0.3mg/kg is administered, and mask ventilation was performed with 5% sevoflurane for 90 seconds. SLMA is inserted 90 seconds after rocuronium administration. The SLMA is inserted and fixed according to the manufacturer's instructions. The size of SLMA is chosen based on the patient's body weight according to the manufacturer's instructions. Junior residents insert the SLMA. Intracuff pressure is adjusted to 60cmH2O using a cuff pressure monitor. Successful insertion is confirmed based on bilateral chest wall movement, normal capnograph curves, and sealing pressure of 15 cmH2O or over. If the third attempt is failed, this is recorded as a failure. At the end of insertion, the residents rate the difficulty using a visual analog scale, which ranges from 0mm (extremely easy) to 10mm (extremely difficult).
Routine monitoring of electrocardiography, non-invasive blood pressure, pulse oximetry, and end-tidal carbon dioxide tension was performed. All patients are preoxygenated for 3 min with a total flow adjusted to 6 L/min. Anesthesia is induced with propofol 2.5mg/kg and fentanyl one microgram/kg. After loss of consciousness, normal saline 0.03ml/kg is administered, and mask ventilation was performed with 5% sevoflurane for 90 seconds. SLMA is inserted 90 seconds after normal saline administration. The SLMA is inserted and fixed according to the manufacturer's instructions. The size of SLMA is chosen based on the patient's body weight according to the manufacturer's instructions. Junior residents insert the SLMA. Intracuff pressure is adjusted to 60cmH2O using a cuff pressure monitor. Successful insertion is confirmed based on bilateral chest wall movement, normal capnograph curves, and sealing pressure of 15 cmH2O or over. If the third attempt is failed, this is recorded as a failure. At the end of insertion, the residents rate the difficulty using a visual analog scale, which ranges from 0mm (extremely easy) to 10mm (extremely difficult).
Not applicable |
Not applicable |
Female
the patiens who are going to have an elective mastectomy
any contraindication for the use of LMA, allergy to medication to be used during anesthesia, mouse opening <2.5cm, BMI>30, ASA-PS>3
60
1st name | |
Middle name | |
Last name | Takaya Hojo |
Tokyo Metropolitan Tama Medical Center
Department of Anaesthesia
2-8-29 Musashidai, Fuchu-shi, Tokyo
042-323-5111
ha_hi_hu_he_hojo@yahoo.co.jp
1st name | |
Middle name | |
Last name | Takaya Hojo |
Tokyo Metropolitan Tama Medical Center
Department of Anaesthesia
2-8-29 Musashidai, Fuchu-shi, Tokyo
042-323-5111
ha_hi_hu_he_hojo@yahoo.co.jp
Tokyo Metropolitan Tama Medical Center
Tokyo Metropolitan
Local Government
NO
東京都立多摩総合医療センター
2019 | Year | 01 | Month | 10 | Day |
Unpublished
Completed
2018 | Year | 10 | Month | 01 | Day |
2018 | Year | 10 | Month | 01 | Day |
2019 | Year | 01 | Month | 10 | Day |
2019 | Year | 08 | Month | 31 | Day |
2019 | Year | 01 | Month | 10 | Day |
2019 | Year | 12 | Month | 17 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000040438