| Unique ID issued by UMIN | UMIN000059553 |
|---|---|
| Receipt number | R000068118 |
| Scientific Title | Comparison of the Effectiveness of Mandibular Elevation Technique and Conventional Method in i-gel Insertion: A Randomized Controlled Trial |
| Date of disclosure of the study information | 2026/02/01 |
| Last modified on | 2025/10/27 17:24:43 |
Comparison of the Effectiveness of Mandibular Elevation Technique and Conventional Method in i-gel Insertion: A Randomized Controlled Trial
Comparison of the Effectiveness of the Mandibular Elevation Technique and the Conventional Method in i-gel Insertion
Comparison of the Effectiveness of Mandibular Elevation Technique and Conventional Method in i-gel Insertion: A Randomized Controlled Trial
Comparison of the Effectiveness of the Mandibular Elevation Technique and the Conventional Method in i-gel Insertion
| Japan |
Patients Under General Anesthesia
| Anesthesiology |
Others
NO
The significance of this study is to reduce ventilation failure and the need for intubation due to insertion failure, thereby improving the safety of anesthesia management. From an educational perspective, establishing a reproducible technique for beginners is important. Verifying the usefulness of the mandibular elevation method as an alternative to the standard method may contribute to future anesthesia education and clinical guideline revisions.
Safety,Efficacy
Confirmatory
First-Attempt Success Rate of Insertion
Success rate within two attempts
Time required for successful insertion within two attempts
Leak pressure
Conversion to tracheal intubation
Procedure-related complications assessed in the post-anesthesia care unit
Interventional
Parallel
Randomized
Individual
Double blind -all involved are blinded
Active
NO
NO
YES
Numbered container method
2
Treatment
| Maneuver |
During insertion, the i-gel is inserted while lifting the mandible along with the tongue using one hand to create space in the oral cavity.
Without rotating the head, the i-gel is inserted in the sniffing position by pushing the patient's chin forward to open the mouth, and advancing it along the hard palate into the oral cavity.
| 50 | years-old | <= |
| Not applicable |
Male and Female
Patients aged 50 years or older undergoing general anesthesia who require airway management.
Patients who provided consent to participate in this study by signing a written informed consent form.
[Justification] Since insertion difficulties with the i-gel are rare in younger individuals, the age criterion was set at 50 years or older.
Refusal to participate in the study
Day surgery
Pre-existing neurological or cognitive disorders
Use of antipsychotic medications
Body mass index (BMI) over 35 kg/m2 or body weight over 90 kg
Mouth opening less than 2.5 cm
Acute sore throat
Conditions with a risk of aspiration (e.g., pregnancy, gastroesophageal reflux disease, hiatal hernia)
History of difficult intubation
Limited neck mobility (e.g., atlantoaxial subluxation, history of cervical spine or head and neck surgery)
200
| 1st name | shingo |
| Middle name | |
| Last name | kawashima |
Seirei Mikatahara General Hospital
Department of Anesthesiology
433-8558
3453 Mikatahara-cho, Chuo-ku, Hamamatsu Shizuoka
+81-53-436-1251
shingogo@hama-med.ac.jp
| 1st name | shingo |
| Middle name | |
| Last name | kawashima |
Seirei Mikatahara General Hospital
Department of Anesthesiology
433-8558
3453 Mikatahara-cho, Chuo-ku, Hamamatsu Shizuoka
0534361251
shingogo@hama-med.ac.jp
Seirei Mikatahara General Hospital
non
Non profit foundation
Seirei Mikatahara General Hospital
3453 Mikatahara-cho, Chuo-ku, Hamamatsu
+81-53-436-1251
shingogo@hama-med.ac.jp
NO
| 2026 | Year | 02 | Month | 01 | Day |
Unpublished
Preinitiation
| 2025 | Year | 10 | Month | 22 | Day |
| 2025 | Year | 10 | Month | 22 | Day |
| 2027 | Year | 03 | Month | 31 | Day |
| 2025 | Year | 10 | Month | 27 | Day |
| 2025 | Year | 10 | Month | 27 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000068118