UMIN-CTR Clinical Trial

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

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Basic information

Public title

Comparison of the Effectiveness of Mandibular Elevation Technique and Conventional Method in i-gel Insertion: A Randomized Controlled Trial

Acronym

Comparison of the Effectiveness of the Mandibular Elevation Technique and the Conventional Method in i-gel Insertion

Scientific Title

Comparison of the Effectiveness of Mandibular Elevation Technique and Conventional Method in i-gel Insertion: A Randomized Controlled Trial

Scientific Title:Acronym

Comparison of the Effectiveness of the Mandibular Elevation Technique and the Conventional Method in i-gel Insertion

Region

Japan


Condition

Condition

Patients Under General Anesthesia

Classification by specialty

Anesthesiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

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.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

First-Attempt Success Rate of Insertion

Key secondary outcomes

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


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Double blind -all involved are blinded

Control

Active

Stratification

NO

Dynamic allocation

NO

Institution consideration


Blocking

YES

Concealment

Numbered container method


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

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.

Interventions/Control_2

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.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

50 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

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.

Key exclusion criteria

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)

Target sample size

200


Research contact person

Name of lead principal investigator

1st name shingo
Middle name
Last name kawashima

Organization

Seirei Mikatahara General Hospital

Division name

Department of Anesthesiology

Zip code

433-8558

Address

3453 Mikatahara-cho, Chuo-ku, Hamamatsu Shizuoka

TEL

+81-53-436-1251

Email

shingogo@hama-med.ac.jp


Public contact

Name of contact person

1st name shingo
Middle name
Last name kawashima

Organization

Seirei Mikatahara General Hospital

Division name

Department of Anesthesiology

Zip code

433-8558

Address

3453 Mikatahara-cho, Chuo-ku, Hamamatsu Shizuoka

TEL

0534361251

Homepage URL


Email

shingogo@hama-med.ac.jp


Sponsor or person

Institute

Seirei Mikatahara General Hospital

Institute

Department

Personal name



Funding Source

Organization

non

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Seirei Mikatahara General Hospital

Address

3453 Mikatahara-cho, Chuo-ku, Hamamatsu

Tel

+81-53-436-1251

Email

shingogo@hama-med.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2026 Year 02 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2025 Year 10 Month 22 Day

Date of IRB


Anticipated trial start date

2025 Year 10 Month 22 Day

Last follow-up date

2027 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2025 Year 10 Month 27 Day

Last modified on

2025 Year 10 Month 27 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000068118