About this trial
To compare the efficacy and safety of traditional inflatable laryngeal mask, i-gel non-inflatable laryngeal mask and GMA-TULIP non-inflatable laryngeal mask in surgeries with lateral position under general anesthesia, so that providing evidence for the selection of laryngeal mask in surgeries with lateral position.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients received surgeries in lateral position with an estimated surgery duration of less than 3 hours under general anesthesia.
Ages between 18 to 80, and body mass index less than 28 kg/m².
American Society of Anesthesiologists (ASA) Grades I-III.
Patients are willing to participate and be able to understand and sign an informed consent form.
Disqualifiers
Individuals with an open bite of less than 2cm.
Individuals with a history of obvious regurgitation of gastric contents and risk factors for aspiration.
Patients with combined pharyngeal and laryngeal lesions.
Predicting difficult airway patients.
Trial design
Parallel
Treatments tested in this trial
GMA-TULIP Laryngeal Mask
DeviceAfter the anesthesia induction, use the GMA-TULIP laryngeal mask as the airway ventilation device.
i-gel Laryngeal Mask
DeviceAfter the anesthesia induction, use the i-gel laryngeal mask as an airway ventilation device.
BlockBuster Laryngeal Mask
DeviceAfter the anesthesia induction is over, use the BlockBuster laryngeal mask as the airway ventilation device.
Treatment groups
Trial outcomes
Primary outcomes
oropharyngeal leak pressure
After the laryngeal mask is successful inserted, set the fresh gas flow to 3 L/min in manual mode, turn the APL valve to 30 cmH2O, then listen to the neck. When hearing the sound of air leakage, the peak airway pressure at this time is the oropharyngeal leak pressure.
Secondary outcomes
The rate of first-insertion success
The successful insertion is defined as oropharyngeal leak pressure higher than 20 cmH2O and grade 1-2 of the laryngeal view under the fibreoptic bronchoscopy (indicating the accuracy of laryngeal mask positioning).
The rate of total-insertion success
The total successful insertion is defined as ventilation with the allocated laryngeal mask after anesthesia induction
Time of insertion
Insertion time was defined as the time from the opening of the mouth by the operator to the positively insert the laryngeal mask. The time of glottic examination, adjustment between two ventilation insertions, and ventilation was not measured as ventilation insertion time.
Times of laryngeal mask adjustment before the successful insertion
The times of laryngeal mask adjustments before successful laryngeal mask insertion.
Sponsors and contacts
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