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The Laryngeal Tube Suction Disposable( LTS-D) has recently undergone considerable structural changes in design. As these changes may influence the performance of the LTS-D relative to the old LTS-D version the investigator decided to check the new LTS-D in the pediatric version The investigator hypothesized that the LTS-D perform clinically well during general anesthesia with controlled ventilation.
The LTS-D, is a second generation supraglottic airway device, made from the medical polyvinyl chloride introduce in 2005. It is used for maintaining the airway during spontaneous and controlled ventilation during general anesthesia . It has been advocated for prehospital emergency airway management and serves as a useful tool during failed intubations The LTS-D has recently undergone considerable changes in design based on clinical studies and investigators feedback. The new LTS-D is available to adult and pediatric sizes.For childrens the devices is presented in the size 3 for patients of < 155 cm (> 30 Kg.), the size 2.5 for patients 125-150cm. (20-30 Kg.), the size 2 for patients of 12-25 Kg, the size 1 for patients of 5-12 Kg and the size 0 for patients < 5 Kg.
As these changes may influence the performance of the LTS-D relative to the old LTS-D version the investigator decided to check the new LTS-D in the pediatric version.
The investigator hypothesized that the LTS-D perform clinically well during general anesthesia with controlled ventilation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Laryngeal Tube Suction size 1 | Experimental | Measurement of leak pressure |
|
| Laryngeal Tube Suction size 2 | Experimental | Measurement of leak pressure |
|
| Laryngeal Tube Suction size 2.5 | Experimental | Measurement of leak pressure |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Laryngeal Tube Suction | Device | Laryngeal Tube Suction Measurement of leak pressure |
|
| Measure | Description | Time Frame |
|---|---|---|
| Seal pressure in cm H2O | We will measure the seal leak pressure at 60 cm H2O intracuff pressure and the minimal pressure of the cuff to performed effective volume controlled ventilation | one minute |
| Measure | Description | Time Frame |
|---|---|---|
| Time of insertion in seconds | Was measured as the time after the anesthesiologist removed the facemask until the square-wave capnograph tracing was observed after insertion of the LTS-D. Two attempts at insertion were permitted. | one minute |
| Measure | Description | Time Frame |
|---|---|---|
| Easy of insertion using a five-point Likert Scale | Investigators were asked to complete a questionnaire independently and anonymously to record the 'ease-of-use' of the LTS-D. Insertion of the devices was classified as 1= easy, 2= moderate, 3= difficult and 4=impossible. | One minute |
Inclusion Criteria:Pediatric patients, ASA I and II, normal airway, for minor elective surgery
Exclusion Criteria: Weigth <10Kg or > 30 Kg, known difficult airway, active esophagial reflux
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Luis A Gaitini, M.D. | Contact | # 972 4 8359361 | luis.gaitini@b-zion.org.il |
| Name | Affiliation | Role |
|---|---|---|
| Luis A Gaitini, M.D. | Bnai Zion Medical Center | Principal Investigator |
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