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A comparison of SaCo VLMTM video laryngeal mask airway with the I-gel supraglottic airway during airway management in patients undergoing elective surgery.
The position of the supraglottic airway is checked using a fiberoptic endoscope: The bronchoscope is placed at the opening of the laryngeal mask, and assessed using the following grading system: Grade 1: Vocal cords not visible. Grade 2: Vocal cords and anterior epiglottis visible. Grade 3: Vocal cords and posterior epiglottis visible. Grade 4: Only vocal cords visible.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Third-generation SADs (SaCoVLM) | Experimental | The third-generation SADs (i.e. SaCoVLMâ„¢) combines video system and laryngeal mask with gastric drain. |
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| Second-generation SADs (I-gelâ„¢) | Active Comparator | The second-generation SADs (i.e. I-gelâ„¢) with a gastric drain conduit have designed to reduce the risk of gastric reflux and aspiration. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| a native video image system | Device | The visualization of the glottic structures through the SaCoVLMâ„¢ imaging system is graded as follows: Grade1: Visibility of the lateral portion of the right epiglottic fold and part of the laryngeal inlet. Grade 2: Visibility of both epiglottic folds and part of the laryngeal inlet. Grade 3: Visibility of the laryngeal inlet and part of the vocal cords. Grade 4: Visibility of the entire vocal cords. |
| Measure | Description | Time Frame |
|---|---|---|
| glottic visualization grades by fiberoptic exam assessment | Grade 1: vocal cords were not visualizedGrade 2: vocal cords and anterior epiglottis were visualizedGrade 3: vocal cords and posterior epiglottis were visualized Grade 4: vocal cords only were visualized | From anesthesia induction to the end of surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Intra-operative effectiveness | Secondary outcomes were evaluated by oropharyngeal sealing pressure, first attempt success rate, insertion time | From anesthesia induction to the end of surgery |
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Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| ICHENG LU | Contact | 886-975356677 | u9251112@gmail.com |
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| Fiberoptic bronchoscope | Device | The position of the i-Gel is checked using a fiberoptic endoscope |
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