Air-Q in Totally Edentulous and Dentate Geriatric Patients
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: edentulous geriatric patients, dentate geriatric patients.
- Who it may be relevant to
- Registry conditions: Postoperative Complications, Sore-throat. Basic parameters: 65 years — 90 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Turkey (Türkiye)
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
The Comparison of the Effectiveness of the Self-Pressurizing Air-Q Intubating Laryngeal Airway in Totally Edentulous and Dentate Geriatric Patients
Overview
In this study, we aim to investigate the clinical performance, efficacy, and associated complications of the Air-Q Intubating Laryngeal Airway in totally edentulous and dentate geriatric patients.
Detailed description
In the elderly population, the prevalence of totally edentulous patients over the age of 65 exceeds 60%. With aging, parapharyngeal fat deposition increases and contributes to pharyngeal collapse in elderly patients . In elderly patients with total tooth loss, face mask ventilation is difficult because standard face masks do not fit well on edentulous faces. Additionally, during general anesthesia, loss of muscle tone, reduced oropharyngeal air space, posterior displacement of the tongue, and airway obstruction caused by the soft palate and epiglottis all make ventilation challenging . Structural changes in the airway, combined with age-related physiological alterations in respiration, may reduce oxygen saturation, blunt the hypoxic response, and increase the risk of postoperative respiratory complications. Due to age-related acquired changes in pharyngeal muscle activity, the likelihood of skeletal structural abnormalities such as retrognathia-often associated with difficult airways-has been proposed (2). Therefore, these age-related changes may influence the clinical performance of supraglottic airway devices (SADs).
Recently, SADs that do not require manual cuff inflation have gained popularity in various clinical settings due to their advantage of eliminating the need for manual cuff inflation and cuff pressure monitoring (5,6). The Air-Q is a supraglottic airway device that connects to an airway tube through a communication port, allowing self-pressurization of the cuff in response to airway pressure.
In this study, we aim to investigate the clinical performance, efficacy, and associated complications of the Air-Q Intubating Laryngeal Airway in totally edentulous and dentate geriatric patients.
Interventions
- Other edentulous geriatric patients
Edentulous geriatric patients will be inserted Air-Q Intubating Airway under general anesthesia. - Other dentate geriatric patients
Dentate geriatric patients will be inserted Air-Q Intubating Airway under general anesthesia.
Primary outcome measures
- Measurement of oropharyngeal leak pressure (OLP) [Time frame: One minute after successful LMA placement]
Secondary outcome measures (4)
- Air-Q insertion time [Time frame: 3 minutes after induction of anesthesia]
- ease of SGA placement [Time frame: 3 minutes after induction of anesthesia]
- maneuvers required for successful ventilation [Time frame: 3 minutes after induction of anesthesia]
- fiberoptic view grading [Time frame: 3 minutes after induction of anesthesia]
Eligibility criteria
Inclusion criteria
- 65-90 year-old patients
- Edentulous and gentate patients
- American Society of Anesthesiologist Physical Status classification I-III,
- Undergoing an elective operation under general anesthesia in our hospital
Exclusion criteria
- Predicted difficult airway (Mallampati class 4, mouth opening < 3 cm, or thyromental distance < 6 cm)
- Body mass index (BMI) > 40 kg/m2
- Patients with a high risk of aspiration (e.g., history of gastrectomy, -gastroesophageal reflux disease, or hiatal hernia),
- Unstable vital signs
- Cervical spine problems, Respiratory complications (e.g. recent pneumonia).
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Diagnostic
Study locations
Turkey (Türkiye) · 1 center
- Zeynep Koç — Yenimahalle
Publications
- Beydes T, Kucukguclu S, Ozbilgin S, Kuvaki B, Ademoglu M, Sari M. Comparison of Laryngeal Mask Airway Supreme(TM) Versus Unique(TM) in Edentulous Geriatric Patients. Turk J Anaesthesiol Reanim. 2016 Feb;44(1):32-6. doi: 10.5152/TJAR.2016.22129. Epub 2016 Feb 1. PMID 27366552
- Genez M, Kucukguclu S, Ozbilgin S, Kuvaki B, Beydes T, Aksoy Sari M. A comparison of usage of the laryngeal mask UniqueTM in denticulate and edentulate geriatric patients. Turk J Med Sci. 2017 Jun 12;47(3):854-860. doi: 10.3906/sag-1603-206. PMID 28618734
- Lee JS, Kim DH, Choi SH, Ha SH, Kim S, Kim MS. Prospective, Randomized Comparison of the i-gel and the Self-Pressurized air-Q Intubating Laryngeal Airway in Elderly Anesthetized Patients. Anesth Analg. 2020 Feb;130(2):480-487. doi: 10.1213/ANE.0000000000003849. PMID 30320644
Identifiers
NCT: NCT07138079 · ZeynepKoc004