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Trial registered on ANZCTR
Registration number
ACTRN12614000477628
Ethics application status
Approved
Date submitted
2/05/2014
Date registered
8/05/2014
Date last updated
8/05/2014
Type of registration
Retrospectively registered
Titles & IDs
Public title
Laryngeal Mask Airway (LMA) versus Endotracheal Tube (ETT) on incidence, of perioperative adverse respiratory events, in obese children with recent cold undergoing upper airways surgery.
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Scientific title
the effect of insertion of LMA and ETT in intubating obese children with recent cold on adverse respiratory events(complications).
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Secondary ID [1]
284527
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nill
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Anaesthesiology for obese pediatric patients with recent cold in upper airway surgeries.
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Condition category
Condition code
Anaesthesiology
292149
292149
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0
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Anaesthetics
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
(Group I) : LMA group, 32 obese children with recent cold use LMA for intubation in upper airway surgeries.
(Group II): ETT group, 32 obese children with recent cold use ETT for intubation in upper airway surgeries.
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Intervention code [1]
289289
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Treatment: Devices
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Comparator / control treatment
use of ETT for intubation of obese children with recent cold in upper airway surgeries.
active control.
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Control group
Active
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Outcomes
Primary outcome [1]
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compare between LMA and ETT effects on incidence of adverse perioperatively respiratory events, in obese children with uncomplicated recent cold (primary outcome) e.g breath holding, coughing, laryngospasm, bronchospasm, and oxygen desaturation.
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Assessment method [1]
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Timepoint [1]
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on each stage of anesthesia:
at Induction, Insertion of LMA or ETT, Maintenance, Emergence of anesthesia and Postoperative period (until discharge from the post anesthesia care unit)
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Secondary outcome [1]
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early detection and management of complications e.g. aspiration, postoperative nausea and vomiting, bleeding, dysrhythmia (secondary outcome).
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Assessment method [1]
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Timepoint [1]
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during operations and postoperative period until discharge from hospitals.
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Eligibility
Key inclusion criteria
children age 2-8 years with recent uncomplicated cold (without symptomatic wheezing, purulent secretion and fever),
ASA I and II
BMI > 95% of child age and sex. Weight and height were used to measure BMI (weight/height2)
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Minimum age
2
Years
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Maximum age
8
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
children BMI <95% of child age and sex,
symptoms of fever, purulent secretion and wheeze was any of them present,
ASA physical status >II
refusal of parents.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
sealed opaque envelops
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
patients were randomized into two equal groups of patients via a table of random numbers using a computer software.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
Due to the procedures are impossible to be blind to the type of tube being used, all observations are recorded by qualified anesthetists who are not enrolled in the study.
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Phase
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Type of endpoint/s
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Statistical methods / analysis
Data are presented as mean +/- (SD) for normally distributed data. Baseline characteristics and outcomes across the groups were compared using the Student's t-test for continuous variables and chi-square analysis for nominal data. All analysis has been calculated using SPSS V.16. A P-value of <0.05 was considered to indicate statistical significance.
In deciding sample size we assumed that respiratory complications in obese children with recent cold will be greater than asymptomatic obese children at least by fivefold, if we assumed that complication in asymptomatic obese children will be 5% so we expected incidence of 25% complications in obese children with recent cold, from previous frequencies, based on a previous study on obese children without cold in our hospital a sample size of 29 children in each group will be convenient(a = 0.05 and a power of 0.8 with 95% confidence interval).
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
10/09/2012
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Actual
10/09/2012
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Date of last participant enrolment
Anticipated
1/10/2013
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Actual
1/10/2013
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
58
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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Egypt
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State/province [1]
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Tanta / Gharbia
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Rehab S. EL Kalla
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Address [1]
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Department of Anesthesia and surgical Intensive care, Faculty of Medicine, Tanta University.
EL Geish st.
Tanta / Gharbia
31257
Egypt.
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Country [1]
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Egypt
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Primary sponsor type
Individual
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Name
Rehab S. EL Kalla
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Address
Department of Anesthesia and surgical Intensive care, Faculty of Medicine, Tanta University.
EL Geish st.
Tanta / Gharbia
31257
Egypt.
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Country
Egypt
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Secondary sponsor category [1]
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Individual
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Name [1]
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Mohamad G. Ayaad
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Address [1]
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Department of Anesthesia and surgical Intensive care, Faculty of Medicine, Tanta University.
EL Geish st.
Tanta / Gharbia
31257
Egypt.
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Country [1]
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Egypt
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Institutional Ethics Committee of the Faculty of Medicine, Tanta University
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Ethics committee address [1]
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Faculty of Medicine, Tanta University. EL Geish st. Tanta / Gharbia 31257 Egypt.
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Ethics committee country [1]
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Egypt
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Date submitted for ethics approval [1]
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Approval date [1]
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25/08/2012
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Ethics approval number [1]
290934
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Summary
Brief summary
Overweight and obesity in children become a wide problem facing anesthetists' every day. Furthermore, cold is a viral origin infection that commonly occurs in children, there is always debate for years whether to proceed in anesthetizing with general anesthesia or not for children with recent cold because risk of increase incidence of perioperative respiratory adverse events. this is a prospective randomly unblinded study in 64 obese children (BMI>95% of child age and sex) with recent cold aged 2- 8 years undergoing elective upper airways surgery to compare the incidence of perioperative respiratory adverse events in manipulation of airways either by LMA or ETT (primary outcome), early detection and optimizing the anesthetic management of complications may occur (secondary outcome).
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Rehab S. EL Kalla
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Address
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Lecturer of Anesthesiology and surgical Intensive care Department of Anesthesia and surgical Intensive care, Faculty of Medicine, Tanta University
EL Geish st.
Tanta / Gharbia
31257
Egypt.
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Country
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Egypt
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Phone
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+201285700765
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Mohamad G. Ayaad
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Address
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Lecturer of Anesthesiology and surgical Intensive care Department of Anesthesia and surgical Intensive care, Faculty of Medicine, Tanta University
EL Geish st.
Tanta / Gharbia
31257
Egypt.
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Country
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Egypt
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Phone
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+201128396916
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Abd EL Rahim Dowidar
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Address
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professor of Anesthesiology and surgical Intensive care Department of Anesthesia and surgical Intensive care, Faculty of Medicine, Tanta University
EL Geish st.
Tanta / Gharbia
31257
Egypt.
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Country
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Egypt
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Phone
48052
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+201223195015
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Fax
48052
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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