Trial Outcomes & Findings for The Articulated Oral Airway as an Aid to Mask Ventilation (NCT NCT03144089)

NCT ID: NCT03144089

Last Updated: 2021-07-23

Results Overview

Measured expiratory tidal volume (from video of anesthesia monitor). Each participant had measurements collected during breaths number 6-10 after the insertion of each oral airway (GOA or AOA) with the order of first treatment randomized. The average expiratory tidal volumes reported were weight standardized per kilogram of participant's body weight, meaning the expiratory measurements were divided by the participant's weight (kg). A total of 56 patients were enrolled and randomized--28 received the Guedel Oral Airway first and 28 received the Articulated Oral Airway first. The average expiratory values are reported as outlined in table below: Guedel inserted first AOA inserted first Guedel inserted second AOA inserted second

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

58 participants

Primary outcome timeframe

Measured immediately after placement of each oral airway; an average of 2-5 minutes.

Results posted on

2021-07-23

Participant Flow

Participant milestones

Participant milestones
Measure
Guedel Oral Airway Placed First
This group is randomized to receive the Guedel oral airway first and the Articulated Oral Airway second Articulated Oral Airway: The AOA is a novel device which actively displaces the tongue, allowing for a greater cross-sectional area for mask ventilation. The AOA will be evaluated for efficacy of mask ventilation. Guedel oral airway (active comparator): The Guedel oral airway is a standard oral airway commonly used to facilitate mask ventilation. The Guedel oral airway will be evaluated for efficacy of mask ventilation.
Articulated Oral Airway Placed First
This group is randomized to receive the Articulated Oral Airway first and the Guedel oral airway second Articulated Oral Airway: The AOA is a novel device which actively displaces the tongue, allowing for a greater cross-sectional area for mask ventilation. The AOA will be evaluated for efficacy of mask ventilation. Guedel oral airway (active comparator): The Guedel oral airway is a standard oral airway commonly used to facilitate mask ventilation. The Guedel oral airway will be evaluated for efficacy of mask ventilation.
Overall Study
STARTED
28
28
Overall Study
COMPLETED
28
28
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Guedel Oral Airway Placed First
n=28 Participants
This group is randomized to receive the Guedel oral airway first and the Articulated Oral Airway second Articulated Oral Airway: The AOA is a novel device which actively displaces the tongue, allowing for a greater cross-sectional area for mask ventilation. The AOA will be evaluated for efficacy of mask ventilation. Guedel oral airway (active comparator): The Guedel oral airway is a standard oral airway commonly used to facilitate mask ventilation. The Guedel oral airway will be evaluated for efficacy of mask ventilation.
Articulated Oral Airway Placed First
n=28 Participants
This group is randomized to receive the Articulated Oral Airway first and the Guedel oral airway second Articulated Oral Airway: The AOA is a novel device which actively displaces the tongue, allowing for a greater cross-sectional area for mask ventilation. The AOA will be evaluated for efficacy of mask ventilation. Guedel oral airway (active comparator): The Guedel oral airway is a standard oral airway commonly used to facilitate mask ventilation. The Guedel oral airway will be evaluated for efficacy of mask ventilation.
Total
n=56 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=28 Participants
0 Participants
n=28 Participants
0 Participants
n=56 Participants
Age, Categorical
Between 18 and 65 years
19 Participants
n=28 Participants
15 Participants
n=28 Participants
34 Participants
n=56 Participants
Age, Categorical
>=65 years
9 Participants
n=28 Participants
13 Participants
n=28 Participants
22 Participants
n=56 Participants
Sex: Female, Male
Female
12 Participants
n=28 Participants
9 Participants
n=28 Participants
21 Participants
n=56 Participants
Sex: Female, Male
Male
16 Participants
n=28 Participants
19 Participants
n=28 Participants
35 Participants
n=56 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
28 participants
n=28 Participants
28 participants
n=28 Participants
56 participants
n=56 Participants
BMI
34.8 kg/m^2
n=28 Participants
36.1 kg/m^2
n=28 Participants
35.4 kg/m^2
n=56 Participants

PRIMARY outcome

Timeframe: Measured immediately after placement of each oral airway; an average of 2-5 minutes.

Measured expiratory tidal volume (from video of anesthesia monitor). Each participant had measurements collected during breaths number 6-10 after the insertion of each oral airway (GOA or AOA) with the order of first treatment randomized. The average expiratory tidal volumes reported were weight standardized per kilogram of participant's body weight, meaning the expiratory measurements were divided by the participant's weight (kg). A total of 56 patients were enrolled and randomized--28 received the Guedel Oral Airway first and 28 received the Articulated Oral Airway first. The average expiratory values are reported as outlined in table below: Guedel inserted first AOA inserted first Guedel inserted second AOA inserted second

Outcome measures

Outcome measures
Measure
Guedel Oral Airway
n=28 Participants
This group is randomized to receive the Guedel oral airway first and the Articulated Oral Airway second Articulated Oral Airway: The AOA is a novel device which actively displaces the tongue, allowing for a greater cross-sectional area for mask ventilation. The AOA will be evaluated for efficacy of mask ventilation. Guedel oral airway (active comparator): The Guedel oral airway is a standard oral airway commonly used to facilitate mask ventilation. The Guedel oral airway will be evaluated for efficacy of mask ventilation.
Articulated Oral Airway
n=28 Participants
This group is randomized to receive the Articulated Oral Airway first and the Guedel oral airway second Articulated Oral Airway: The AOA is a novel device which actively displaces the tongue, allowing for a greater cross-sectional area for mask ventilation. The AOA will be evaluated for efficacy of mask ventilation. Guedel oral airway (active comparator): The Guedel oral airway is a standard oral airway commonly used to facilitate mask ventilation. The Guedel oral airway will be evaluated for efficacy of mask ventilation.
Expiratory Tidal Volume (Breaths 6-10)
First intervention-breaths 6 through 10
4.46 ml/kg
Interval 3.86 to 5.07
3.21 ml/kg
Interval 2.62 to 3.79
Expiratory Tidal Volume (Breaths 6-10)
Second intervention-breaths 6 through 10
3.12 ml/kg
Interval 2.54 to 3.7
3.48 ml/kg
Interval 2.87 to 4.08

SECONDARY outcome

Timeframe: Measured immediately after placement of each oral airway; an average of 2-5 minutes.

Measured inspiratory tidal volume (from video of anesthesia monitor). Each participant had measurements collected during breaths number 6-10 after the insertion of each oral airway (GOA or AOA) with the order of first treatment randomized. The average inspiratory tidal volumes reported were weight-standardized per kilogram of participant's body weight, meaning the inspiratory measurements were divided by the participant's weight (kg). A total of 56 patients were enrolled and randomized--28 received the Guedel Oral Airway first and 28 received the Articulated Oral Airway first. The average inspiratory values are reported as outlined in table below: Guedel inserted first AOA inserted first Guedel inserted second AOA inserted second

Outcome measures

Outcome measures
Measure
Guedel Oral Airway
n=28 Participants
This group is randomized to receive the Guedel oral airway first and the Articulated Oral Airway second Articulated Oral Airway: The AOA is a novel device which actively displaces the tongue, allowing for a greater cross-sectional area for mask ventilation. The AOA will be evaluated for efficacy of mask ventilation. Guedel oral airway (active comparator): The Guedel oral airway is a standard oral airway commonly used to facilitate mask ventilation. The Guedel oral airway will be evaluated for efficacy of mask ventilation.
Articulated Oral Airway
n=28 Participants
This group is randomized to receive the Articulated Oral Airway first and the Guedel oral airway second Articulated Oral Airway: The AOA is a novel device which actively displaces the tongue, allowing for a greater cross-sectional area for mask ventilation. The AOA will be evaluated for efficacy of mask ventilation. Guedel oral airway (active comparator): The Guedel oral airway is a standard oral airway commonly used to facilitate mask ventilation. The Guedel oral airway will be evaluated for efficacy of mask ventilation.
Inspiratory Tidal Volume (Breaths 6-10)
First intervention-breaths 6 though 10
6.37 ml/kg
Interval 5.35 to 7.4
5.7 ml/kg
Interval 4.71 to 6.68
Inspiratory Tidal Volume (Breaths 6-10)
Second intervention-breaths 6 through 10
5.83 ml/kg
Interval 4.84 to 6.82
6.72 ml/kg
Interval 5.7 to 7.75

SECONDARY outcome

Timeframe: Measured immediately after removal of first oral airway and before placing the second oral airway

After the first oral airway device was removed, it was visually inspected for the presence of blood and is reported as the number of subjects where blood was visualized on the initial airway device..

Outcome measures

Outcome measures
Measure
Guedel Oral Airway
n=28 Participants
This group is randomized to receive the Guedel oral airway first and the Articulated Oral Airway second Articulated Oral Airway: The AOA is a novel device which actively displaces the tongue, allowing for a greater cross-sectional area for mask ventilation. The AOA will be evaluated for efficacy of mask ventilation. Guedel oral airway (active comparator): The Guedel oral airway is a standard oral airway commonly used to facilitate mask ventilation. The Guedel oral airway will be evaluated for efficacy of mask ventilation.
Articulated Oral Airway
n=28 Participants
This group is randomized to receive the Articulated Oral Airway first and the Guedel oral airway second Articulated Oral Airway: The AOA is a novel device which actively displaces the tongue, allowing for a greater cross-sectional area for mask ventilation. The AOA will be evaluated for efficacy of mask ventilation. Guedel oral airway (active comparator): The Guedel oral airway is a standard oral airway commonly used to facilitate mask ventilation. The Guedel oral airway will be evaluated for efficacy of mask ventilation.
Immediate Oropharyngeal Trauma From Oral Airway Randomized to be Placed First
3 Devices with blood
0 Devices with blood

Adverse Events

Guedel Oral Airway

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Articulated Oral Airway

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Ron Abrons, MD

University of Iowa Hospitals and Clinics

Phone: (319) 353-8061

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place