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CompletedNCT06602817Updated Jun 8, 2025

I-gel Plus Supraglottic Airway Device for Surgical Procedures in Prone Position

An observational study in General Anesthesia, Airway Management and Supraglottic Airway, sponsored by Universitätsklinikum Hamburg-Eppendorf. Completed at 1 site in Germany. Open to participants aged 18 Years to 89 Years. Per ClinicalTrials.gov, last updated 2025-06-08.

Sponsored by Universitätsklinikum Hamburg-Eppendorf · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
28
Ages
18 Years to 89 Years
Sex
All
01

Study summary

I-gel Plus is a novel supraglottic airway device that has been evaluated in various studies with high success and low complication rates. Feasibility of supraglottic airway devices (SGA) in patients undergoing surgery in prone position has been demonstrated in some pilot studies and case series; however, the evidence is still limited. It is currently uncertain, if the i-gel Plus facilitates appropriate ventilation in individuals undergoing elective surgery in prone position.

The primary aim of this single-center non-inferior study is to assess the leak fraction of the i-gel Plus in patients undergoing surgery in prone position and to compare it with data from an existing prospective control cohort in patients undergoing surgery in supine position. Secondary aims are to investigate the oropharyngeal seal pressure and other secondary outcome parameters and to compare them with the control cohort.

02

Conditions studied

  • General Anesthesia
  • Airway Management
  • Supraglottic Airway

Keywords

  • Prone position
  • Surgery
  • Airway management
03

In context

Lead sponsor

Universitätsklinikum Hamburg-Eppendorf is the lead sponsor of 403 studies on the registry; 83 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 89 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

patients undergoing elective surgery in prone position with i-gel Plus used for airway management

Inclusion criteria

  • Patients scheduling for elective surgery in prone position
  • Planned airway management using a SGA
  • Adult patients (age 18-89 years)
  • ASA physical status 1-3

Exclusion criteria

Exclusion Criteria:

  • Pregnant or breastfeeding women
  • Non-fasted patients
  • Increased risk of aspiration or other contraindications for supraglottic mask ventilation
  • Shared airway or intracavity open surgery
  • Body mass index (BMI) \>35 kg/m2
  • Inability to understand or sign informed consent
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
28 participants (actual)
Patient registry
No

Groups and cohorts

  • Surgery in prone position

    Patients undergoing elective surgery in prone position with i-gel Plus used for airway management

    Other: Exposure: prone position

  • Surgery in supine position

    Existing prospective control cohort with patients undergoing elective surgery in supine position with i-gel Plus used for airway management

    Other: Exposure: Supine position

Interventions

  • OtherExposure: prone position

    Exposure: surgery in prone position

  • OtherExposure: Supine position

    Exposure: Surgery in supine position

06

What researchers measure

Primary outcomes

  1. Leak fraction

    Ventilation parameter - Leakage volume per tidal volume

    Time frame: 3 hours

Secondary outcomes

  1. Oropharyngeal seal pressure [cm H2O]

    Clinical assessment - leak pressure with audible leak

    Time frame: 3 hours

  2. Leakage volume (ml)

    Ventilation parameter - as displayed on the ventilator

    Time frame: 3 hours

  3. Tidal volume (ml)

    Ventilation parameter - as displayed on the ventilator

    Time frame: 3 hours

  4. Inspiratory peak pressure (cm H2O)

    Ventilation parameter - as displayed on the ventilator

    Time frame: 3 hours

  5. Positive endexpiratory pressure (PEEP) (cm H2O)

    Ventilation parameter - as displayed on the ventilator

    Time frame: 3 hours

  6. Respiratory rate (1/min)

    Ventilation parameter - as displayed on the ventilator

    Time frame: 3 hours

  7. Minute ventilation (l/min/kg)

    Ventilation parameter -as displayed on the ventilator

    Time frame: 3 hours

  8. Endtidal CO2 [mmHg]

    Ventilation parameter - as displayed on the ventilator

    Time frame: 3 hours

  9. Number of insertion attempts

    Clinical assessment - SGA insertion attempts

    Time frame: 3 hours

  10. Insertion success rate (%)

    Clinical assessment

    Time frame: 3 hours

  11. First-attempt insertion success rate (%)

    Clinical assessment - successful placement in only one insertion attempt

    Time frame: 3 hours

  12. Necessity of adjustment maneuvers during the procedure

    Clinical assessment

    Time frame: 3 hours

  13. Insertion time (sec)

    Clinical assessment

    Time frame: 3 hours

  14. Lowest oxygen saturation (%)

    Measured by pulse oximetry

    Time frame: 3 hours

  15. Difficulty of insertion

    Clinical assessment on a scale between 1-5

    Time frame: 3 hours

  16. Ease of gastric tube insertion

    Clinical assessment - rating on a scale from 1-5

    Time frame: 3 hours

  17. Postoperative complications

    Clinical assessment

    Time frame: 24 hours postoperatively

  18. Complications at the end of surgery

    Clinical assessment

    Time frame: 3 hours

07

Study locations

1 site
  • University Medical-Center Hamburg Eppendorf
    Hamburg, 20246, Germany
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 8, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06602817
Lead sponsor
Universitätsklinikum Hamburg-Eppendorf
Responsible party
Sponsor
First posted
Sep 19, 2024
Start date
Oct 1, 2024
Primary completion
Feb 4, 2025
Completion
Feb 4, 2025
Last update
Jun 8, 2025

Study contacts

Martin Petzoldt, MD
principal investigator · University Medical Center Hamburg-Eppendorf: Universitatsklinikum Hamburg-Eppendorf

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2025. You cannot join it, but the record below documents what was studied.

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