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Not yet recruitingNCT07912619Updated Nov 3, 2026

Comparison of Second- and Third-Generation Laryngeal Mask Airway in Pediatric Patients

An interventional study of Second-Generation SafeLM LMA and Third-Generation SafeLM Video LMA in Airway Management, Anesthesia, General and Pediatric Anesthesia, sponsored by Bursa Yuksek Ihtisas Training and Research Hospital. Not yet recruiting at 1 site in Turkey (Türkiye). Open to participants aged 2 Years to 8 Years. Per ClinicalTrials.gov, last updated 2026-11-03.

Sponsored by Bursa Yuksek Ihtisas Training and Research Hospital · Not applicable, Interventional, and Other

Updated Nov 3, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
90
Allocation
Randomized
Ages
2 Years to 8 Years
Sex
All
01

Study summary

This study compares two airway devices used during general anesthesia in children: a second-generation laryngeal mask (SafeLM LMA) and a third-generation video laryngeal mask (SafeLM Video LMA). Both devices are CE-marked and routinely used in clinical practice. The study will include 90 children aged 2 to 8 years who are scheduled for elective surgery. Children will be randomly assigned to one of two groups (45 per group), and one of the two devices will be placed after anesthesia induction. The main outcome is oropharyngeal leak pressure, which shows how well the mask seals the airway. Other outcomes include success at the first insertion attempt, number of attempts, view of the vocal cords (video group), heart rate and blood pressure changes, and complications such as laryngospasm, low oxygen levels, sore throat, hoarseness, and nausea/vomiting. The study aims to show whether video-guided placement improves airway seal and safety in children.

02

Conditions studied

  • Airway Management
  • Anesthesia, General
  • Pediatric Anesthesia

Keywords

  • Laryngeal Mask
  • Video Laryngeal Mask
  • Supraglottic Airway
  • Oropharyngeal Leak Pressure
  • Pediatric
  • SafeLM
03

In context

Lead sponsor

Bursa Yuksek Ihtisas Training and Research Hospital is the lead sponsor of 52 studies on the registry; 22 are open to participants now.

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

04

Who can participate

Ages eligible
2 Years to 8 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age 2-8 years
  • I-II
  • Scheduled for elective surgery
  • Expected surgical duration \<90 minutes
  • Written obtained from parent/guardian

Exclusion criteria

Exclusion Criteria:

  • Obesity ( >95th percentile)
  • Oropharyngeal or laryngeal pathology
  • Coagulopathy or bleeding diathesis
  • Parental/guardian refusal of consent
  • Surgery requiring lateral or prone position
  • III or higher
  • Anticipated difficult airway (e.g., dysmorphic facial features)
  • Upper respiratory tract infection within the past 2 weeks
  • Chronic asthma, bronchitis, or other airway disease
  • Gastroesophageal reflux disease (GERD)
  • Emergency surgery
  • Inadequate fasting time or increased aspiration risk
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ASA physical status

The anaesthetists’ scale of health before surgery: I is healthy, II has a mild illness that is under control, III a severe one, IV a severe illness that is a constant threat to life. V and VI are used for the critically ill and for organ donors.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
90 participants (estimated)

Study arms

  • Active comparator
    Second-Generation SafeLM LMA

    Participants received a second-generation SafeLM laryngeal mask airway (LMA) after standard anesthesia induction, placed without using the video/camera component.

    Device: Second-Generation SafeLM LMA

  • Experimental
    Third-Generation SafeLM Video LMA

    Participants received a third-generation SafeLM video laryngeal mask airway (LMA) after standard anesthesia induction, with the integrated camera system actively used to guide placement.

    Device: Third-Generation SafeLM Video LMA

Interventions

  • DeviceSecond-Generation SafeLM LMA

    A second-generation supraglottic airway device (SafeLM LMA) inserted after standard anesthesia induction to secure the airway. This device does not include a camera or video guidance component.

  • DeviceThird-Generation SafeLM Video LMA

    A third-generation video-guided supraglottic airway device (SafeLM Video LMA) inserted after standard anesthesia induction. The integrated adjustable camera provides real-time visualization to guide correct placement.

06

What researchers measure

Primary outcomes

  1. Oropharyngeal Leak Pressure (OLP)

    Oropharyngeal leak pressure measured immediately after airway device placement, reflecting the sealing performance of the supraglottic airway.

    Time frame: Measured immediately after device placement

Secondary outcomes

  1. First-Attempt Success Rate

    Proportion of participants in whom the airway device was successfully placed on the first insertion attempt.

    Time frame: During device insertion (intraoperative)

  2. Number of Insertion Attempts

    Total number of attempts required to successfully place the airway device.

    Time frame: During device insertion (intraoperative)

  3. Glottic Exposure Grade (Video LMA group)

    Grade of glottic view (Grade 1-4) assessed via camera image in the video laryngeal mask group.

    Time frame: During device insertion (intraoperative)

  4. Heart Rate

    Heart rate (beats per minute) recorded before induction, after device placement, and during surgery.

    Time frame: Before induction (T0), after device placement (T1), and during surgery (T2)

  5. Systolic Blood Pressure

    Systolic blood pressure (mmHg) recorded before induction, after device placement, and during surgery.

    Time frame: Before induction (T0), after device placement (T1), and during surgery (T2)

  6. Diastolic Blood Pressure

    Diastolic blood pressure (mmHg) recorded before induction, after device placement, and during surgery.

    Time frame: Before induction (T0), after device placement (T1), and during surgery (T2)

  7. Peripheral Oxygen Saturation (SpO2)

    Peripheral oxygen saturation (%) recorded before induction, after device placement, and during surgery.

    Time frame: Before induction (T0), after device placement (T1), and during surgery (T2)

  8. Intraoperative Complications

    Incidence of laryngospasm, bronchospasm, desaturation (SpO2 \<90%), need for device repositioning, and need for conversion to endotracheal intubation.

    Time frame: Intraoperative period

  9. Postoperative Sore Throat, Hoarseness, and Nausea/Vomiting

    Presence or absence of sore throat, hoarseness, and nausea/vomiting assessed at 1 and 6 hours postoperatively.

    Time frame: Postoperative hour 1 (T3) and hour 6 (T4)

Other outcomes

  1. Device Insertion Time

    Time (in seconds) required to successfully insert the airway device.

    Time frame: During device insertion (intraoperative)

  2. Inspired and Expired Tidal Volume

    Inspired and expired tidal volume (mL) recorded during surgery.

    Time frame: During surgery (T2)

  3. Minute Ventilation Leak Rate

    Minute ventilation leak rate (%) recorded during surgery.

    Time frame: During surgery (T2)

  4. Peak Airway Pressure

    Peak airway pressure (cmH2O) recorded during surgery.

    Time frame: During surgery (T2)

  5. Blood on Device After Removal

    Presence or absence of visible blood on the airway device following its removal.

    Time frame: At the end of surgery, upon device removal

  6. Induction-to-Incision Time, Total Anesthesia Duration, and Recovery Time

    Time from anesthesia induction to surgical incision, total duration of anesthesia, and time to recovery, all recorded in minutes.

    Time frame: Throughout the perioperative period

07

Study locations

1 site
08

References and documents

Publications

  • Yan CL, Zhang YQ, Chen Y, Qv ZY, Zuo MZ. To compare the influence of blind insertion and up-down optimized glottic exposure manoeuvre on oropharyngeal leak pressure using SaCoVLM video laryngeal mask among patients undergoing general anesthesia. J Clin Monit Comput. 2023 Apr;37(2):593-598. doi: 10.1007/s10877-022-00930-1. Epub 2022 Oct 29. PubMed 36308611 ↗
  • Bao D, Yu Y, Xiong W, Wang YX, Liang Y, Li L, Liu B, Jin X. Comparison of the clinical performance of i-gel and Ambu laryngeal masks in anaesthetised paediatric patients: A meta-analysis. World J Clin Cases. 2022 Feb 6;10(4):1242-1254. doi: 10.12998/wjcc.v10.i4.1242. PubMed 35211557 ↗
  • Selvin CC, Singariya G, Bihani P, Kamal M, Paliwal N, Ujwal S. Comparison of oropharyngeal leak pressure of I-gelTM and BlockbusterTM laryngeal mask airway in anaesthetized pediatric patients. Anesth Pain Med (Seoul). 2023 Jan;18(1):51-56. doi: 10.17085/apm.22209. Epub 2023 Jan 30. PubMed 36746902 ↗
  • Yan CL, Chen Y, Sun P, Qv ZY, Zuo MZ. Preliminary evaluation of SaCoVLM video laryngeal mask airway in airway management for general anesthesia. BMC Anesthesiol. 2022 Jan 3;22(1):3. doi: 10.1186/s12871-021-01541-0. PubMed 34979936 ↗

Individual participant data

Plan to share: No — Individual participant data (IPD) will not be shared, as no data-sharing plan has been established for this study beyond what is reported in the results of scientific publications.

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Nov 3, 2026
Show all 1 update
  1. Nov 3, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07912619
Lead sponsor
Bursa Yuksek Ihtisas Training and Research Hospital
Responsible party
Aysenur Kutluay (Principal Investigator, Bursa Yuksek Ihtisas Training and Research Hospital) — Principal investigator
First posted
Nov 3, 2026
Start date
Nov 1, 2026 (estimated)
Primary completion
Feb 1, 2027 (estimated)
Completion
Feb 1, 2027 (estimated)
Last update
Nov 3, 2026

Study contacts

Ayşenur Kutluay, Dr.
Contact
dr.aysenurylmz@gmail.com
+905355556216
Derya Karasu, Prof. Dr.
principal investigator · SBÜ Bursa Yüksek İhtisas Eğitim ve Araştırma Hastanesi

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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