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Airway Complication of AnesthesiaNCT06950957

Video Laryngeal Mask vs. Endotracheal Tube in Septoplasty

An observational study of Airway Complication of Anesthesia and Septoplasty, run by Samsun University at 1 site in Turkey (Türkiye).

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This single-center, prospective, observational, comparative study evaluated airway management using the SaCoVLM™ video laryngeal mask airway (VLMA) and a conventional endotracheal tube (ETT) in adult patients undergoing elective septoplasty under general anesthesia. Read more about this study

Who is it for?
Ages 18 to 65 years
What is being tested?
Video Laryngeal Mask Airway (VLMA) and Endotracheal Tube (ETT)
Type of treatment
Medical device
How many people
70 participants
Where
1 siteTurkey (Türkiye)
Study dates
30 Apr 2025to 4 Nov 2025
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: This study included adult patients aged 18-65 years with ASA physical status I-II who underwent elective septoplasty under general anesthesia. Patients were classified into the VLMA or ETT cohort according to the airway device selected by the responsible anesthesiologist during routine clinical practice. No randomization was performed. Patients with an anticipated difficult airway, body mass index greater than 30 kg/m², gastroesophageal reflux disease or hiatal hernia, or pregnancy were excluded.

Who may be able to join

  • Patients aged 18-65 years
  • ASA physical status I-II
  • Patients scheduled for elective septoplasty under general anesthesia

Who cannot join

  • Anticipated difficult airway
  • ASA physical status III-IV
  • History of gastroesophageal reflux disease or hiatal hernia
  • Body mass index greater than 30 kg/m²
  • Pregnancy

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site
  • Samsun University, Samsun Training and Research Hospital

    Samsun, Ilkadim, 55000

Other trials in Turkey (Türkiye)

About this study

Official title: Comparison of Video Laryngeal Mask Airway and Endotracheal Tube Use for Airway Safety in Patients Undergoing Septoplasty

This single-center, prospective, observational, comparative study evaluated airway management using the SaCoVLM™ video laryngeal mask airway (VLMA) and a conventional endotracheal tube (ETT) in adult patients undergoing elective septoplasty under general anesthesia.

The airway device was selected by the responsible anesthesiologist as part of routine clinical practice, without randomization.

Read more

The primary outcome was airway blood contamination assessed at the end of surgery. Secondary outcomes included hemodynamic responses, ventilation parameters, airway device placement characteristics, recovery time, surgeon satisfaction, and postoperative airway-related symptoms.

Distal tracheal blood contamination was assessed using flexible bronchoscopy in both groups. Postoperative sore throat, dysphagia, cough, and hoarseness were evaluated during recovery and at predetermined postoperative intervals. Comparative analyses of postoperative symptoms were limited to the first 12 hours because 24-hour follow-up data were incomplete.

Read the detailed description

This single-center, prospective, observational, comparative study included adult patients aged 18-65 years with American Society of Anesthesiologists (ASA) physical status I-II who underwent elective septoplasty under general anesthesia.

Patients were evaluated in two groups according to the airway device selected by the responsible anesthesiologist during routine clinical practice: the SaCoVLM™ video laryngeal mask airway (VLMA) group and the conventional endotracheal tube (ETT) group. No randomization was performed. A total of 64 patients, 32 in each group, were included in the final analysis.

Standard monitoring included electrocardiography, noninvasive arterial blood pressure, peripheral oxygen saturation, end-tidal carbon dioxide, and bispectral index monitoring. Anesthesia was induced with intravenous fentanyl and propofol and maintained with sevoflurane and remifentanil. Volume-controlled ventilation was standardized using a tidal volume of 6-8 mL/kg, a respiratory rate of 12 breaths/min, a positive end-expiratory pressure of 5 cmH2O, and an inspiratory-to-expiratory ratio of 1:2.

Hemodynamic and respiratory parameters were recorded at baseline, after anesthesia induction immediately before airway device placement, at 1, 3, 5, 10, 15, and 30 minutes after placement, and 5 minutes after airway device removal.

The primary outcome was airway blood contamination assessed at the end of surgery using a four-point scale: 1 = no blood, 2 = mild contamination, 3 = moderate contamination, and 4 = severe contamination.

In the VLMA group, proximal glottic blood contamination was assessed directly using the integrated camera. In the ETT group, proximal blood contamination was assessed indirectly by examining blood around the endotracheal tube cuff following careful aspiration of the posterior oropharynx and extubation. These proximal assessment methods were device-specific and not anatomically equivalent.

Distal tracheal blood contamination was evaluated using flexible bronchoscopy in all 64 patients, including all 32 patients in the VLMA group and all 32 patients in the ETT group, regardless of proximal blood contamination findings.

Secondary outcomes included airway insertion time, number of placement attempts, ease of placement, ventilation leakage, peak airway pressure, glottic visualization, surgeon satisfaction, and early postoperative recovery characteristics.

Early postoperative recovery was evaluated using recovery time and the Modified Aldrete Score. Postoperative sore throat, dysphagia, cough, and hoarseness were assessed in the post-anesthesia care unit and at 2, 8, 12, and 24 hours after surgery. Although 24-hour follow-up was planned, complete data were available for only 24 of the 64 patients. Therefore, comparative analyses of postoperative airway morbidity were restricted to assessments through 12 hours.

Airway complications, including laryngospasm and bronchospasm, were also recorded.

Being tested
Video Laryngeal Mask Airway (VLMA), Endotracheal Tube (ETT)
Keywords
Septoplasty, Laryngeal Mask Airway, Endotracheal Tube, Postoperative Sore Throat, Otorhinolaryngology Surgery, Supraglottic Airway Devices, Postoperative Sore Throat (POST Score), Airway Blood Contamination

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Video Laryngeal Mask Airway (VLMA)Device

    The SaCoVLM™ video laryngeal mask airway, a supraglottic airway device with an integrated camera, was used for airway management during elective septoplasty. The integrated camera enabled direct visualization of the glottic inlet and assessment of proximal blood contamination. At the end of surgery, distal tracheal blood contamination was assessed using flexible bronchoscopy in all 32 VLMA patients included in the final analysis, regardless of proximal blood contamination findings. Airway insertion characteristics, ventilation and hemodynamic parameters, recovery outcomes, and postoperative airway morbidity were recorded.

  • Endotracheal Tube (ETT)Device

    A conventional cuffed endotracheal tube was inserted using direct laryngoscopy for airway management during elective septoplasty. At the end of surgery, the distal trachea was examined for blood contamination using flexible bronchoscopy through the ETT before removal. Proximal tracheal/glottic contamination was assessed indirectly by examining blood around the distal portion of the ETT cuff after aspiration of the posterior oropharynx and extubation. Airway insertion characteristics, ventilation and hemodynamic parameters, recovery outcomes, and postoperative airway morbidity were recorded.

Study groups in NCT06950957
Study groupRoleWhat they receive
VLMA GroupThe proximal glottic region was evaluated using the device's integrated camera. Distal tracheal blood contamination was assessed using flexible bronchoscopy in all patients in this cohort, regardless of the presence or absence of proximal blood contamination.
Receives: Device: Video Laryngeal Mask Airway (VLMA)
ETT GroupParticipants whose airway was managed with a conventional endotracheal tube (ETT) inserted using direct laryngoscopy during routine clinical practice were included in this cohort. At the end of surgery, the distal trachea was examined using flexible bronchoscopy through the ETT before removal. Proximal tracheal/glottic contamination was assessed indirectly by examining blood around the distal portion of the ETT cuff after aspiration of the posterior oropharynx and extubation. Perioperative hemodynamic and ventilation parameters, airway placement characteristics, recovery outcomes, and postoperative airway morbidity were recorded.
Receives: Device: Endotracheal Tube (ETT)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Proximal Tracheal/Glottic and Distal Tracheal Blood Contamination Scores

    Airway blood contamination was assessed at the end of surgery using a four-point ordinal scale: 1 = no blood, 2 = mild, 3 = moderate, and 4 = severe contamination. Higher scores indicated greater contamination.

    In the VLMA group, proximal blood was assessed directly using the integrated camera. In the ETT group, proximal blood was assessed indirectly by inspecting blood around the ETT cuff after oropharyngeal suctioning and extubation. The proximal assessment methods were not equivalent.

    Distal tracheal blood contamination was assessed by flexible bronchoscopy in all 64 patients (32 per group), regardless of proximal findings. Scores were recorded separately for each anatomical level and summarized by the number and percentage of participants in each category. No total score was calculated.

    Measured: At the end of surgery, immediately before and after airway device removal.

Secondary outcomes (10)
  1. Heart Rate (HR)

    Heart rate, measured in beats per minute, was recorded at preoperative baseline; after anesthesia induction immediately before airway device placement; at 1, 3, 5, 10, 15, and 30 minutes after successful airway device placement; and at 5 minutes after airway device removal.

    Measured: From preoperative baseline to 5 minutes after airway device removal.

  2. Postoperative Sore Throat (POST Score)

    Postoperative sore throat was assessed by direct patient questioning using a four-point ordinal scale: 0 = no sore throat; 1 = cold-like sensation or minimal discomfort; 2 = mild-to-moderate pain during swallowing; and 3 = continuous pain without swallowing. Assessments were scheduled in the post-anesthesia care unit and at 2, 8, 12, and 24 hours postoperatively. Due to incomplete follow-up at 24 hours, the comparative analysis was limited to assessments through 12 hours.

    Measured: From the post-anesthesia care unit through 24 hours postoperatively (assessments at recovery, 2, 8, 12, and 24 hours).

  3. Arterial Blood Pressure

    Systolic, diastolic, and mean arterial blood pressures, measured in mmHg, were recorded at preoperative baseline; after anesthesia induction immediately before airway device placement; at 1, 3, 5, 10, 15, and 30 minutes after successful airway device placement; and at 5 minutes after airway device removal.

    Measured: From preoperative baseline to 5 minutes after airway device removal.

  4. Airway Insertion Time

    Airway insertion time was recorded in seconds. In the ETT group, it was defined as the time from the start of the intubation attempt until three consecutive regular end-tidal carbon dioxide waveforms were observed on capnography. In the VLMA group, it was defined as the time from picking up the device until three consecutive regular end-tidal carbon dioxide waveforms were observed on capnography.

    Measured: Assessed once during airway device placement, immediately after anesthesia induction.

  5. Intraoperative and Early Postoperative Airway Complications

    The occurrence of laryngospasm and bronchospasm was assessed through clinical observation during the intraoperative and early postoperative periods. Each complication was recorded separately as present or absent.

    Measured: From anesthesia induction through the early postoperative period in the post-anesthesia care unit.

  6. Postoperative Dysphagia

    Postoperative dysphagia was assessed by direct patient questioning using a four-point ordinal scale: 0 = no swallowing difficulty; 1 = minimal discomfort during swallowing; 2 = mild-to-moderate difficulty during swallowing; and 3 = marked swallowing difficulty. Assessments were scheduled in the post-anesthesia care unit and at 2, 8, 12, and 24 hours postoperatively. Due to incomplete follow-up at 24 hours, the comparative analysis was limited to assessments through 12 hours.

    Measured: From the post-anesthesia care unit through 24 hours postoperatively (assessments at recovery, 2, 8, 12, and 24 hours).

  7. First-Attempt Success Rate of Airway Device Insertion

    First-attempt success was recorded separately for each airway device as successful or unsuccessful. The total number of placement attempts required to achieve successful airway placement was also recorded. Successful placement was confirmed by three consecutive regular end-tidal carbon dioxide waveforms.

    Measured: Assessed once during airway device placement immediately after anesthesia induction.

  8. Postoperative Cough

    Postoperative cough was assessed using a four-point scale: 0 = no cough; 1 = mild cough; 2 = moderate cough; and 3 = severe cough. For statistical analysis, scores were categorized as absent (0) or present (1-3). Results were expressed as the number and percentage of patients with cough in each group. Assessments were scheduled during recovery and at 2, 8, 12, and 24 hours postoperatively. Comparative analyses were limited to 12 hours because of incomplete 24-hour follow-up.

    Measured: During recovery and at 2, 8, 12, and 24 hours postoperatively.

  9. Postoperative Hoarseness

    Postoperative hoarseness was assessed using a four-point scale: 0 = no hoarseness; 1 = mild voice changes; 2 = moderate voice changes; and 3 = marked hoarseness. For statistical analysis, scores were categorized as absent (0) or present (1-3). Results were expressed as the number and percentage of patients with hoarseness in each group. Assessments were scheduled during recovery and at 2, 8, 12, and 24 hours postoperatively. Comparative analyses were limited to 12 hours because of incomplete 24-hour follow-up.

    Measured: During recovery and at 2, 8, 12, and 24 hours postoperatively.

  10. Surgeon Satisfaction With Surgical Conditions

    Surgeon satisfaction with surgical conditions was assessed at the end of surgery using a four-point ordinal scale: 0 = very good, 1 = good, 2 = poor, and 3 = very poor (surgical conditions unsuitable for initiating the procedure). Lower scores indicated greater satisfaction. Results were expressed as the number and percentage of patients in each category for both groups.

    Measured: At the end of surgery (single assessment).

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Apr 2025
  2. Study start30 Apr 2025
  3. Primary completion3 Nov 2025
  4. Study completion4 Nov 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
70 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06950957
Sponsor's protocol ID
GOKAEK 2025/3/15
Status last verified
Oct 2026
First submitted
24 Mar 2025
Last updated
22 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Kaplan A, Crosby GJ, Bhattacharyya N. Airway protection and the laryngeal mask airway in sinus and nasal surgery. Laryngoscope. 2004 Apr;114(4):652-5. doi: 10.1097/00005537-200404000-00010.

    PubMed 15064618
  • Karaaslan E, Akbas S, Ozkan AS, Colak C, Begec Z. A comparison of laryngeal mask airway-supreme and endotracheal tube use with respect to airway protection in patients undergoing septoplasty: a randomized, single-blind, controlled clinical trial. BMC Anesthesiol. 2021 Jan 7;21(1):5. doi: 10.1186/s12871-020-01222-4.

    PubMed 33407130

Questions about this trial

What is this clinical trial studying?

An observational study of Airway Complication of Anesthesia and Septoplasty, run by Samsun University at 1 site in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 22 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Proximal Tracheal/Glottic and Distal Tracheal Blood Contamination Scores (time frame: At the end of surgery, immediately before and after airway device removal.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06950957, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Oct 2026.

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