Impact Of Pillow Height On Glottic View In ICU Patients

Not yet recruiting

• Conditions: Medical and Surgical,

• Registration Number: CTRI/2023/08/056551
• Lead Sponsor: M S Ramaiah Medical College

Brief Summary

Direct laryngoscopy is used to facilitate tracheal intubation under vision. The keystep for successful laryngoscopy is optimal positioning.1 Proper head positioningfacilitates good glottic view and minimize tracheal injury, duration and repeated attemptsof laryngoscopy/intubation and reducing complications.2The most commonly used head position is ‘sniffing position’. It consists of neck flexionof approximately 35°and atlanto occipital joint extension of approximately 15°. Thisaligns the oral, pharyngeal, and laryngeal axis in straight line, permitting the line ofvision to fall directly on the laryngeal inlet.The neck flexion component of the sniffing position is generally achieved by simpleflexion of the head without a pillow or with a pillow of height up to 5-10 cm.3,4Limited studies are available for assessing the optimal pillow height for obtaining thebest glottic view during laryngoscopy and intubation in the Indian population. Hence, thepresent study has been taken up to evaluate laryngoscopic view and intubation conditionswith three different pillow heights

Detailed Description

Not available

Study Timeline

• Study Start: 2023-01-09
• Last Update Posted: 2023-07-30

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 93

Inclusion Criteria

• Patients getting admitted in ICU and requiring intubation.Patients who are hemodynamically stable.
• Patients not having respiratory distress.

Exclusion Criteria

Body mass index (BMI) <18.5 or >30.Anticipated difficult airway.Pregnant women.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Glottic View will be assessed based on CL grading	While Intubating at baseline
Grade 1 – Full view of glottis	While Intubating at baseline
Grade 2A – Partial view of glottis	While Intubating at baseline
Grade 2B – Only arytenoids seen	While Intubating at baseline
Grade 3 – Only epiglottis seen	While Intubating at baseline
Grade 4 – Neither epiglottis nor glottis seen	While Intubating at baseline

Secondary Outcome Measures

Name	Time	Method
Number of	attempts for successfull intubation

Trial Locations

Locations (1)

MS Ramaiah Medical College Hospital; 🇮🇳 Bangalore, KARNATAKA, India

MS Ramaiah Medical College Hospital

🇮🇳Bangalore, KARNATAKA, India

Dr Srikar Goud G B

Principal investigator

9482829299

srk.srikar@yahoo.com