use of flexible scope along with video scope to enable passage of tube into windpipe

Completed

Conditions: Medical and Surgical,

Registration Number: CTRI/2023/01/048986

Lead Sponsor: JIPMER

Brief Summary: After obtaining informed consent, patients presenting for elective or emergency surgery under general anaesthesia requiring tracheal intubation will be included in the study. Pre-anaesthetic and complete airway assessment will be done before surgery. After administering pre-medication and attaching standard ASA monitors, patients will be randomized into two groups - VLS and VLF. Anaesthesia will be induced using 2 mcg/Kg Fentanyl, 2 mg/Kg propofol and 0.1 mg/Kg vecuronium. Face mask ventilation will be done for three minutes after which the pillow placed under the patientâ€™s head will be removed. The patientâ€™s head will be stabilized using MILS manouvre applied by an assistant standing on the left side of patientâ€™s head. In group VLS, intubation will be performed using C-Mac Video-laryngoscope. In group VLF, C- MAC video-laryngoscope will be inserted into the patientâ€™s oral cavity by the primary anaesthesiologist which will the be handed over to an assisting anaesthesiologist after obtaining glottic view. The primary anaesthesiologist will then intubate using the flexible Tracheoscope ( aScope, Ambu Inc.,) which has been railroded with the Endotracheal tube. Time Taken to Intubate ( TTI) will be the time taken from the insertion of video-laryngoscope into the oral cavity until the appearance of 3 square capnogram waveforms. An attempt at intubation will be defined as the attempt to insert the video-laryngoscope blade into the oral cavity. Failed intubation will be defined as failure to intubate within 2 attempts

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: All

Target Recruitment: 158

Inclusion Criteria

Patients scheduled for elective or emergency surgery requiring general anaesthesia with tracheal intubation 2) with ASA physical status classification 1 to 33 3) with modified Mallampati class 1 and 2.

Exclusion Criteria

presence of predictors of difficult airway such as reduced mouth opening, restricted neck movements, BMI greater than 32 Kg/m2 and cervical spine pathology 2) patients requiring rapid sequence induction and intubation.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Time taken to intubate with Video-laryngoscopy Versus Video-laryngoscopy assisted Flexible Tracheoscope in patients with Manual In-Line Stabilization	after induction of anaesthesia

Secondary Outcome Measures

Name	Time	Method
1)Rate of first attempt successful intubation between the two groups	2) Incidence of complications such as desaturation, airway injury and bleeding and post-operative throat pain

Trial Locations

Locations (1): JIPMER
🇮🇳
Pondicherry, PONDICHERRY, India
JIPMER
🇮🇳Pondicherry, PONDICHERRY, India
Vijayanthi
Principal investigator
7305625129
everenchantingveena@gmail.com