A study to assess the ability of anaesthetists to give pressure on the front of the neck while giving general anaesthesia to prevent passage of stomach content into the wind pipe
- Conditions
- Health Condition 1: null- ASA I and II patients
- Registration Number
- CTRI/2016/07/007106
- Lead Sponsor
- Tata Memorial Hospital
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Yet Recruiting
- Sex
- Not specified
- Target Recruitment
- 85
1.ASA physical status l and ll patients
2.Scheduled to undergo elective surgical procedures requiring endotracheal tube and nasogastric tube
1.ASA physical status lll and above
2.Emergency surgery
3.Indications for rapid sequence induction of anaesthesia (Full stomach, bowel obstruction, pregnancy, GERD, diabetic gastroparesis)
4.A history of difficult airway
5.BMI more than or equal to 35
6.Pathologies associated with difficulties in laryngoscopy or intubation
7.Anticipated difficult airway on clinical examination (Patil test less than 6.5cm, modified Mallampati test III and IV )
8.Patients with contraindication for cricoid pressure (suspected cricotracheal injury, active vomiting, unstable cervical spine injuries)
9.Patients undergoing head and neck surgery
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Outcome measure: Inability to pass the nasogastric tube during application of cricoid pressure will be taken as effective cricoid pressureTimepoint: It is the percentage of patients in which effective cricoid pressure was applied.
- Secondary Outcome Measures
Name Time Method 1.Outcome measure: The change in glottis view after release of cricoid pressure measured as the change in Cormack and Lehane gradingTimepoint: It is the degree of change in Cormack Lehane view (improvement or worsening) measured as number of grades by which the view changed and expressed as a percentage;2.Outcome measure: Comparison of effectiveness of cricoid pressure across groups of anaesthetists with varying levels of experience (groups A to E)Timepoint: It is the number of cases of effective cricoid pressure in each group of anaesthetists expressed as a percentage of the total number of cases in that group