Comparative evaluation of effect of application of external maneuvers with no maneuver on glottis view during videolaryngoscopy in patients undergoing elective surgery with head in neutral position.

Not yet recruiting

• Conditions: Medical and Surgical,

• Registration Number: CTRI/2022/12/048313
• Lead Sponsor: Safdarjung Hospital and Vardhman Mahavir Medical College

Brief Summary

Endotracheal intubation is the gold standard method of intubation in patients undergoing general anaesthesia. This can be achieved with classic direct laryngoscope or videolaryngoscope. In classic direct laryngoscope the head and neck of the patient requires to be kept in sniffing position to align the oral, pharyngeal and laryngeal axes in one line. Videolaryngoscopes are indirect laryngoscopes which do not require sniffing position. Neutral position of head and neck is used for intubation in patients with suspected or actual cervical spine instability. External maneuvers like jaw thrust and BURP provide a better glottis view and aid in laryngoscopy.

 Therefore in this study we will compare the effect of application of external maneuvers i.e. jaw thrust and BURP during C-MAC videolaryngoscopy on glottis view in terms of POGO score to that obtained with no maneuvers in patients undergoing elective surgery with head in neutral position.

Detailed Description

Not available

Study Timeline

• Last Update Posted: 2022-12-17
• Study Start: 2022-12-22

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 120

Inclusion Criteria

This study will be conducted in adult patients, in age group of 18 to 65 years, American society of Anaesthesiologists (ASA) physical status I and II undergoing elective surgery under general anaesthesia with endotracheal intubation with controlled ventilation.

Exclusion Criteria

1. Patients with anticipated difficult airway 2) Cervical spine pathology 3) High risk of aspiration 4) Poor dentition with high risk of damage 5) Pregnancy.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
POGO SCORE	At the time of intubation

Secondary Outcome Measures

Name	Time	Method
Modified Cormack Lehane grading of glottis view, glottis opening area in pixel squared, total time taken to secure the airway, success rate of intubation, number of intubation attempts and ease of intubation.	At the time of intubation

Trial Locations

Locations (1)

Safdarjung Hospital and Vardhman Mahavir Medical College; 🇮🇳 South, DELHI, India

Safdarjung Hospital and Vardhman Mahavir Medical College

🇮🇳South, DELHI, India

SIPALI PANDA

Principal investigator

7656869621

sipali4321.panda@gmail.com