Comparison of two different laryngoscopes for intubation on the same individual.

Not yet recruiting

• Conditions: Medical and Surgical,

• Registration Number: CTRI/2019/09/021054
• Lead Sponsor: Mahatama Gandhi Medical College and Research Institute Pondicherry

Brief Summary

Airway management is the primary responsibility of the Anesthesiologists which is to secure, preserve and protect it during induction and maintainance and recovery from anaesthesia. Laryngoscopy forms an essential component of general anesthesia and endotracheal intubation. The aim of the laryngoscopy is to obtain a good view of the vocal cords and to facilitate smooth oro-tracheal intubation. Therefore to achieve smooth orotracheal intubation Anesthesiologists various techniques such as optimal head and neck position and various kinds of laryngoscopes to get an optimal view of the glottis.

Conventionally, Anaesthesiologist use Macintosh blade for adult intubation and Miller blade for pediatric population. In routine practice, Miller laryngoscope is rarely used in adult and therefore very few literature evidence comparing the straight adult Miller and curved Macintosh laryngoscope in terms of orotracheal intubation. Previous study reviews suggested that glottis view is better with the adult Miller blade while ease of orotracheal intubation had inconclusive results.

The previous studies based on randomised clinical trial were conducted on two different individuals and there is lack in literature review with respect to crossover design comparing adult Miller and Macintosh laryngoscope. Hence, we have designed a randomised crossover study to compare ease of orotracheal intubation using adult Miller and Macintosh laryngoscope, on the same individual.

Detailed Description

Not available

Study Timeline

• Last Update Posted: 2019-03-09
• Study Start: 2019-09-15

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 200

Inclusion Criteria

60 years. ASA 1 and 2 Elective surgeries requiring General Anaesthesia with Endotracheal intubation.

Exclusion Criteria

• Anticipated difficult airway.
• ASA 3 and 4.
• Emergency surgeries.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Ease of intubation with respect to first attempt success rate which is defined as single passage of endotracheal tube without use of assisted manoeuvres like bougie, stylet or backward, upward, rightward pressure.	Baseline. | Induction. | Immediately after 1st laryngoscopy. | Between 1st and 2nd laryngoscopy. | Immediately after intubation. | 1st minute. | 2nd minute. | 3rd minute. | 4th minute. | 5th minute.

Secondary Outcome Measures

Name	Time	Method
Cormack Lehane grading.	Time taken for orotracheal intubation.

Trial Locations

Locations (1)

Mahatama Gandhi Medical College and Research Institute, Pondicherry.; 🇮🇳 Pondicherry, PONDICHERRY, India

Mahatama Gandhi Medical College and Research Institute, Pondicherry.

🇮🇳Pondicherry, PONDICHERRY, India

Vaibhav Pandey

Principal investigator

9663220844

vaibhavpandey2297@gmail.com