Effectiveness of bag and mask ventilation done by Consultant Anesthesiologist vs Resident Anesthesiology Postgraduate

Not yet recruiting

• Conditions: American Society Of Anesthesiologists physical status 1 and 2

• Registration Number: CTRI/2018/05/013691
• Lead Sponsor: NA

Brief Summary

Maskventilation is an important management skill. Creating a seal between the maskand the patient’s face by lifting the mandible (chin lift) and providing jawthrust allows for positive pressure (assisted) ventilation.  Mask ventilation may be required to assistwith ventilation before intubation to achieve preoxygenation. Thus ifintubation proves to be difficult after induction , mask ventilation canprovide critical oxygenation and ventilation between laryngoscopy attempts.

Kogaet al in his study compares between a cuffed oropharyngeal airway adjunct and aGuedel Airway with the final conclusion that an oropharyngeal airway plays abetter role in opening the airways to pre-oxygenate a patient duringventillation.Similiarly in our study we will be comparing an oropharyngealairway device with that of a nasopharyngeal airway device to see which is moreefficacious in opening the airways of a patient under general anaesthesia andassist in breathing. Langeron et al stresses on how the use of airway adjunctsas those used in the proposed study above help to ventilate patients withsuspected difficult airway. Alexander et al on the other hand compares the easeof insertion of the airways based on training and experience.

Thisstudy will also shed some light on the learning curve of a resident(postgraduate) anaestheesiologist with minimum 6 months experience in theteaching curriculum

Detailed Description

Not available

Study Timeline

• Last Update Posted: 2018-04-05
• Study Start: 2018-07-05

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

1.ASA physical status I and II adult surgical patients aged between 18-65 years 2.Patients undergoing elective surgery with Mallampati Class I and II scheduled for standardized procedures under general anaesthesia.

Exclusion Criteria

1.Patients with BMI<18.5 Kg/m² or > 29.9Kg/m² 2.Requiring rapid sequence induction and intubation 3.Obstructive sleep apnea or history of snoring 4.Documented history of Difficult Airway in Previous Surgeries 5.Edentulous 6.Obvious facial deformities 7.Oropharyngeal Abnormalities 8.COPD patients /Asthmatics/Smokers 9.ENT Surgeries 10.Patients on Anticoagulant Therapy /Thrombocytopenia 11.Pregnant females.

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To determine the exhaled tidal volumes with or without airway adjuncts	After Induction of anesthesia,when Bag and mask ventilation is being performed

Secondary Outcome Measures

Name	Time	Method
To assess the learning curve of a junior resident anesthesiologist	during induction of anaesthesia

Trial Locations

Locations (1)

Kasturba Hospital, Manipal; 🇮🇳 Udupi, KARNATAKA, India

Kasturba Hospital, Manipal

🇮🇳Udupi, KARNATAKA, India

Dr Ambika Coondoo

Principal investigator

9535619084

ambikacoondoo@gmail.com