Comparison of POGO score with video laryngoscopy in supine position and HELP position in adult patients with anticipated difficult airway- A randomized controlled tri-al.
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 114
- 试验地点
- 1
- 主要终点
- To compare the laryngeal view using Per-centage of glottic opening (POGO score) between two study groups
研究概览
简要总结
This randomized controlled trial evaluates the effectiveness of the Head Elevated Laryngoscopy Position (HELP) versus the supine sniffing position in improving glottic visualization during intubation in adult patients with anticipated difficult airways. Using the C-MAC video laryngoscope, 114 patients undergoing elective surgeries were randomized into two groups: one intubated in the supine position, and the other in the HELP position, which aligns the external auditory meatus with the sternal notch. The primary outcome measured was the Percentage of Glottic Opening (POGO) score. Secondary outcomes included first-attempt success rate, time to intubation, ease and difficulty of intubation, need for external laryngeal manipulation, and complications. The study aims to determine whether the HELP position offers superior laryngeal visualization and intubating conditions in comparison to the supine position, potentially guiding better airway management strategies in difficult airway cases
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- None
入排标准
- 年龄范围
- 18.00 Year(s) 至 75.00 Year(s)（—）
- 性别
- All
入选标准
- •Adult patients more than 18 years of age with ASA grade I and II undergoing elective surgery under general anesthesia requiring endotracheal intubation and having one or more of the following 1.Neck circumference: greater or equal 42 cm 2.MMP grade III and IV 3.Positive upper lip bite test (grade 3).
排除标准
- •1.Patient undergoing emergency surgery 2.Any Facial or cervical spine trauma 3.Pregnant women 4.Morbid obesity (BMI greater than 40kg per m2) 5.Any oropharyngeal tumors 6.Patient requiring nasotracheal intubation 7.Restricted neck extension 8.Mouth opening: less than 5 cm 9.Known craniofacial abnormalities and congenital syndromes.
结局指标
主要结局
To compare the laryngeal view using Per-centage of glottic opening (POGO score) between two study groups
时间窗: 3 minutes after induction
次要结局
- 1.To compare the first attempt success rate of intubation between two groups
研究者
Dr Anish Banstola
Jawaharlal institute of postgraduate medical education and research