comparing the glottis position by Laryngoscopy and comfortableness of anaesthesiologist in sniffing and simple head extension positions with two different table heights.
- Conditions
- Diseases of the ear and mastoid process, (2) ICD-10 Condition: K00-K95||Diseases of the digestive system, (3) ICD-10 Condition: G00-G99||Diseases of the nervous system, (4) ICD-10 Condition: N00-N99||Diseases of the genitourinary system, (5) ICD-10 Condition: N00-N99||Diseases of the genitourinary system,
- Registration Number
- CTRI/2023/06/054164
- Lead Sponsor
- SPONSOR NO NEED
- Brief Summary
1. Laryngoscopy and endotracheal intubation is a very basic procedure to be mastered by all anaesthesiologists. Positioning the patient head at proper height assumes a very high importance to complete the task. Heath highlighted the benefits of using an adjustable operating table and the ergonomic benefits of different heights—high during cannulation to prevent back discomfort, a bit lower for airway management, and even lower for short trainees. It has been suggested that the patient’s face should be placed at the height of the anaesthetist’s xiphoid process for comfortable intubation without requiring the anaesthetist to bend his/her back.
H.C.Lee studiedpatients face at 4 different landmarks relative to the anaesthesiologist bodyand concluded that higher operating table position provide better laryngoscopicview and less discomfort during tracheal intubation.Smitha prakashstudied two different head positions likesniffing position and simple head extension for laryngoscopic view andintubation difficulty in adults and concluded that sniffing position issuperior to simple head extension with regard to ease of intubation and hasassessed by Intubation Difficulty Scale(IDS). Presently we will be conducting the study to compare the ease of laryngoscopy and endotrachealintubation in sniffing and simple head extension position at two differentoperating table heights namely xiphisternum and nipple level relative to theperforming Anesthesiologist.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Not Yet Recruiting
- Sex
- All
- Target Recruitment
- 200
Age 18 to 60 years ASA grade I and II Surgeries undergoing under GA.
Obese patients, (BMI>30) Unstable Cervical spine Patients with congenital or acquired airway abnormalities Patients with lose teeth and edentulous jaws Patients requiring rapid sequence induction.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method i) Successful intubation with reference to ease and duration of Laryngoscopy and At the time of Intubation intubation At the time of Intubation ii) Cormack- Lehane grading At the time of Intubation iii) Number of attempts At the time of Intubation
- Secondary Outcome Measures
Name Time Method i) pressor response ii) Airway injury
Trial Locations
- Locations (1)
PES INSTITUTE OF MEDICAL SCIENCES ANC RESEARCH
🇮🇳Chittoor, ANDHRA PRADESH, India
PES INSTITUTE OF MEDICAL SCIENCES ANC RESEARCH🇮🇳Chittoor, ANDHRA PRADESH, IndiaDR CHANDRA SEKHAR TPrincipal investigator9440042400dr.chandu24@gmail.com