A Prospective Comparative Study To Asses The Efficacy Of between The Fingers Grip With The Conventional Pen Holding Grip To Hold An endotracheal Tube For orotracheal Intubation Using C Mac Videolaryngoscope
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Enrollment
- 64
- Locations
- 1
- Primary Endpoint
- 1.To measure time required for endotracheal intubation for each grip using CMAC videolaryngoscopy
Study Overview
Brief Summary
It has been documented that time taken for intubation is usually longer especially with angulatedblade as easy visualization of glottis does not guarantee easy passage of ET tube into larynx andthis is aptly termed as “Laryngoscopy paradox".
Modified grip i.e., between the finger method of endotracheal tube holding allowed the operator tochange the curvature of the ETT as it neared the glottic opening in a dynamic fashion duringlaryngoscopy thus, the tip can be manoeuvred forward and anteriorly, providing better control andalignment than fixed curvature in the conventional pen holding method of endotracheal tube.
In this study we aim to compare, modified between-the- finger grip with that of conventional pen-holding method of endotracheal tube for orotracheal intubation using C -MAC Video laryngoscope.
Study Design
- Study Type
- Interventional
- Allocation
- Computer generated randomization
- Masking
- Not Applicable
Eligibility Criteria
- Ages
- 18.00 Year(s) to 60.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •18 to 60 years and American Society of Anaesthesiologists physical status(ASA- PS) I and II patients. 2.Patients with Mallampati grades (MP) 1,2, 3.
Exclusion Criteria
- •1.Refusal to participate in the study, Patients with cormack Lehane (CL) grades 3b ,4 2.patients with an anticipated difficult airway, history of difficult airway in previousdocuments, head and neck pathology, and haemodynamic instability.
- •patients with cervical spine instability , reactive airway , gastric reflux , cerebralhemorrhage will be excluded.
Outcomes
Primary Outcomes
1.To measure time required for endotracheal intubation for each grip using CMAC videolaryngoscopy
Time Frame: from base line to30 min
2.To compare the requirement of external assistance in the form of thebackward upward rightward pressure manoeuvre (BURP) to performendotracheal intubation
Time Frame: from base line to30 min
Secondary Outcomes
- 1.Comparing the number of attempts for endotrachealintubation for each grip and use of external aids such asbougie and stylet(2.The variations in the haemodynamic parameters heart rate(HR) and mean arterial pressure (MAP)) in the two groups.)