Comparison between two instruments which are used for putting tubes in air pipe of patients that helps in giving respiratory support in ICU patients

Not yet recruiting

• Conditions: Medical and Surgical,

• Registration Number: CTRI/2023/09/057251
• Lead Sponsor: M S Ramaiah Medical College

Brief Summary

Endotracheal intubation is the first step in any resuscitation to maintain patency of airway and if it is not secured well all the other lifesaving manoeuvres can fail. Direct laryngoscopy has been the standard technique for tracheal intubation for almost a century which requires aligning the pharyngeal, laryngeal and oral axes to achieve a line of sight.

Airway management problems constitute 17% of anaesthesia closed claims, with difficult intubation being the most common at a rate of 5%. According to the American Society of Anaesthesiologists, the incidence of difficult intubation in the operating room is 1.2–3.8%; however, in emergency conditions, this rate is higher and reaches even 5.3%. Approximately 6% to 10% of patients undergoing surgical intervention are considered difficult laryngoscopy patients. The lack of first-pass success (FPS) in intubation has been associated with increased adverse events. Problems like delayed intubation, misplaced tracheal tube, or airway trauma are frequently encountered and can cause death or hypoxic brain damage.

However over the last decades, technological advances have enabled the development of different devices for airway management. One such device is King Vision Video Laryngoscope (KVVL) which is used for management of normal and difficult airway. It is an indirect laryngoscope that provides view of glottis without alignment of oral, pharyngeal and tracheal axes. Limited studies are available for comparing the efficacy of Macintosh Laryngoscope and King Vision Video Laryngoscope for intubation in intensive care unit.

Hence we aim at comparing the efficacy of Macintosh laryngoscope and King Vision Video laryngoscope for glottic view, first attempt success rate of intubation and time taken for intubation.

Detailed Description

Not available

Study Timeline

• Last Update Posted: 2023-09-24
• Study Start: 2023-11-09

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 76

Inclusion Criteria

Hemodynamically stable patients.

Exclusion Criteria

Patient refusal Pregnant woman Limited mouth opening Cervical spondylosis Malformation of face Airway tumors Midline neck swelling BMI >30kg/m2.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To compare the glottic view	To assess glottic view in terms of Cormack Lehane grading | Grade 1- full view of glottis | Grade 2- Partial view of glottis or aretynoids | Grade 3- only epiglottis visible | Grade 4- Neither glottis nor epiglottis visible

Secondary Outcome Measures

Name	Time	Method
To compare first attempt success rate of intubation & time taken for intubation	To assess first attempt success rate of intubation in terms of yes or no & time taken for intubation in seconds

Trial Locations

Locations (1)

MS Ramaiah Medical College Hospital; 🇮🇳 Bangalore, KARNATAKA, India

MS Ramaiah Medical College Hospital

🇮🇳Bangalore, KARNATAKA, India

Dr Vinay R

Principal investigator

9448883403

vinayrangarajaiah@gmail.com