Comparison of the Efficacy of Modified Universal RAMP vs Inflatable RAMP for Intubation with conventional laryngoscopy in Obese Patients Undergoing Elective Surgeries.

Obese patients present significant challenges during airway management due to altered airway anatomy and reduced functional residual capacity, increasing the risk of difficult laryngoscopy and failed intubation. Ramped positioning improves airway alignment and oxygenation; however, the optimal ramping technique remains uncertain. The MURAMP Trial is a prospective, randomized, active-controlled, parallel-group study designed to compare Modified Universal RAMP and Inflatable RAMP positioning for tracheal intubation using conventional direct laryngoscopy in obese patients undergoing elective surgery. The study aims to evaluate ease of laryngoscopy, quality of glottic visualization, and first-pass intubation success between the two techniques, in order to identify the more effective ramping method for airway optimization in obese population