The position of the tube which is placed into the windpipe is confirmed by watching movement of the membranes covering the lung surface by using ultrasound machine and also by listening to lung sounds by using stethoscope in patients undergoing surgery

Not yet recruiting

Conditions: , (2) ICD-10 Condition: O||Medical and Surgical,

Registration Number: CTRI/2020/12/029770

Lead Sponsor: St Johns Medical College Hospital

Brief Summary: Airway management is a major responsibility of the anaesthesiologist. Difficulties with tracheal intubation significantly contribute to the morbidity and mortality assosiated with anaesthesia .Overweight and obese patients are predisposed to difficult airway and intubation in comparison to the non obese patients.According to WHO a person with BMI >25 is considered overweight and a person with BMI>30 is considered obese.increased risk of hypoxemia during the induction of anaesthesia in these patients could be compounded by an increased time required for insertion of the tracheal tube,besides reduction in functional residual capacity and compliance with an increase in airway resistance and pulmonary vascular resistance.most frequently used methods of confirmation of endotracheal intubation are auscultation of chest and end tidal carbon dioxide detection.obese patients usually yield confusing or misleading auscultatory findings as the sound waves have to traverse large amount of tissues which represent a significant barrier. Intercostals ultrasonographic view at the lung chest-wall interface, to and fro movement of the pleura synchronised with ventilation (lung sliding sign)is an accurate indicatorof endotracheal intubation,and hence can be used as an additional measure for confirming prooper tracheal placement of the endotracheal tube .In our study we aim to assess the time taken for confirming ETT placement using ultrasonic sliding lung sign vs. auscultation method in normal and obese surgical patients.

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 90

Inclusion Criteria

Age: 20-59yrs 2.
Patients coming for elective surgeries under general anesthesia 3.
ASA physical status I and II patients 4.
Modified mallampati class 1 and 2 having no pulmonary co morbidities.

Exclusion Criteria

Patients with ASAIII and IV 2.
Patients with anticipated difficult airway 3.
Patients with significant cardiac and pulmonary illness 4.
Patients those require nasal intubation.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The time taken for confirming endotracheal tube placement using ultrasound vs auscultation method in normal and overweight patients	2-3 minutes

Secondary Outcome Measures

Name	Time	Method
Accuracy of Ultrasonic lung sliding sign over auscultation method to rule out endobroncheal intubation	5 minutes

Trial Locations

Locations (1): St.Johns Medical College Hospital
🇮🇳
Bangalore, KARNATAKA, India
St.Johns Medical College Hospital
🇮🇳Bangalore, KARNATAKA, India
Dr Moses Charles Dsouza
Principal investigator
7829000524
drmosescharlesdsouza@gmail.com