Comparison between two types of laryngoscopes used during insertion of breathing tube into the trachea during General Anaesthesia in neck surgeries.

Completed

Conditions: Patients of cervical spine injury

Registration Number: CTRI/2017/10/010242

Lead Sponsor: Indian Spinal Injuries Centre

Brief Summary: Primary Purpose

Intubation procedure in any patient, with Conventional Macintosh Laryngoscope, requires movement of neck and alignment of oro-pharyngo-laryngeal axis in straight line. This manuever in some cases of cervical injury, may lead to deterioration of neurological status of patient. Or on the other hand, if neck is immobilised, intubation becomes difficult, which may lead to life threatening complications.

So, the purpose of conducting this study was to evaluate the ease, safety and efficacy of KingVision Video laryngoscope in intubating cervical injury patients with neck immobilisation vis a vis the conventional Macintosh Laryngoscope (which is the most common, and versatile laryngoscope in use till date)

Hypothesis

We hyothesise that intubation with KingVision Videolaryngoscope because of its specific shape and a channel to carry the tube, will be easier and safer than the conventional Macintosh Laryngoscope, in cases of cervical injury patients, with neck immobilisation with MILS technique.

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: All

Target Recruitment: 70

Inclusion Criteria

1.Patients of cervical spine injury 2.ASA grade 1 to 3 3.Posted in the Operation Theatre for cervical spine fixation.

Exclusion Criteria

1.Difficult airway due to reduced mouth opening <5cm 2.Anatomical abnormalities such as congenital anomalies 3.Trauma to airway, broken teeth, blood in airway making direct laryngoscopy difficult 4.Patients who required Rapid sequence intubation 5.Those who were on ionotropic or vasopressor support.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Intubation Difficultly Scale Score	Easy less than 1 \| Moderate 1 to 5 \| Difficult more than 5

Secondary Outcome Measures

Name	Time	Method
Duration of Intubation	Seconds
Mean Arterial Pressure	Before intubation
Heart Rate	Before intubation
Complications	Tooth injury

Trial Locations

Locations (1): Indian Spinal Injuries Centre
🇮🇳
South, DELHI, India
Indian Spinal Injuries Centre
🇮🇳South, DELHI, India
Dr Mohit Kumar
Principal investigator
9634428683
drmohitsaini87@gmail.com