Comparison of Efficacy of Videolaryngoscope (BPL) versus The Anaesthetist Society Scope (TAScope) for Endotracheal Intubation in Adult Patients with Cervical Spine Immobilization: A Randomized Clinical Trial

This study will be a single-blinded randomized clinical trial to compare the efficacy of BPL videolaryngoscope versus The Anaesthetist Society Scope (TAScope) for endotracheal intubation in adult patients with cervical spine immobilization with Philadelphia collar. After approval from the Research Ethics Board of RIMS, Imphal, a total number of 70 consenting patients (18 to 60 years, ASA I and II, Mallampati class I and II) will be randomized into one of the two groups of 35 each. In group A patients, the BPL videolaryngoscope will be used for endotracheal intubation. In group B patients, the TAScope will be used for endotracheal intubation. Data related to the procedure will be noted by an independent observer. Time to laryngoscopy, time to intubate, time for successful intubation and grade of the laryngoscopic view will be observed as primary outcomes. As secondary outcomes, the number of attempts at laryngoscopy, manoeuvres employed to facilitate intubation and complications during and immediately after intubation with the BPL videolaryngoscope and the TAScope will be noted. Data will be analyzed using the intention-to-treat (ITT) principle. Data will be recorded in a proforma, tabulated in the Microsoft Excel software and analyzed using IBM SPSS Version 26.0 software. A p value of less than 0.05 will be considered statistically significant.