Health Condition 1: null- 1.adults between 18-60 years age. 2.those undergoing elective surgery planned for orotracheal intubation. 3.ASA class 1-2 Health Condition 2: H701- Chronic mastoiditis Health Condition 3: K87- Disorders of gallbladder, biliarytract and pancreas in diseases classified elsewhere Health Condition 4: C55- Malignant neoplasm of uterus, partunspecified
Conditions
Interventions
Intervention1: C-MAC guided intubation with bougie: Endotracheal intubation will be done by anaesthesia residents using C-MAC C-blade video laryngoscope with bougie.
Control Intervention1: C-MAC guide
Sponsors
Jawaharlal Institute of Postgraduate Medical Education and Research
Eligibility
Inclusion criteria
Inclusion criteria: All patients with age 18-60 years undergoing elective surgery in JIPMER, belonging to ASA class 1-2 planned for general anaesthesia with orotracheal intubation will be included in the study.
Exclusion criteria
Exclusion criteria: 1. Pregnant women 2. Patients with aspiration risk and those requiring rapid sequence induction 3. Patients planned for awake fiber-optic or nasal intubation 4. Patients with difficult airway which includes mouth opening less than 3 centimetres, Mallampatti class 3 or more, thyromental distance less than 6 centimetres, restricted neck extension. 5. Patients not willing for the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the time taken for intubation by anaesthesia residents using C-MAC C-blade video laryngoscope-with bougie and without bougie guided endotracheal tube.Timepoint: Duration in seconds. The time for intubation will be recorded as the interval between the introduction of C-MAC C-blade into the patients mouth to the appearance of End tidal carbon dioxide trace in the monitor. It is done during intubation under general anaesthesia. | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare the need for external laryngeal maneuvers and the number of times of repositioning of C-MAC C-blade needed for each technique.Timepoint: It is done during intubation of trachea.;To assess and compare postoperative pharyngolaryngeal complaints of the patients.( sore throat, throat pain, dysphonia, dysphagia) and To record any episodes of desaturation.Timepoint: Patient will be reviewed 24 hours after the surgery to assess for presence of sore throat, throat pain, dysphonia or dysphagia.;To assess and compare the hemodynamic responses associated with each technique. {Heart rate(HR), Blood pressure(BP)}Timepoint: Baseline heart rate and blood pressure in beats per minute and millimetres of mercury respectively is noted before induction, then every one minute from the time of intubation for 5 minutes.;To compare the laryngoscopy time in each technique. Timepoint: Duration in seconds. Time for laryngoscopy is recorded as the time interval between the introduction of C-MAC C-blade into the patients mouth to the visualisation of glottis in the screen. It is done during intubation under general anaesthesia.;To compare the number of attempts at redirection of the tube and the number of failed intubations in each technique.Timepoint: The number of failed intubation and the number of times of tube redirection is noted during intubation.;To compare the user review regarding the ease of intubation in each technique.Timepoint: The intubators opinion regarding the ease of intubation is assessed using an ordinal scale. 1- very easy, 2- easy, 3- moderately difficult, 4- very difficult. It is done after intubation. | — |
Countries
India
Contacts
Public ContactDr Meenu Priya A
Jawaharlal Institute of Postgraduate Medical Education and Research
Outcome results
None listed