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Bed up head elevation compared to supine sniffing position in patients undergoing emergency intubation

Bed up head elevation versus supine sniffing position in patients undergoing rapid sequence intubation using direct laryngoscope in emergency department- a randomized controlled study - Elevate RSI TRAIL

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2021/09/036576
Enrollment
122
Registered
2021-09-16
Start date
Unknown
Completion date
Unknown
Last updated
2021-11-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: O- Medical and Surgical

Interventions

Intervention1: RAPID SEQUENCE INTUBATION: PATIENT HEAD END WILLL NE ELEVATED TO 30 DEGREES KEEPING IN SNIFFING POSITION BEFORE INTUBATION Intervention2: Bed up head elevation: In intervention group Be

Sponsors

Jawaharlal Institute Of Postgraduate Medical Education and Research
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: All patients undergoing rapid sequence intubation above 18 years of age in emergency department

Exclusion criteria

Exclusion criteria: Trauma patients Patients with airway obstruction secondary to advanced head and neck tumors and severe airway edema secondary to burns, injuries, infections. Patients with contraindication to neck extension Patient with history of difficult airway from previous intubation history Crash intubation All Pregnant patients requiring RSI

Design outcomes

Primary

MeasureTime frame
To compare the time taken for endotracheal intubation in patient undergoing rapid sequence intubation (RSI) using direct laryngoscope (DL) in bed up head elevation (BUHE) versus supine sniffing positionTimepoint: At Baseline—

Secondary

MeasureTime frame
To compare the adverse events during RSI using DL in bed up head elevation versus supine sniffing positionTimepoint: At baseline(At start of procedure, during the procedure,2minutes post-procedure,5 minutes post-procedure,10 minutes post -procedure;To Compare the First pass success rate in patient undergoing rapid sequence elevation (RSI) using direct laryngoscope (DL) in bed up head elevation (BUHE) versus supine sniffing positionTimepoint: At baseline—

Countries

India

Contacts

Public ContactDr Manu Ayyan

Jawaharlal Institute Of Postgraduate Medical Education and Research

manuayyan.s@jipmer.edu.in9846556133

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026