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Larynx views with video-laryngoscope during slow continuous head elevation

Comparative evaluation of glottic views & intubating conditions using videolaryngoscope in head-flat and minimum pillow height position by using sequential head elevation with an inflatable pillow in Indian non-obese adult patients: A Pilot Study - Nil

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
CTRI
Registry ID
CTRI/2023/07/055545
Enrollment
80
Registered
2023-07-24
Start date
Unknown
Completion date
Unknown
Last updated
2023-08-21

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

None listed

Sponsors

School of Medical Sciences and Research and Sharda Hospital, Greater Noida
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: A) Age between 18-65 years B) ASA physical status I-II. C) All classes of Modified Mallampati score

Exclusion criteria

Exclusion criteria: a) Anticipated difficult bag-mask ventilation b) Failure to mask ventilate after injection of induction agent c) Inter-incisor gap d) Thyromental distance e) Obesity: BMI >= 30 kg/m2 f) Restricted flexion and extension movements of head & neck g) Patients planned for awake intubation, nasal intubation or rapid sequence induction/intubation due to any cause h) History of upper airway disease or respiratory infection in the last 15 days i) Patients posted for surgeries involving oral cavity, larynx, pharynx and neck j) Risk of pulmonary aspiration of gastric contents e.g., pregnant females, patients with full stomach, upper GIT problems like gastro-oesophageal reflux disease k) Pathological conditions associated with difficulties in laryngoscopy, such as malformation of the face, cervical spine disorders, tumours of the airway, sleep apnoea syndrome, and prominent upper incisors

Design outcomes

Primary

MeasureTime frame
POGO score corresponds to the percentage of the glottis visualized during laryngoscopy. A 100% value denotes visualization of entire glottis from the anterior commissure of the vocal cords to the inter-arytenoid notch. If none of the glottic opening is visualized, then the value is stated as 0%. Percentage of view of the glottic opening between 0-100% will be noted according to the view obtained with VL in each group. Timepoint: The percentage of glottic opening (POGO) score shall be recorded, in supine head-flat position followed by each cm of head rise till 10 cm after induction of anaesthesia.

Secondary

MeasureTime frame
2. Ease of insertion of videolaryngoscope 3. Need of optimization manoeuvres for facilitating ease of intubation 4. Intubation Difficulty Score 5. Number of Intubation attempts 6. Time to successful intubation 7. Failure to intubate 8. Angle of EAM-SN line in comparison to horizontal axis 9. Any complications during the test procedureTimepoint: The percentage of glottic opening (POGO) score shall be recorded, in supine head-flat position followed by each cm of head rise till 10 cm after induction of anaesthesia.

Countries

India

Contacts

Public ContactASHOK KUMAR SETHI

School of Medical Sciences and Research and Sharda Hospital

newdraksethi@gmail.com8368116645

Outcome results

None listed

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