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A study comparing two head positions for better vocal cord visualization during intubation using video laryngoscopy in adults with predicted difficult airway

Comparison of POGO score with video laryngoscopy in supine position and HELP position in adult patients with anticipated difficult airway- A randomized controlled tri-al. - NIL

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2025/08/092296
Enrollment
114
Registered
2025-08-04
Start date
Unknown
Completion date
Unknown
Last updated
2025-08-18

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: Head-Elevated Laryngoscopy Position (HELP): In this group, video laryngoscopy is performed with the patient in the HELP position. HELP position will be achieved by raising the back sect

Sponsors

Jawaharlal Institute of Postgraduate Medical Education and Research
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Adult patients more than 18 years of age with ASA grade I and II undergoing elective surgery under general anesthesia requiring endotracheal intubation and having one or more of the following 1.Neck circumference: greater or equal 42 cm 2.MMP grade III and IV 3.Positive upper lip bite test (grade 3)

Exclusion criteria

Exclusion criteria: Exclusion criteria: 1.Patient undergoing emergency surgery 2.Any Facial or cervical spine trauma 3.Pregnant women 4.Morbid obesity (BMI greater than 40kg per m2) 5.Any oropharyngeal tumors 6.Patient requiring nasotracheal intubation 7.Restricted neck extension 8.Mouth opening: less than 5 cm 9.Known craniofacial abnormalities and congenital syndromes

Design outcomes

Primary

MeasureTime frame
To compare the laryngeal view using Per-centage of glottic opening (POGO score) between two study groupsTimepoint: 3 minutes after induction—

Secondary

MeasureTime frame
1.To compare the first attempt success rate of intubation between two groups 2.Comparison of time for successful intubation. 3.Comparison of ease of intubation between two groups using 5 points likert scale. 4.Comparison of intubation difficulty score using modified intubation difficulty scale between two groups. 5.To compare the need of external laryngeal manipulation. 5.To assess & compare intubation complication rate including esophageal intubation, airway trauma, desaturation, bronchospasm between the two groups. Timepoint: 3 to 5 minutes after induction—

Countries

India

Contacts

Public ContactDr Anish Banstola

Jawaharlal institute of postgraduate medical education and research

gnansdr@gmail.com9487188275

Outcome results

None listed

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