Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Endotracheal Intubation Using McCoy Laryngoscope: McCoy introduced a change in conventional Macintosh laryngoscope by introducing a hinged tip that elevates, when the proximal lever at
Sponsors
Department of Anaesthesia and Intensive care GMCH Chandigarh
Eligibility
Inclusion criteria
Inclusion criteria: 1.Age group of 18 to 60 years of either gender. 2.Patients with the American Society of Anaesthesiologists (ASA) physical status Class I and II. 3.Patients undergoing elective surgery requiring endotracheal intubation under general anaesthesia.
Exclusion criteria
Exclusion criteria: 1.Patients with anticipated difficult airway [Airway Difficulty Score (ADS)more than 8] 2.Morbid obesity (BMI more than 35kg per meter square). 3.Pregnant women. 4.Major maxilla facial trauma or cervical spine pathology. 5.Severe cardiorespiratory, cerebrovascular, renal, lymphatic and musculoskeletal diseases. 6.Severe coagulopathy or history of anticoagulant use. 7.Patients at increased risk of pulmonary aspiration such as gastroesophageal reflux disease (GERD), peptic ulcer disease. 8.Surgeries in prone position.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the time taken for endotracheal intubation with the McCoy and CMAC D-Blade laryngoscope using rapid sequence intubation technique in patients with simulated restricted neck mobility.Timepoint: Time between clear laryngeal view to appearance of first square wave capnograph is obtained . | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare Time taken for laryngoscopy .Timepoint: Time between introduction of device in mouth till the clear view of glottis is obtained;To compare the Total time taken for intubationTimepoint: Time from introduction of device in mouth till first square wave capnograph is obtained;To compare the number of attempts for successful intubationTimepoint: Number of attempts taken till first square wave capnograph is obtained .;To compare the laryngeal view obtainedTimepoint: after obtaining clear laryngeal view during laryngoscopy;To compare hemodynamic parametersTimepoint: To compare hemodynamic parameters preoperatively,just before insertion, immediately after insertion, 1 minute, 5 minutes & 10 minutes after intubation;Any other complications- soft tissue oedema , dental trauma, bleeding from gums/ lips .Timepoint: during insertion of the device , during the surgical procedure .;Post operative Complications such as sore throat, stridor or hoarseness Timepoint: Complications such as sore throat, stridor or hoarseness to be noted after extubation for 12 hours . | — |
Countries
India
Contacts
Public ContactDr Manpreet Singh
Government Medical College and Hospital, Sector 32, Chandigarh
Outcome results
None listed