Health Condition 1: 2- Placement
Conditions
Interventions
Intervention1: Comparison of intubation between the two groups
Group B: Head Elevated Laryngeal Position (HELP) at 25 back up
Group S: Traditional Supine Position: Group B HELP at 25 back up:
P
Sponsors
Dr Nitish Sarmah
Eligibility
Inclusion criteria
Inclusion criteria: BMI 18.5- 24.9 ASA I -II Mouth Opening greater than 3 cm Modified MPS I-II Complete range of neck movements Positive upper lip bite test
Exclusion criteria
Exclusion criteria: Anticipated difficult airway No surgery, burns or radiation therapy in submandibular area Emergency surgery Haemodynamic Instability BMI less than 18.5 and more than 24.9 Kg/m2 Patient with short thick necks and prominent upper incisors History of difficult tracheal intubation previously Patient refusal
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time required for Intubation (measured from insertion of endotracheal tube into oral cavity to appearance of capnography waveform)Timepoint: Time required for intubation will be measured once intraoperatively at the time of endotracheal intubation | — |
Secondary
| Measure | Time frame |
|---|---|
| Glottic view using Cormack- Lehane gradingTimepoint: During laryngoscopy at the time of intubation. It will be observed by the blinded observer immediately during laryngoscopy;Ease of intubation & need for ancillary manoeuvresTimepoint: Documented by need for additional airway equipment (e.g bougie, stylet) or external laryngeal manipulation applied to achieve successful intubation;Haemodynamic responseTimepoint: Heart Rate (HR), Systolic Blood Pressure (SBP), Diastolic Blood Pressure (DBP), Mean Arterial Pressure (MAP) will be measured & recorded using standard monitoring equipment at specified time points Baseline (Pre Induction) Post Induction Immediately after Intubation 1,3 AND 5 minutes post intubation | — |
Countries
India
Contacts
Public ContactDr. Tapan Kumar Talukdar
Tezpur Medical College and Hospital
Outcome results
None listed