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A study comparing two methods of placing a breathing tube in awake patients with difficult airways

A comparative study between conventional technique and tube first technique in awake nasotracheal fiberoptic intubation in difficult airway management - NIL

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2026/01/101945
Enrollment
90
Registered
2026-01-23
Start date
Unknown
Completion date
Unknown
Last updated
2026-02-02

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: Tube first technique: Awake nasotracheal fibreoptic intubation using tube first technique Control Intervention1: Conventional technique: Awake nasotracheal fibreoptic intubation using

Sponsors

Career Institute Of Medical Sciences And Hospital Lucknow
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Adult patients aged eighteen to sixty five years with anticipated difficult airway scheduled for elective surgery under general anaesthesia requiring awake nasotracheal fibreoptic intubation. Patients belonging to American Society of Anesthesiologists physical status class one and two. Patients able to cooperate for awake procedure and willing to provide written informed consent

Exclusion criteria

Exclusion criteria: Patients refusing consent. Emergency surgeries. Uncooperative patients. Patients with severe cardiorespiratory disease. Patients with active upper airway pathology such as tumours, infection or bleeding. Patients with bleeding diathesis or on anticoagulant therapy. Patients with gross facial deformity, unstable cervical spine or nasal obstruction precluding nasotracheal intubation. Pregnant patients.

Design outcomes

Primary

MeasureTime frame
Total intubation time in conventional technique versus tube first technique during awake nasotracheal fiberoptic intubationTimepoint: From insertion of fiberoptic bronchoscope to confirmation of endotracheal tube placement—

Secondary

MeasureTime frame
Ease of glottic visualization during awake fibreoptic intubationTimepoint: During advancement of fibreoptic bronchoscope;Number of attempts required for successful intubationTimepoint: During awake nasotracheal fibreoptic intubation;Procedure related complications such as desaturation, bleeding, coughing or failure of techniqueTimepoint: During and immediately after awake nasotracheal fibreoptic intubation—

Countries

India

Contacts

Public ContactDR PRIYESH BHASKAR

Career Institute Of Medical Sciences And Hospital Lucknow

drpriyeshlpsc@gmail.com7985975077

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 7, 2026