Health Condition 1: B961- Klebsiella pneumoniae [K. pneumoniae] as the cause of diseases classified elsewhere
Conditions
Interventions
Intervention1: Between-the-Fingers Grip technique of Orotracheal Intubation.: Patient will be intubated by Between-the-fingers grip technique in group B. Another experienced anaesthesiologist will be
Sponsors
Nil
Eligibility
Inclusion criteria
Inclusion criteria: 1 Age 18 to60 years This range includes adult patients with relatively predictable airway anatomy and physiological responses. Extremes of age paediatric and elderly populations are associated with anatomical and physiological variations that could independently influence intubation difficulty and haemodynamic responses. 2.ASA physical status I to III Including patients with mild to moderate systemic disease ensures generalizability while maintaining safety. Higher ASA grades IV and above are more likely to have unstable physiology, which could confound haemodynamic outcomes and increase procedural risk. 3 Elective surgery under general anaesthesia requiring endotracheal intubation . Elective settings allow adequate preoperative airway assessment and standardization of conditions. This reduces variability compared to emergency situations. 4 Mallampati grades I to III These grades encompass easy to moderately difficult airways. Including this range allows evaluation of both techniques across a spectrum of common airway scenarios while avoiding extreme difficulty. 5.Cormack Lehane grades I IIa IIb and IIIa These laryngoscopic views represent varying degrees of glottic visualization that are still manageable with standard techniques. Including them ensures that the techniques are tested in realistic clinical conditions without introducing extreme airway difficulty that may require alternative strategies.
Exclusion criteria
Exclusion criteria: 1 Refusal to participate Ethical research mandates voluntary informed consent. 2 Anticipated difficult airway like Mallampati grade IV mouth opening less than 3 cm, thyromental distance less than 6 cm .These predictors are associated with high intubation difficulty and may necessitate advanced airway devices or techniques, which would confound comparison between the two grip methods. 3 History of difficult airway Previous documentation suggests increased unpredictability and risk, which could bias outcomes and compromise safety. 4 Head and neck pathology Structural abnormalities like tumors, trauma, deformities can significantly alter airway anatomy and make intubation technique-dependent comparisons unreliable. 5 Haemodynamic instability Since one of the study outcomes may involve haemodynamic responses, unstable patients could introduce significant variability unrelated to the technique used. 6 Emergency surgery Emergency cases often lack proper fasting status, airway evaluation, and preparation time, leading to uncontrolled variables and increased risk. 7 Pregnancy Pregnant patients have altered airway anatomy eg airway edema, increased aspiration risk, and different physiological responses, which could confound results and raise ethical concerns.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the number of intubation attempts first-pass success and requirement of backward upward rightward pressure manuever BURP between the fingers grip with the traditional pen holding method of handling endotracheal tube. Timepoint: During the endotracheal intubation and immediately after intubation | — |
Secondary
| Measure | Time frame |
|---|---|
| 1 To compare the time taken for successful endotracheal intubation for each grip & the haemodynamic parameters heart rate & mean arterial pressure between the two groups 2 To assess & compare post operative complications such as airway trauma sore throat between the two groups Timepoint: 1 Time taken will be noted immediately after orotracheal intubation 2 Haemodynamics will be noted at baseline at the time of intubation & immediately after intubation 3 Postoperative complications will be measured after the surgery | — |
Countries
India
Contacts
Public ContactDr Praneshwori Sinam
North Eastern Indira Gandhi Regional Institute of Hospital and Medical Sciences, Shillong
Outcome results
None listed