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CTRI Number  CTRI/2024/04/065758 [Registered on: 16/04/2024] Trial Registered Prospectively
Last Modified On: 13/04/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   prospective 
Study Design  Single Arm Study 
Public Title of Study   to evaluate the difficulty of direct laryngoscopy and intubation by measuring tongue thickness using ultrasound 
Scientific Title of Study   Evaluation of tongue thickness using ultrasound as a predictor of difficult direct laryngoscopy and intubation  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DR. BHOOMIKA B S  
Designation  POST GRADUATE  
Affiliation  DR. B R AMBEDKAR MEDICAL COLLEGE AND HOSPITAL  
Address  DEPARTMENT OF ANAESTHESIOLOGY, DR. B R AMBEDKAR MEDICAL COLLEGE AND HOSPITAL, K G HALLI, BENGALURU - 560045

Bangalore
KARNATAKA
560045
India 
Phone  9448370345  
Fax    
Email  dr.bsbhoomika@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR M SALIM IQBAL 
Designation  PROFESSOR  
Affiliation  DR. B R AMBEDKAR MEDICAL COLLEGE AND HOSPITAL 
Address  DEPARTMENT OF ANAESTHESIOLOGY, DR. B R AMBEDKAR MEDICAL COLLEGE AND HOSPITAL, K G HALLI, BENGALURU- 560045

Bangalore
KARNATAKA
560045
India 
Phone  9964651079  
Fax    
Email  dr.salim_iqbal@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  DR. BHOOMIKA B S 
Designation  POST GRADUATE 
Affiliation  DR. B R AMBEDKAR MEDICAL COLLEGE AND HOSPITAL 
Address  DEPARTMENT OF ANAESTHESIOLOGY, DR. B R AMBEDKAR MEDICAL COLLEGE AND HOSPITAL, K G HALLI, BENGALURU-560045

Bangalore
KARNATAKA
560045
India 
Phone  9448370345  
Fax    
Email  dr.bsbhoomika@gmail.com  
 
Source of Monetary or Material Support  
DR. B R AMBEDKAR MEDICAL COLLEGE AND HOSPITAL 
 
Primary Sponsor  
Name  DRBHOOMIKA B S 
Address  DEPARTMENT OF ANESTHESIOLOGY, DR. B R AMBEDKAR MEDICAL COLLEGE AND HOSPITAL, K G HALLI, BENGALURU- 560045, KARNATAKA 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DR BHOOMIKA B S   DR. B R AMBEDKAR MEDICAL COLLEGE AND HOSPITAL  O T COMPLEX, DEPARTMENT OF ANAESTHESIOLOGY, K G HALLI, SHAMPURA MAIN ROAD, BENGALURU- 560045
Bangalore
KARNATAKA 
9448370345

dr.bsbhoomika@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  , (1) ICD-10 Condition: J99||Respiratory disorders in diseasesclassified elsewhere,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  1.patients posted for elective surgeries needing general anesthesia
2.age more than 18 years of age
3. American society of anesthesiologists (ASA) class 1 and 2 patients 
 
ExclusionCriteria 
Details  1. patients with maxillofacial deformities or fractures
2.patients with preoperatively anticipated difficult airway
3.anatomical deformity of neck or face region
4.modified anaesthetic procedure 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To compare and corelate the ultrasound assessment of tongue thickness pre operatively to predict difficult laryngoscopy with Cormack Lehane classification during direct laryngoscopy under general anaesthesia  at the time of intubation 
 
Secondary Outcome  
Outcome  TimePoints 
1.To check for the number of attempts at intubation   at the time of intubation 
2.To check if external pressure is applied to facilitate intubation or not  at the time of intubation 
3.use of any adjuncts (gum elastic bougie) will be recorded  at the time of intubation 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   06/05/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Airway management is an essential component of clinical anesthesia and it involves maintenance of a patent airway to facilitate gas exchange via mask ventilation or airway device. An important aspect of airway management is to assess the patient’s airway to predict the likelihood of ease or difficulty with bag mask ventilation or with laryngoscopy and intubation, enabling the anesthesiologist to prepare for this challenging clinical scenario. Unanticipated difficult airways are potentially life threatening and remain a significant concern for clinicians managing the airway. Airway associated complications are the most common anaesthesia related adverse outcomes. Intubation failure is usually attributed to difficult laryngoscopy. There have been no effective methods to predict difficult airway accurately. Hence seeking a more accurate method is necessary for anaesthesia. harm to the body. Ultrasound imaging techniques have recently emerged as a novel, simple, portable, non-invasive tool helpful for pre-operative airway assessment and management. Therefore, this study has been designed to evaluate the predictive value of accurately measured tongue thickness using ultrasonography for predicting difficult laryngoscopy and difficult tracheal intubation. 
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