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CTRI Number  CTRI/2024/04/066090 [Registered on: 22/04/2024] Trial Registered Prospectively
Last Modified On: 20/04/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   To compare the accuracy of different methods of endotracheal tube insertion in neonates. 
Scientific Title of Study   Calculation of Endotracheal tube insertion length in neonates-a comparative study  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Akshit 
Designation  Post graduate resident Department of Paediatrics Kasturba Hospital Manipal  
Affiliation  Kasturba Hospital Manipal 
Address  Department of Paediatrics Kasturba Hospital Manipal

Udupi
KARNATAKA
576104
India 
Phone  9466200001  
Fax    
Email  asingh838@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr. Sheila S Mathai 
Designation  Professor and HOD, Department of Neonatology, Kasturba Hospital Manipal 
Affiliation  Kasturba Hospital Manipal 
Address  Department of Neonatology, Kasturba Hospital Manipal

Udupi
KARNATAKA
576104
India 
Phone  9930954139  
Fax    
Email  sheilamathai@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr. Leslie E. Lewis 
Designation  Professor and HOD, Department of Paediatrics, Kasturba Hospital, Manipal 
Affiliation  Kasturba Hospital Manipal 
Address  Department of Paediatrics, Kasturba Hospital, Manipal

Udupi
KARNATAKA
576104
India 
Phone  9449208476  
Fax    
Email  leslie.lewis@manipal.edu  
 
Source of Monetary or Material Support  
Kasturba Hospital Manipal, Udupi, Karnataka, India. Pin code-576104 
 
Primary Sponsor  
Name  NOT APPLICABLE 
Address  NOT APPLICABLE 
Type of Sponsor  Other [SELF] 
 
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 Leslie Lewis  Kasturba Hospital Manipal   NICU, Department of Neonatology, Kasturba Hospital Manipal
Udupi
KARNATAKA 
9449208476

Leslie.lewis@manipal.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College And Kasturba Hospital Institutional Ethics Committee   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: 4||Measurement and Monitoring,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NOT APPLICABLE  NOT APPLICABLE 
 
Inclusion Criteria  
Age From  1.00 Day(s)
Age To  30.00 Day(s)
Gender  Both 
Details  ALL INTUBATED NEONATES WITH POST INTUBATION XRAY ADMITTED IN NICU KASTURBA HOSPITAL MANIPAL 
 
ExclusionCriteria 
Details  Hydrops Foetalis
Marked edema/ Injury to Face
Congenital anomalies of face.
Dysmorphic neonates. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To compare the accuracy of methods of endotracheal tube insertion.  Within 6 hrs of intubation 
 
Secondary Outcome  
Outcome  TimePoints 
To determine variations in accuracy of different methods with birth weight, gestational age & SGA status.  Within 6 hours of intubation 
 
Target Sample Size   Total Sample Size="56"
Sample Size from India="56" 
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)   02/05/2024 
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="2"
Months="0"
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   All intubated neonates with post intubation Xray will be assessed for eligibility. Tochen formula will be calculated for all neonates in study. (weight+6 to the nearest of 0.5cm), which is standard method of calculation in our unit before intubation. Consent for measurements will be taken from parents of eligible neonates. Details of case with be noted.  All babies will be assessed within 6 hours of intubation. Facial measurements will be done using non stretchable disposable tapes. NTL, NsTL and CTL distances to the nearest 0.5 cm will be recorded for each neonate. Position of end of ETT (actual and optimal) will be determined from CXRay measurements. Lower end of T2 will be taken for calculation of the optimal position of the ET. Xray is standard method use to see if endotracheal tube is correctly placed. Difference between optimal and actual position will be calculated for each case in mm.
Measurements will be confirmed by faculty members. If baby is intubated twice during hospital stay, each intubation will be taken as separate reading. Weight will be measured on electronic weighing scale to an accuracy of 10 grams. GA will be assessed by NBS and records.
 
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