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CTRI Number  CTRI/2024/06/068567 [Registered on: 07/06/2024] Trial Registered Prospectively
Last Modified On: 06/06/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Medical Device
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparison of two different patient positions for endotracheal intubation through a supraglottic airway device in pediatric surgeries  
Scientific Title of Study   Comparison of supine versus lateral decubitus position for endotracheal intubation through BlockBuster laryngeal mask airway in pediatric population- A randomised interventional study in SMS Medical College , Jaipur 
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 Pratibha Rathore  
Designation  Associate Professor  
Affiliation  Sawai Maan Singh Medical College and Attached Hospital  
Address  Department of Anaesthesia, Sawai Maan Singh Medical College and Attached Hospital, Jaipur

Jaipur
RAJASTHAN
302004
India 
Phone  9414446473  
Fax    
Email  pratibha.rathore3@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Pratibha Rathore  
Designation  Associate Professor  
Affiliation  Sawai Maan Singh Medical College and Attached Hospital  
Address  Department of Anaesthesia, Sawai Maan Singh Medical College and Attached Hospital, Jaipur

Jaipur
RAJASTHAN
302004
India 
Phone  9414446473  
Fax    
Email  pratibha.rathore3@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Harshita Rai 
Designation  Junior Resident 
Affiliation  Sawai Maan Singh Medical College and Attached Hospital  
Address  Department of Anaesthesia, Sawai Maan Singh Medical College and Attached Hospital, Jaipur

Jaipur
RAJASTHAN
302004
India 
Phone  9740107554  
Fax    
Email  harshihenu@gmail.com  
 
Source of Monetary or Material Support  
Department of Anaesthesia, Sawai Maan Singh Medical College And Attached Hospitals,Jaipur 302004 , Rajasthan , India 
 
Primary Sponsor  
Name  Department of Anaesthesia Sawai Maan Singh Medical College and Attached Hospital Jaipur Rajasthan  
Address  JLN Marg ,Adarsh Nagar , Jaipur 302004 , Rajasthan , India 
Type of Sponsor  Government 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 Pratibha Rathore   Sawai Maan Singh Medical College and Attached Hospitals  Operation Theatres , First floor, department of Anaesthesia , J K Lon hospital , JLN Marg,Adarsh Nagar , Jaipur 302004 , Rajasthan ,India
Jaipur
RAJASTHAN 
9414446473

pratibha.rathore3@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Office of Ethics Committee,SMS Medical College And Attached Hospitals, Jaipur  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Patients airway will be secured with BlockBuster in lateral position  Comparison of the success rate of endotracheal intubation through blockbuster laryngeal mask airway in supine versus lateral position Total duration of device till successful intubation 
Intervention  Patients airway will be secured with BlockBuster in supine position  Comparison of the success rate of endotracheal intubation through blockbuster laryngeal mask airway in supine versus lateral position Total duration of device till successful intubation 
 
Inclusion Criteria  
Age From  5.00 Year(s)
Age To  10.00 Year(s)
Gender  Both 
Details  Consent given by guardian or caretaker of patients for participation in study
Undergoing elective paediatric surgery requiring endotracheal intubation
ASA grade 1 & 2 
 
ExclusionCriteria 
Details  Patient should not be part of other study
Children with craniofacial deformities and cervical spine disease
Children with dental abnormalities or surgeries of oral cavity or if prone to aspiration
Respiratory and pharyngeal pathology 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Total number of attempts and total time taken for successful endotracheal intubation through BlockBuster laryngeal mask airway in both study groups i.e. supine versus lateral  baseline 
 
Secondary Outcome  
Outcome  TimePoints 
To determine the difference in fibreoptic grade of view ( brimacombe score) in both the study groups  After insertion of device 
To determine the difference in the mean oropharyngeal leak pressure   After insertion of device 
To compare the intraoperative hemodynamic changes- Heart rate,SBP,DBP & MAP between both groups  Baseline
After induction of anaesthesia immediately after intubation
1 min after intubation
3 mins after intubation
5 mins after intubation
7 mins after intubation
10 mins after intubation 
 
Target Sample Size   Total Sample Size="128"
Sample Size from India="128" 
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)   17/06/2024 
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="0"
Months="2"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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   Securing airway is a vital responsibility of anaesthesiologists. Recently, supraglottic airway devices with a conduit for blind tracheal intubation are gaining popularity as a bridge connecting ventilation and intubation in all genre of patients. A second generation laryngeal mask airway, BlockBuster is advantageous in providing ventilation and increased green channel for intubation. As children are less tolerant of apnoea ,which results in inadequate ventilation leading to brain damage , thus emphasises the use of supraglottic airway device that are specifically designed to serve as a conduit for intubation when a pediatric fibrescope is unavailable or when secretions and bleeding hinder its use. Purpose of this study is to find out which position out of supine and lateral decubitus is more efficacious for endotracheal intubation through BlockBuster laryngeal mask airway in children. 
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