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CTRI Number  CTRI/2024/10/075555 [Registered on: 21/10/2024] Trial Registered Prospectively
Last Modified On: 18/10/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Single Arm Study 
Public Title of Study   How Different Head Positions Affect Intubation Depth in Children.  
Scientific Title of Study   EVALUATION OF INFLUENCE OF HEAD POSITION VARIATIONS ON THE DEPTH OF ENDOTRACHEAL INTUBATION IN PAEDIATRIC PATIENTS. 
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 Ragini 
Designation  Post Graduate student  
Affiliation  Vardhman Mahavir Medical College and Safdarjung Hospital  
Address  Department of Anaesthesia, Main OT building,Vardhman Mahavir Medical college and Safdarjung Hospital ,New Delhi -29

South
DELHI
110029
India 
Phone  8860660993  
Fax    
Email  Raginisharmadps2017@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Kavita Rani Sharma 
Designation  Director Professor  
Affiliation  Vardhman Mahavir Medical College and Safdarjung Hospital  
Address  Department of Anaesthesia, Main OT building, Vardhman Mahavir Medical College and Safdarjung Hospital,New Delhi -29
Department of Anaesthesia, Main OT building, Vardhman Mahavir Medical College and Safdarjung Hospital,New Delhi -29
South
DELHI
110029
India 
Phone  9968604376  
Fax    
Email  drkavitadn@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Ragini  
Designation  Post Graduate Student 
Affiliation  Vardhman Mahavir Medical College and Safdarjung Hospital  
Address  Department of Anaesthesia,Main OT building, Vardhman Mahavir Medical college and Safdarjung Hospital ,New Delhi-29

South
DELHI
110029
India 
Phone  8860660993  
Fax    
Email  Raginisharmasps2017@gmail.com  
 
Source of Monetary or Material Support  
Department of Anaesthesia, Main OT building, VMMC & Safdarjung Hospital, Ansari Nagar, New Delhi 110029 
 
Primary Sponsor  
Name  Vardhman Mahavir Medical College and Safdarjung Hospital  
Address  Department of Anaesthesia,Main OT building, Vardhman Mahavir Medical College and Safdarjung Hospital ,New Delhi -29 
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 Ragini  Vardhman Mahavir Medical College and Safdarjung Hospital   Department of Anaesthesia, Main OT building, Vardhman Mahavir Medical College and Safdarjung Hospital,New Delhi -29
South
DELHI 
8860660993

Raginisharmadps2017@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
VMMC and Safdarjung Hospital Institutional committee   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 
Intervention  NIL  NIL 
 
Inclusion Criteria  
Age From  4.00 Year(s)
Age To  12.00 Year(s)
Gender  Both 
Details  The study will include children with ASA I and II status, between the age group of 4 to 12 years, planned for elective surgery under general anaesthesia with endotracheal intubation.  
 
ExclusionCriteria 
Details  Patients will be excluded if they presented with: - 1) Patients with limited head and neck movement. 2) Patients with difficult airway and any known or suspected airway anomalies. 3) Patients requiring preformed/ reinforced/ nasal endotracheal tubes 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To evaluate the distance between the endotracheal tip and the carina using fibreoptic bronchoscope with flexion and extension of head relative to neutral head position in paediatric patients.   5 minutes after intubating the patient. 
 
Secondary Outcome  
Outcome  TimePoints 
1) Correlation of the changes in the depth of endotracheal intubation caused by head position changes with the height of the patient 2) Correlation of the changes in the depth of endotracheal intubation caused by head position changes with the age of the patient .  10 mins after induction  
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
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)   29/10/2024 
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="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  
My study is aimed to evaluate the influence of head position variations on the depth of endotracheal intubation in  paediatric patients. 
The child will be undergoing a routine detailed pre-anaesthetic check-up. Informed consent and assent will be taken by parents/ guardians . Child will be administered general anaesthesia as per the standard protocol. Endotracheal tube of appropriate size will be inserted to secure the airway and will be fixed according to the precalculated values. A fibreoptic bronchoscope will be introduced to confirm the position of the endotracheal tube when head is 45 degrees flexed, 45 degrees extended and will be repositioned if necessary. Distances between the ETT tip to the carina and vocal cords to the carina will be measured using FOB in neutral, 45°head flexion, 45°head extension . Anaesthesia will be maintained and reversed on discretion of attending anaesthesiologist 
 
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