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CTRI Number  CTRI/2025/02/081222 [Registered on: 24/02/2025] Trial Registered Prospectively
Last Modified On: 20/02/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Other 
Public Title of Study   Ballotobility technique to know midtracheal position of endotracheal tube-confirming with fibreoptic bronchoscope 
Scientific Title of Study   Ballotability of cuff to confirm midtracheal position of endotracheal tube correlating with gold standard-fibreoptic bronchoscope-an observational 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  G S Proktha 
Designation  MD Anaesthesia Junior resident 
Affiliation  ESIC Medical College and PGIMSR  
Address  2ND Floor OT Complex, Department of Anaesthesiology, ESIC MC and PGIMSR Rajajinagar, Bangalore

Bangalore
KARNATAKA
560016
India 
Phone  9494029506  
Fax    
Email  gsproktha@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Deepak Dhummansure 
Designation  Head of Department 
Affiliation  ESIC Medical College and PGIMSR  
Address  2nd Floor OT Complex,Department of Anaesthesiology,ESIC MC and PGIMSR,Rajajinagar,Bangalore

Bangalore
KARNATAKA
560016
India 
Phone  9980050864  
Fax    
Email  10drdeepak@gmail.com  
 
Details of Contact Person
Public Query
 
Name  G S Proktha 
Designation  MD Anaesthesia Junior Resident 
Affiliation  ESIC Medical College and PGIMSR  
Address  2nd Floor OT Complex,Department of Anaesthesiology,ESIC MC and PGIMSR, Rajajinagar, Bangalore

Bangalore
KARNATAKA
560016
India 
Phone  9494029506  
Fax    
Email  gsproktha@gmail.com  
 
Source of Monetary or Material Support  
ESIC MC and PGIMSR, Rajajinagar, Bangalore, 560010, India 
 
Primary Sponsor  
Name  Dr G S Proktha 
Address  ESIC MC and PGIMSR Rajajinagar Bangalore 560010 
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 G S Proktha  ESIC Medical College and Post Graduate Institute of Medical Science and Research   2nd Floor OT Complex, Department Of Anaesthesiology BANGALORE
Bangalore
KARNATAKA 
9494029506

gsproktha@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: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Fiberoptic bronchoscopy  Ballotability of cuff to be checked after intubation at 0 secs and confirming mid tracheal position of trachea using fiberoptic bronchoscope within 10 mins of safe apnea time 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  ASA Physical status 1 and 2 scheduled for elective surgery under general anaesthesia 
 
ExclusionCriteria 
Details  Patients scheduled for emergency surgery
Patients with BMI more than 30
Patients with difficult airway
Patients with front of neck swelling
Patients with congenital facial and tracheal anomalies
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1.distance between endotracheal tube proximal cuff to vocal cord:4-5cms  baseline 
 
Secondary Outcome  
Outcome  TimePoints 
safety of patients by confirming mid tracheal position of tube  baseline 
 
Target Sample Size   Total Sample Size="70"
Sample Size from India="70" 
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)   20/03/2025 
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   After taking informed written consent patients who meet inclusion criteria will be included in the study.preparation of the patient for the general anaesthesia will be done as per Standard Institutional Protocol. After preoxygenation appropriate size ET tube is passed and cuff is inflated to maintain cuff pressure of 20-30cm of water and connected to ventilator .The tube is then held in position and cuff is palpated with gentle pressure and when cuff distension is measured maximally,Endotracheal tube is secured. Then Fiberoptic Bronchoscope is introduced and distance between proximal tube cuff to vocal cord and tube tip to carina is measured.The results are compared to mid tracheal position of tube i.e, 4-5cms from carina and 2-4 cms from vocal cord to proximal Margin of cuff.Observations will be analysed.   
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