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CTRI Number  CTRI/2025/02/080809 [Registered on: 18/02/2025] Trial Registered Prospectively
Last Modified On: 07/02/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Single Arm Study 
Public Title of Study   Using an airway scoring system to determine if placement of breathing tube will be difficult in children undergoing surgeries 
Scientific Title of Study   Utility of Colorado Pediatric Airway Score (COPUR) in predicting difficult airway and intubation among children undergoing elective surgeries in a tertiary care hospital 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Ajith Aravind 
Designation  Junior Resident 
Affiliation  Kasturba Medical College and Hospital 
Address  Department of Anaesthesiology, Kasturba Medical College and Hospital, Manipal

Udupi
KARNATAKA
576104
India 
Phone  9656942807  
Fax    
Email  ajitharavind999@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Malavika Kulkarni  
Designation  Professor 
Affiliation  Kasturba Medical College and Hospital 
Address  Department of Anaesthesiology, Kasturba Medical College and Hospital, Manipal

Udupi
KARNATAKA
576104
India 
Phone  9844241620  
Fax    
Email  malavika.kulkarni@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Dr Malavika Kulkarni  
Designation  Professor 
Affiliation  Kasturba Medical College and Hospital 
Address  Department of Anaesthesiology, Kasturba Medical College and Hospital, Manipal

Udupi
KARNATAKA
576104
India 
Phone  9844241620  
Fax    
Email  malavika.kulkarni@manipal.edu  
 
Source of Monetary or Material Support  
Department of Anaesthesiology, Kasturba Medical College and Hospital, Manipal 576104 
 
Primary Sponsor  
Name  Kasturba Medical College 
Address  Department of Anaesthesiology, Kasturba Medical College and Hospital, Manipal 576104 
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 Ajith Aravind  Kasturba Medical College Manipal  Department of Anaesthesiology, Baliga Block, 1st floor, Kasturba Medical College and Hospital, Manipal 576104
Udupi
KARNATAKA 
9656942807

ajitharavind999@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College and Kasturba Hospital Institutional Ethics Committee 2 (Student Research)  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  2.00 Month(s)
Age To  12.00 Year(s)
Gender  Both 
Details  Children undergoing surgeries under general anesthesia  
 
ExclusionCriteria 
Details  American Society of Anesthesiologists(ASA) Physical Status 4,5
Life threatening emergencies
Mentally challenged children 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To assess validity of COPUR scale in identifying children with difficult airway  COPUR scale noted during routine pre anesthetic evaluation(day 0). The next day, difficulty of intubation is evaluated during intra operative period(day 1).  
 
Secondary Outcome  
Outcome  TimePoints 
To observe the various intubation aids that facilitate the ease of endotracheal intubation & compare it with COPUR score obtained  COPUR score - during pre-anesthetic evaluation (Day 0)
Aids for intubation - during intubation in the operation theatre (Day 1) 
 
Target Sample Size   Total Sample Size="170"
Sample Size from India="170" 
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)   20/02/2025 
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="0"
Months="5"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Open to Recruitment 
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   Identification of patients with a difficult airway is vital in planning anaesthetic management so that tracheal intubation can be achieved safely. Several preoperative screening tools are being used in clinical anaesthesia to identify adult patients who are difficult to intubate. A significant association is seen between non-invasive clinical predictors of airway assessment and the incidence of difficult intubation (DI), yet no single method is expected to predict DI accurately. Anaesthetic literature is deficient regarding airway assessment tools for paediatric patients. Hence the present study is being undertaken to assess the utility of COPUR scale in identifying children with difficulty in intubation. The Colorado Pediatric Airway (COPUR) scale was first described in an article by Geoffrey Lane. To
the best of our knowledge, there haven’t been studies conducted to assess its validity in predicting difficult intubation yet.
 
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