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CTRI Number  CTRI/2025/06/089052 [Registered on: 18/06/2025] Trial Registered Prospectively
Last Modified On: 17/06/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A Comparative Study To Asses The Efficiency Of between The Fingers Grip With The Conventional Pen Holding Grip To Holding Endotracheal Tube For orotracheal Intubation Using C Mac Videolaryngoscope  
Scientific Title of Study   A Prospective Comparative Study To Asses The Efficacy Of between The Fingers Grip With The Conventional Pen Holding Grip To Hold An endotracheal Tube For orotracheal Intubation Using C Mac Videolaryngoscope 
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 NANDINI CV 
Designation  Associate professor 
Affiliation  Dr. B.R. Ambedkar Medical College 
Address  OT Complex, Department of Anaesthesia, Dr B R Ambedkar medical college and Hospital no 24, shampura main road , kadugondanahalli Bengaluru Bangalore KARNATAKA India

Bangalore
KARNATAKA
560045
India 
Phone  9535024072  
Fax    
Email  nandinivraj@yahoo.co.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr NANDINI CV 
Designation  Associate professor 
Affiliation  Dr. B.R. Ambedkar Medical College 
Address  OT complex,department of anaesthesia, Dr B R Ambedkar medical college andhospital no 24, shampura main road , kadugondanahalli bengaluru Bangalore KARNATAKA India


KARNATAKA
560045
India 
Phone  9535024072  
Fax    
Email  nandinivraj@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Dr SUVINA 
Designation  Associate professor 
Affiliation  Dr. B.R. Ambedkar Medical College 
Address  OT Complex, Department of Anaesthesia, Dr B R Ambedkar Medical College and Hospital no 24, shampura main road , kadugondanahalli bengaluru Bangalore KARNATAKA India


KARNATAKA
560045
India 
Phone  6366279888  
Fax    
Email  suvi11492@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Dr B R Ambedkar Medical college 
Address  DR B R Ambedkar medical college, No 24, Near tannery road, Gandhinagar,shampura main road kadugondanahalli, Bengaluru-560045 karnataka India 
Type of Sponsor  Private 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 NANDINI CV  Dr BR Ambedkarmedical college andhospital  Major OT Complex, 1st floor,Shampura mainroadK.G.Halli 560045 Bangalore KARNATAKA
Bangalore
KARNATAKA 
09535024072

nandinivraj@yahoo.co.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTION ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K800||Calculus of gallbladder with acutecholecystitis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  patients undergoing orotracheal intubation using c macvideolaryngoscope by modified finger holding technique for holding enndotracheal tube  Total duration 6 months.Patients undergoing orotracheal intubation using c macvideolaryngoscope by modified finger holding technique for holding enndotracheal tube 
Comparator Agent  Patients undergoing orotrachealintubation using c macvideolaryngoscope by conventionalpending holding method for endotrachealintubation  Patients undergoing orotrachealintubation using c macvideolaryngoscope by conventionalpending holding method for endotrachealintubation 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1.Age - 18 to 60 years and American Society of Anaesthesiologists physical status(ASA- PS) I and II patients.
2.Patients with Mallampati grades (MP) 1,2, 3 
 
ExclusionCriteria 
Details  1.Refusal to participate in the study, Patients with cormack Lehane (CL) grades 3b ,4
2.patients with an anticipated difficult airway, history of difficult airway in previousdocuments, head and neck pathology, and haemodynamic instability.
3. patients with cervical spine instability , reactive airway , gastric reflux , cerebralhemorrhage will be excluded 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1.To measure time required for endotracheal intubation for each grip using CMAC videolaryngoscopy
2.To compare the requirement of external assistance in the form of thebackward upward rightward pressure manoeuvre (BURP) to performendotracheal intubation 
from base line to30 min 
 
Secondary Outcome  
Outcome  TimePoints 
1.Comparing the number of attempts for endotrachealintubation for each grip and use of external aids such asbougie and stylet
2.The variations in the haemodynamic parameters heart rate(HR) and mean arterial pressure (MAP)) in the two groups. 
Time from enotracheal intubation to30 min of intraoperative period 
 
Target Sample Size   Total Sample Size="64"
Sample Size from India="64" 
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)   10/04/2026 
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 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  
It has been documented that time taken for intubation is usually longer especially with angulatedblade as easy visualization of glottis does not guarantee easy passage of ET tube into larynx andthis is aptly termed as “Laryngoscopy paradox".
Modified grip i.e., between the finger method of endotracheal tube holding allowed the operator tochange the curvature of the ETT as it neared the glottic opening in a dynamic fashion duringlaryngoscopy thus, the tip can be manoeuvred forward and anteriorly, providing better control andalignment than fixed curvature in the conventional pen holding method of endotracheal tube.
In this study we aim to compare, modified between-the- finger grip with that of conventional pen-holding method of endotracheal tube for orotracheal intubation using C -MAC Video laryngoscope.
 
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