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CTRI Number  CTRI/2025/07/091997 [Registered on: 30/07/2025] Trial Registered Prospectively
Last Modified On: 26/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Other (Specify) [Intubation]  
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A Comparison of Standard and Video-Guided Breathing Tube Insertion Through the Nose in Patients with Difficult Airways 
Scientific Title of Study   Comparison of Fiberoptic Nasal Intubation versus Video-Assisted Fiberoptic Nasal Intubation in Patients with Anticipated Difficult Airway:A Randomized Comparative 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  Gokul G 
Designation  Junior Resident  
Affiliation  AIIMS, Bathinda 
Address  No.145, Department Of Anaesthesiology and Critical Care, 1st Floor D block,All India Institute Of Medical Sciences,Bathinda, Mandi Dabwali Road
No.145, Department Of Anaesthesiology and Critical Care, 1st floor D block,All India Institute Of Medical Sciences,Bathinda, Mandi Dabwali Road
Bathinda
PUNJAB
151001
India 
Phone  9080277557  
Fax    
Email  gokulgovy99@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Anju Grewal 
Designation  Head Of the Department, Anaesthesiology 
Affiliation  AIIMS, Bathinda 
Address  No.145, Department Of Anaesthesiology and Critical Care, 1st Floor D block,All India Institute Of Medical Sciences,Bathinda, Mandi Dabwali Road
No.145, Department Of Anaesthesiology and Critical Care, 1st Floor D block,All India Institute Of Medical Sciences,Bathinda, Mandi Dabwali Road
Bathinda
PUNJAB
151001
India 
Phone  9815482626  
Fax    
Email  dranjugrewal@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Anju Grewal 
Designation  Head Of the Department, Anaesthesiology 
Affiliation  AIIMS, Bathinda 
Address  No.145, Department Of Anaesthesiology and Critical Care, 1st Floor D block,All India Institute Of Medical Sciences,Bathinda, Mandi Dabwali Road
No.145, Department Of Anaesthesiology and Critical Care, 1st Floor D block,All India Institute Of Medical Sciences,Bathinda, Mandi Dabwali Road
Bathinda
PUNJAB
151001
India 
Phone  9815482626  
Fax    
Email  dranjugrewal@gmail.com  
 
Source of Monetary or Material Support  
AIIMS Bathinda 
 
Primary Sponsor  
Name  Gokul G 
Address  Mandi Dabwali Road, AIIMS Bathinda,Punjab 
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 Gokul G  AIl India Institute Of Medical Sciences  No.145,Department Of Anaesthesiology and Critical Care,1st floor D block
Bathinda
PUNJAB 
9080277557

gokulgovy99@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: Q189||Congenital malformation of face and neck, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Fiberoptic Nasal Intubation   Total time taken  
Intervention  Videolaryngoscopy with Fiberoptic Nasal Intubation  Total time taken 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1)ASA1,2and 3 patients aged more than or equal to 18 yrs
2)Anticipated difficult airway(El Ganzouri Risk Index score more than or equal to 7) 
 
ExclusionCriteria 
Details   
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To compare the total time taken for intubation of trachea with Endotracheal tube in Fiberoptic
nasal intubation and Video Assisted Fiberoptic Nasal Intubation in patients with anticipated
difficult airway. 
The total time taken for intubation will be
noted from the time when the mask is removed from the patient till the appearance of six regular
continuous square waves of capnogram. 
 
Secondary Outcome  
Outcome  TimePoints 
1) To assess the need for additional manoeuvres in the first attempt (jaw thrust, optimal external
laryngeal manipulation & ETT rotation at the level of glottis during ETT insertion)
2) To compare the first pass success rate in the two techniques.
3) To compare the ease of operator during intubation in the two techniques. 
Intra operatively,After pre oxygenation, from the time the oxygen face mask is being removed till appearance of 6 continuous capnographic waves after nasal intubation  
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
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)   06/08/2025 
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 - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Clinical Study Report
    Response -  Analytic Code

  3. Who will be able to view these files?
    Response - Anyone

  4. For what types of analyses will this data be available?
    Response - Any purpose.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [gokulgovy99@gmail.com].

  6. For how long will this data be available start date provided 30-06-2025 and end date provided 12-05-2027?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary   The present study focuses on comparing the time taken for intubation of trachea via fiberoptic nasal intubation versus Videolaryngoscopic Assisted Fiberoptic Intubation(VAFI) in patients with anticipated difficult airway. We hypothesize that the VAFI technique is equivalent to fiberoptic nasal intubation when used as a sole technique in patients with anticipated difficult airway. 
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