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CTRI Number  CTRI/2025/11/097707 [Registered on: 19/11/2025] Trial Registered Prospectively
Last Modified On: 18/11/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   To check which position is better between sniffing and ramp position during intubation done by second or third year resident in non obese patients  
Scientific Title of Study   A COMPARISON OF RAMP POSITION AND SNIFFING POSITION DURING ENDOTRACHEAL INTUBATION BY JUNIOR RESIDENT (SECOND or THIRD YEAR) IN NON OBESE ADULTS UNDER GENERAL ANAESTHESIA 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Aditi Gupta 
Designation  Resident doctor 
Affiliation  Smt. Bhikiben Kanjibhai Shah Medical Institute and Research Centre 
Address  Ananesthesia Department, General Ot Complex, 2nd floor, Dhiraj Hospital, Smt.Bhikiben Kanjibhai Shah Medical Institute and Research Centre, Waghodia, Piparia, Vadodara, GUJARAT

Vadodara
GUJARAT
391760
India 
Phone  8095946481  
Fax    
Email  aditig16295@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Tejash Sharma 
Designation  Professor 
Affiliation  Smt. Bhikiben Kanjibhai Shah Medical Institute and Research Centre 
Address  Ananesthesia Department, General Ot Complex, 2nd floor, Dhiraj Hospital, Smt.Bhikiben Kanjibhai Shah Medical Institute and Research Centre, Waghodia, Piparia, Vadodara, GUJARAT

Vadodara
GUJARAT
391760
India 
Phone  9427332100  
Fax    
Email  drtejashs.sbks@sumandeepvidyapeethdu.edu.in  
 
Details of Contact Person
Public Query
 
Name  Dr Tejash Sharma 
Designation  Professor 
Affiliation  Smt. Bhikiben Kanjibhai Shah Medical Institute and Research Centre 
Address  Ananesthesia Department, General Ot Complex, 2nd floor, Dhiraj Hospital, Smt.Bhikiben Kanjibhai Shah Medical Institute and Research Centre, Waghodia, Piparia, Vadodara, GUJARAT

Vadodara
GUJARAT
391760
India 
Phone  9427332100  
Fax    
Email  drtejashs.sbks@sumandeepvidyapeethdu.edu.in  
 
Source of Monetary or Material Support  
Smt Bhikiben Kanjibhai Shah Medical Institute and Research Centre, Waghodia, Pipariya, Vadodara, Gujarat, India Pincode- 391760 
 
Primary Sponsor  
Name  Smt Bhikiben Kanjibhai Shah Medical Institute and Research Centre 
Address  Waghodia, Pipariya, Vadodara, Gujarat, India Pincode- 391760 
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 Tejash H Sharma  Sumandeeep Vidyapeeth  2nd floor OT complex, New Building, department of anaesthesia, Dhiraj Hospital, Shrimati Bhikiben Kanjibhai Shah Medical College and Research Centre, Sumandeep Vidyapeeth, Waghodia, Pipariya, Vadodara, Gujarat 391760, India
Vadodara
GUJARAT 
9427332100

drtejashs.sbks@sumandeepvidyapeethdu.edu.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Sumandeep Vidyapeeth Institutional Ethical 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 
Comparator Agent  Ramp position   patient kept in ramp position during intubation (a pillow was kept under shoulders and head of the patient) 
Comparator Agent  Sniffing position  Patient kept in sniffing position during intubation (a pillow of size 7 to 8 cms was kept under the head of the patient) 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Patients willing to sign written and informed consent.
Male or Female patients between 18 to 65 years of age.
Patients belonging to American Society of Anaesthesiologists physical status I and II.
Patients posted for elective surgeries under general anaesthesia. 
 
ExclusionCriteria 
Details  Patients unwilling to participate in study.
Patients with Body Mass Index more than 30 Kg per metre square.
Patients with unstable cervical spine.
Patient with limited neck extension and flexion.
Patient with large neck masses.
Patients having arrythmias.
Patients having heart rate less than 60 beats per minute.
Psychiatric patients.
Pregnancy and lactating women.
Patients belonging to the American Society of Anaesthesiologists III and above. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
To compare the time for endotracheal tube insertion and
time of vocal cord visualisation. Number of intubation attempts made.
The laryngoscopic view will be graded according to the Cormack Lehane scale with and without cricoid
pressure.
Auxiliary methods used (change of laryngoscopist, bougie, change of device, stylet). 
To compare the time for endotracheal tube insertion and
time of vocal cord visualisation. 
 
Secondary Outcome  
Outcome  TimePoints 
To observe pain score during the postoperative phase in the post-intubation area.  after extubation 
 
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)   29/11/2025 
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="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 - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    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 - For individual participant data meta-analysis.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [aditig16295@gmail.com].

  6. For how long will this data be available start date provided 10-11-2025 and end date provided 25-11-2028?
    Response - Beginning 9 months and ending 36 months following article publication.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - nil
Brief Summary  

Comparison of sniffing position and ramp position for endotracheal intubation in adults posted for elective surgery by second or third year resident under general anaesthesia.

Objective is to compare the time for endotracheal tube insertion and time of vocal cord visualisation, the number of intubation attempts made, the laryngoscopic view will be graded according to the Cormack Lehane scale with and without cricoid pressure, any auxiliary methods used (change of laryngoscopist, bougie, change of device, stylet) and to observe pain score during the postoperative phase in the post-intubation area.


Inclusion criteria 

Patients willing to sign written and informed consent, male or female patients between 18 to 65 years of age, patients belonging to American Society of Anaesthesiologists(ASA) physical status I and II, patients posted for elective surgeries under general anaesthesia.


Exclusion criteria

Patients unwilling to participate in study, patients with Body Mass Index more than 30 Kg per metre square, patients with unstable cervical spine, Patient with limited neck extension and flexion, Patient with large neck masses, Patients having arrythmias, Patients having heart rate less than 60 beats per minute, Psychiatric patients, Pregnancy and lactating women, Patients belonging to the American Society of Anaesthesiologists (ASA) III and above.


The study will be conducted  on adults aged between 18-65 years of either gender, belonging to ASA grade I & II, who will undergo elective surgeries under general anaesthesia. Patients will be divided into 2 equal

groups with computer generated block randomisation i.e. Group S will be in sniffing position during induction of anaesthesia. Group R will be in a Ramping position during induction of anaesthesia. After positioning laryngoscopy is performed and following things are to be observed and noted : Time of vocal cord visualisation (seconds), Time for endotracheal tube insertion (seconds), Number of intubation attempts made, Number of intubation attempts made, Cormack Lehane grade I or II a or II b or III or IV, Auxiliary method used (Bougie or Change of laryngoscopist either third year Resident or consultant or change of laryngoscope or Video laryngoscope or TAScope), Intubation done by Second year Resident or Third year Resident or ConsultantPostoperatively observe pain score in the post-intubation area.


Site of Study: Department of Anaesthesiology, Dhiraj Hospital, S.B.K.S. Medical Institute and research

Centre, Piparia, Waghodia, Vadodara.


Study Design: Prospective, comparative, observational.


Study Duration: The study will be initiated after obtaining permission from institutional ethics committee till the achievement of sample size or by 6 months whichever is earlier.


Statistics: Data will be collected & tabulated. Numerical variables will be presented as mean & standard deviation (SD)

while categorical variables will be presented as frequency and percentage. As regard to numerical variables;

tests like unpaired student-t test and/or ANNOVA will be used wherever appropriate for between-groups

comparisons, while for categorical variables; chi-square test will be used. P value <0.05 will be considered

statistically significant.


Likely outcome: This comparative study will help us to differentiate between sniffing and ramping position by junior resident (second/third year) in non-obese adults under general anaesthesia and will enable us to know which among

the two positions for intubation is most beneficial in providing better stability to the patient.

 
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