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CTRI Number  CTRI/2025/09/095509 [Registered on: 30/09/2025] Trial Registered Prospectively
Last Modified On: 29/09/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Single Arm Study 
Public Title of Study   An Observational study to compare the success rate of palpation of cricothyroid membrane in participants with normal and difficult airway based on neck parameters. 
Scientific Title of Study   Evaluation of Digital Palpation method for identification of Cricothyroid membrane in normal and Anticipated difficult airway patients 
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 TANISHQ KURL 
Designation  PG Resident  
Affiliation  Vardhman Mahavir Medical College and Safdarjung Hospital 
Address  Department of anaesthesia and intensive care , VMMC and Safdarjung Hospital , Ansari nagar east, New Delhi
Department of anaesthesia and intensive care , VMMC and Safdarjung Hospital , Ansari nagar east, New Delhi
South
DELHI
110029
India 
Phone  9971153129  
Fax    
Email  tanishqkurl600@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr ANJALI KOCHHAR 
Designation  Associate Professor  
Affiliation  Vardhman Mahavir Medical College and Safdarjung Hospital 
Address  Department of anaesthesia and intensive care , VMMC and Safdarjung Hospital , Ansari nagar east, New Delhi

South
DELHI
110029
India 
Phone  9999197721  
Fax    
Email  dranjalikochhar@vmmc-sjh.nic.in  
 
Details of Contact Person
Public Query
 
Name  Dr ANJALI KOCHHAR 
Designation  Associate Professor  
Affiliation  Vardhman Mahavir Medical College and Safdarjung Hospital 
Address  Department of anaesthesia and intensive care , VMMC and Safdarjung Hospital , Ansari nagar east, New Delhi

South
DELHI
110029
India 
Phone  9999197721  
Fax    
Email  dranjalikochhar@vmmc-sjh.nic.in  
 
Source of Monetary or Material Support  
Vardhman Mahavir Medical College and Safdarjung Hospital 
 
Primary Sponsor  
Name  Vardhman Mahavir Medical College and Safdarjung Hospital  
Address  VMMC and Safdarjung Hospital Ansari nagar east, New Delhi, 110029 
Type of Sponsor  Government 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 TANISHQ KURL  Vardhman Mahavir Medical College and Safdarjung Hospital   Department of anaesthesia and intensive care , VMMC and Safdarjung Hospital , Ansari nagar east, New Delhi
South
DELHI 
9971153129

tanishqkurl600@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Vardhman Mahavir Medical College and Safdarjung Hospital 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 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  ASA physical status 1 and 2 planned for elective surgery with normal and anticipated difficult airway as predicted by modified mallampati grade and neck parameters ( neck circumference. Thyromental distance , ratio of neck circumference to thyroid tail distance) 
 
ExclusionCriteria 
Details  Difficult airway - restricted mouth opening, immobility of cervical spine, temporomandibular joint ankylosis.

Patients with neck swelling ( thyroid, midline mass, scars, Contractures)

Patients unable to lie supine or perform head extension  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Evaluation of digital palpation method for identification of cricothyroid membrane in normal and anticipated difficult airway patients by measuring its success in terms of absolute distance between digital palpation point and ultrasound point.  1 hour preoperatively 
 
Secondary Outcome  
Outcome  TimePoints 
Evaluation of digital palpation method for identification of cricothyroid membrane in normal and anticipated difficult airway patients by measuring its success in terms of absolute distance between digital palpation point and ultrasound point and its correlation with -
1. Gender and body mass index of patient
2. Airway parameters ( modified Mallampati grade, neck circumference, thyromental distance ) 
1 hour preoperatively 
 
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)   11/10/2025 
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 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   This is a prospective cross-sectional observation study to evaluate the success rate of digital palpation method for identification of cricothyroid membrane in patients with normal and anticipated difficult airway patients.

The success of digital palpation is defined when the point marked by digital palpation is within 5mm of point marked by ultrasound. Also the distance between these two points will be measured. This success rate and distance will be correlated with various airway factors (Modified Mallampati grade, neck circumference , thyromental distance ) and demographic factors ( age , gender, BMI ).
 
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