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CTRI Number  CTRI/2017/09/009819 [Registered on: 18/09/2017] Trial Registered Retrospectively
Last Modified On: 16/09/2017
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Other 
Public Title of Study   Asessment of airway in predicting difficulty in introducing endotracheal tube. 
Scientific Title of Study   A comparison of thyromental height with ratio of patients height to thyromental distance and the upper lib bite test in predicting difficult laryngoscopy.  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
D2014038  Protocol Number 
SRS/1034/114  Other 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Smruti Mathurvaishya 
Designation  Third Year Resident 
Affiliation  Lokmanya Tilak Medical Municipal Hospital 
Address  B15 Sumitra Farro Nagar ,C.H.S. Lewis Wadi Thane (West) Mumbai-400604
L.T.M.M.C. and L.T.M.G.H, Sion, Mumbai -400022 Maharashtra
Mumbai
MAHARASHTRA
400604
India 
Phone  9821158340  
Fax  02224063262  
Email  mathur.smruti@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Shalaka Nellore 
Designation  Associate Professor 
Affiliation  Lokmanya Tilak Medical Municipal Hospital 
Address  904,Adonis,Raheja Acropolis II,V.N.Purav Marg, Deonar Mumbai 400088
L.T.M.M.C. and L.T.M.G.H, Sion, Mumbai -400022 Maharashtra
Mumbai
MAHARASHTRA
400088
India 
Phone  9820625058  
Fax  02224063262  
Email  drgshalaka@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Shalaka Nellore 
Designation  Associate Professor 
Affiliation  Lokmanya Tilak Medical Municipal Hospital 
Address  904,Adonis,Raheja Acropolis II,V.N.Purav Marg, Deonar Mumbai 400088
L.T.M.M.C. and L.T.M.G.H, Sion, Mumbai -400022 Maharashtra
Osmanabad
MAHARASHTRA
400088
India 
Phone  9820625058  
Fax  02224063262  
Email  drgshalaka@gmail.com  
 
Source of Monetary or Material Support  
Lokmanya Tilak Municipal Medical Hospital and Lokmanya Tilak Municipal General hospital,Sulochana Shetty Marg,Sion,Mumbai -400022 
 
Primary Sponsor  
Name  Dr Shalaka Nellore 
Address  Dept of Anaesthesiology Lokmanya Tilak Municipal Medical College and General Hospital Sion Mumbai 400022 
Type of Sponsor  Research institution and hospital 
 
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 Smruti Mathurvaishya  Lokmanya Tilak Medical Municipal Hospital  Lokmanya Tilak Medical general hospital & Lokmanya Tilak Medical Municipal College,department of anaesthesia, Sion,Mumbai. 400022
Mumbai
MAHARASHTRA 
9821158340

mathur.smruti@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Lokmanya Tilak Medical general hospital Staff and Research society  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Adult patients undergoing surgery under general anaesthesia with endotracheal intubation,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1.Paatients of American society of anaesthesia class I and II requiring general anaesthesia with endotracheal intubation
 
 
ExclusionCriteria 
Details  1.patients unwilling for measurements
2.Edentulous patients
3.Patients with restricted cervical movements
4.Patients with neck contracture
5.Patients with oropharyngeal and laryngeal pathology
6.Patients with fractured mandible
7.Patients unable to sit or stand erect
8.Patients requiring awake intubation
9.Patients with visible neck swelling 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Evaluation of airway predictor; Thyromental height,Ratio of patients height to thyromental distance,Upper lip bite test in predicting difficult laryngoscopy by the Cormack and Lehane grading system  Evaluation will be done pre-opertaively, when the patient is examined for fitness for surgery 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="300"
Sample Size from India="300" 
Final Enrollment numbers achieved (Total)= "301"
Final Enrollment numbers achieved (India)="301" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/03/2014 
Date of Study Completion (India) 15/12/2015 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary  

An important responsibility of the anaesthesiologist is to maintain a patent airway as failure to secure the airway and interrupt gas exchange, for even a few minutes can be fatal and catastrophic leading to permanent brain damage. Several airway predictors have been utilised to assess the airway and predict difficult laryngoscopy and intubation. The incidence of difficult laryngoscopy in literature has been reported to be 1.5% to 20%.

In this observational study we chose to evaluate and compare the newer airway indices such as the Thyromental Height, Ratio of patients height to Thyromental distance and the Upper lip bite test individually and in combination for predicting difficult laryngoscopy using the Cormack and Lehane grading system. 

 
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