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CTRI Number  CTRI/2018/01/011552 [Registered on: 24/01/2018] Trial Registered Retrospectively
Last Modified On: 23/12/2017
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Comparison of Macintosh blade and Macdoshi blade in general anaesthesia. 
Scientific Title of Study   Comparison of laryngoscopic view ,ease of tracheal intubation and hemodynamic response using Macintosh blade and Macdoshi blade in general anaesthesia for elective surgery. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr L Sai Anand 
Designation  Junior resident 
Affiliation  kasturba medical college,manipal. 
Address  Department of Anaesthesiology ,CSOT Block,Kasturba medical college,manipal

Udupi
KARNATAKA
576104
India 
Phone  9959186090  
Fax    
Email  sai.nand43@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Nisha Sara M Jacob 
Designation  Senior resident 
Affiliation  Kasturba medical college,manipal 
Address  Department of Anaesthesiology ,CSOT Block,Kasturba medical college,manipal

Udupi
KARNATAKA
576104
India 
Phone  9500574751  
Fax    
Email  nishasara@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Siri Kandavar 
Designation  Assistant professor 
Affiliation  Kasturba medical college,manipal 
Address  Department of Anaesthesiology ,CSOT Block,Kasturba medical college,manipal

Udupi
KARNATAKA
576104
India 
Phone  9739868002  
Fax    
Email  sirikandavar16@gmail.com  
 
Source of Monetary or Material Support  
Kasturba Medical College,Manipal University,Manipal,Udipi,Karnatka 
 
Primary Sponsor  
Name  Dr L Sai Anand 
Address  department of anaesthesiology,csot block,kasturba medical college,manipal 576104. 
Type of Sponsor  Other [PRIMARY INVESTIGATOR] 
 
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 L Sai Anand  kasturba medical college   department of anaesthesiology,csot block,kasturba medical college,manipal 576104.
Udupi
KARNATAKA 
9959186090

sai.nand43@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Instituitional Ethics Committee,Kasturba Hospital,Manipal  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Patient under going elective surgery under general anaesthesia,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  MacDoshi blade  MacDoshi blade will be used in patients under going elective surgery under general anaesthesia for endotracheal intubation. 
Comparator Agent  Maciniosh blade  Macintosh is the conventionally used laryngoscopic blade used in patients posted for elective surgery under general anaesthesia 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patients of either sex of at least 18 years of age to 60 years , with body mass index (BMI) of 18.5 to 29.5 kilograms per meter square belonging to American Society of Anaesthesiologist Physical Status 1 or 2, scheduled for elective surgery under general anaesthesia requiring orotracheal intubation 
 
ExclusionCriteria 
Details  1.Patient refusal
2.Anticipated difficult airway.
3.Pregnancy
4.Cervical spine pathology
5.Increased risk of pulmonary aspiration
6.Buck teeth
7.Hypertensive patient on beta blockers
8.Ischemic heart disease
9. Patients with increased intracranial pressure and head injury

10. Reactive airway disease
11. BMI > 30 kg/m2
12. Heart block
13. Hemodynamic instability
14. Cognitive dysfunction/ psychiatric disease.
 
 
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 
Laryngoscopic view of glottis  One time measurement at the time of intubation 
 
Secondary Outcome  
Outcome  TimePoints 
1.Ease of intubation.
2.Time for intubation.
3.Hemodynamic response
 
Ease of intubation and time of intubation are one time measurements performed during the process of intubation,whereas haemodynamic response is measured at the following 6 timepoints:
baseline vitals before induction of anesthesia (TB),
at the time of intubation (T0),
1 minute after intubation (T1),
3 minutes after intubation (T3),5 minutes after intubation(T5),10 minutes after intubation(T10).
 
 
Target Sample Size   Total Sample Size="120"
Sample Size from India="120" 
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)   01/05/2017 
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="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   nil currently 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   This study is basically comparing two laryngoscopic blades used for orotracheal intubation. Conventionally used blade is Macintosh ,the other blade is MacDoshi blade. Blades will be used to assess laryngoscopic view using the modified Cormack- Lehane grading , the ease of intubation using Arino’s scale,time of intubation and hemodynamic changes .Informed consent will be taken and patient will be allocated to either group using a computer generated random sequence generator .Following routine induction of anaesthesia, patient will be intubated with assigned blade by observer 2.while observer 1 who is blinded for the blade being used will be recording hemodynamic variables.Observer 3 will note time for intubation and  chart modified Cormack- Lehane grade,Arino’s scale for ease of intubation as told by observer 2. 
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