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CTRI Number  CTRI/2017/08/009332 [Registered on: 10/08/2017] Trial Registered Prospectively
Last Modified On: 10/08/2017
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Other 
Public Title of Study   How to pick the causes of difficult intubation using ultrasound. 
Scientific Title of Study   Evaluation of predictors of difficult airway using ultrasound  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Shalini Sharma 
Designation  Assistant Professor 
Affiliation  Dr Rajendra Prasad Govt. Medical College, Tanda 
Address  Deptt. of Anaesthesia;Dr Rajendra Prasad Govt. Medical College, Tanda

Kangra
HIMACHAL PRADESH
176001
India 
Phone  9418011121  
Fax    
Email  shalini.medico@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Shalini Sharma 
Designation  Assistant Professor 
Affiliation  Dr Rajendra Prasad Govt. Medical College, Tanda 
Address  Deptt. of Anaesthesia;Dr Rajendra Prasad Govt. Medical College, Tanda

Kangra
HIMACHAL PRADESH
176001
India 
Phone  9418011121  
Fax    
Email  shalini.medico@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Shalini Sharma 
Designation  Assistant Professor 
Affiliation  Dr Rajendra Prasad Govt. Medical College, Tanda 
Address  Deptt. of Anaesthesia;Dr Rajendra Prasad Govt. Medical College, Tanda

Kangra
HIMACHAL PRADESH
176001
India 
Phone  9418011121  
Fax    
Email  shalini.medico@gmail.com  
 
Source of Monetary or Material Support  
Dr Rajendra Prasad Govt. Medical College, Tanda 
 
Primary Sponsor  
Name  Shalini Sharma 
Address  Deptt. of Anaesthesia; Dr Rajendra Prasad Govt. Medical College, Tanda 
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 
Shalini Sharma  Dr Rajendra Prasad Govt. Medical College, Tanda  Deptt. of Anaesthesia
Kangra
HIMACHAL PRADESH 
9418011121

shalini.medico@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  All patients for surgery under general anaesthesia requiring intubation.,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Nil  Nil 
Intervention  Ultrasound  A SonoSite® MicroMaxx® ultrasound system (SonoSite INC, Bothell, WA). Low frequency curvilinear probe will be used to assess tongue parameters and hyomental distance. 
 
Inclusion Criteria  
Age From  15.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  Patients posted for surgery under general anaesthesia requiring endotrachael intubation. 
 
ExclusionCriteria 
Details  1) Refusal to participate in the study
2) Patients posted for emergency surgical procedures.
3) Patients with difficulty in mouth opening eg. temporomandibular joint ankylosis.
4) Patients with obvious airway or neck pathology.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1)To see whether ratio of volume of tongue to hyomental distance(HMD) in neutral position, hyomental distance in extension (HMDE) as measured by ultrasound(USG) can predict difficult intubation.
2) To observe the predictability of the ratio of tongue thickness and HMD and HMDE measured by USG for difficult intubation.

 
Airway assessment clinically and via ultrasound will be done in the pre operative area. Cormack and Lehane grading will be done during intubation.
 
 
Secondary Outcome  
Outcome  TimePoints 
To see whether the addition of HMDR further increases the efficacy.  Airway assessment clinically and via ultrasound will be done in the pre operative area. Cormack and Lehane grading will be done during intubation.
 
 
Target Sample Size   Total Sample Size="200"
Sample Size from India="200" 
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)   14/08/2017 
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="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   None yet. 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   The present study will be conducted in the department of Anaesthesia at Dr Rajendra Prasad Govt Medical College Tanda. All the patients will have full airway assessment  during the preanaesthetic checkup ie mouth opening ,modified mallampati scoring ,thyromental distance ,neck movements. The patients not meeting inclusion criteria will be excluded from study and the enrolled patients will undergo sonographic assessment of airway by the anesthesiologist in the pre-operative holding area. The ultrasound view of the airway of all study patients will be assessed   either with a high frequency linear probe (A SonoSite® MicroMaxx® ultrasound system (SonoSite INC, Bothell, WA) or a low frequency curvilinear probe. Various parameters assessed clinically will be corelated with cormack and lehane grading during intubation.  
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