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CTRI Number  CTRI/2018/02/012236 [Registered on: 28/02/2018] Trial Registered Retrospectively
Last Modified On: 27/02/2018
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparing how much vocal cord can be seen while videolaryngoscopy during general anaesthesia through direct and indirect method. 
Scientific Title of Study   Comparison of Direct Vs Indirect Laryngoscopic view by C-MAC Videolaryngoscope 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Suresh G 
Designation  Assistant Professor in Department of Anaesthesiology 
Affiliation  M S Ramaiah Medical College 
Address  Department Of Anaesthesiology M S Ramaiah Medical College MSRIT post, MSR Nagar Bangalore

Bangalore
KARNATAKA
560054
India 
Phone  9844191929  
Fax    
Email  gsureshbmc@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Manjunath A C  
Designation  Associate Professor in Department of Anaesthesiology 
Affiliation  M S Ramaiah Medical College 
Address  Department Of Anaesthesiology M S Ramaiah Medical College MSRIT post, MSR Nagar Bangalore

Bangalore
KARNATAKA
560054
India 
Phone  8123540084  
Fax    
Email  mac_acin@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Dr Priya Mitali 
Designation  Post Graduate in Department Of Anaesthesiology 
Affiliation  M S Ramaiah Medical College 
Address  Department Of Anaesthesiology M S Ramaiah Medical College MSRIT post, MSR Nagar Bangalore

Bangalore
KARNATAKA
560054
India 
Phone  9008420730  
Fax    
Email  priyamitali2000@yahoo.co.in  
 
Source of Monetary or Material Support  
M S Ramaiah Medical college, MSR Nagar, MSRIT Post, Bangalore 560054 
 
Primary Sponsor  
Name  Dr Suresh G 
Address  Department of Anaesthesiology MS Ramaiah Medical College Bangalore 
Type of Sponsor  Other [person] 
 
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 Suresh G  M S Ramaiah Hospital  Department Of Anaesthesiology, 2nd Floor, M S Ramaiah Hospital Bangalore
Bangalore
KARNATAKA 
9844191929

gsureshbmc@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
M S Ramaiah Medical College And Hospitals Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Patients undergoing elective surgeries needing tracheal intubation under general anaesthesia,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  c mac video laryngoscope  c mac video laryngoscope is used for laryngoscopy for general anaesthesia cases for unanticipated difficult airways 
Comparator Agent  Direct and indirect views of C MAC Videolaryngoscope  First laryngoscopy will be performed with C MAC with the naked eye. The best view obtained will be graded by the first anaesthesiologist without looking at the video monitor. A second anaesthesiologist blinded to the laryngeal view obtained under direct laryngoscopy will grade the laryngeal view on the video monitor.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  1.Age between 18-80 years belonging to American Society of Anaesthesiologist (ASA) score I-III undergoing elective surgeries requiring endotracheal intubation
2.Patients having Mallampati grade I-III.  
 
ExclusionCriteria 
Details  1.History of a difficult airway
2.Potential risks factors for difficult intubation (morbidly obese patients with BMI ≥ 40 kg/m2, Mallampati class > III, mouth opening < 3 cm, and restricted neck movement) 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To compare Cormack Lehane view by direct or indirect laryngoscope using C-Mac  After completeing oral intubation of the patient 
 
Secondary Outcome  
Outcome  TimePoints 
1.External laryngeal manevours required
2.Use of aids for intubation like stylet, bougie
 
After completing oral intubation of the patient 
 
Target Sample Size   Total Sample Size="62"
Sample Size from India="62" 
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)   07/03/2017 
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="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   not applicable 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   Endotracheal intubation is considered the definitive airway for resuscitation and airway management. The MACINTOSH laryngoscope is the most commonly used device for directly visualizing the structures of larynx and facilitating tracheal intubation. In recent years videolaryngoscopy has played an important role in management of patients with unanticipated difficult airway or failed tracheal intubation. Videolaryngoscopes are relatively new class of airway devices that allow indirect view of laryngeal structures without the necessity of alignment of oral, pharyngeal and tracheal axis.Hence, laryngoscopy performed using videolaryngoscopes has proven to provide superior views compared to direct laryngoscopy in both normal and difficult intubations.
C MAC is one of the most recent macintosh blade based videolaryngoscope and it became commercially available in 2009 March in United States.C MAC videolaryngoscope to our knowledge allows clinician to perform both direct and indirect laryngoscopy with the same blade. therefore it serves as innovation for both difficult airway management and as powerful teaching tool.
This study will be comparing the laryngoscopy views by direct and indirect laryngoscope using C MAC. 
 
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