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CTRI Number  CTRI/2019/03/018161 [Registered on: 19/03/2019] Trial Registered Prospectively
Last Modified On: 18/03/2019
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Non-randomized, Active Controlled Trial 
Public Title of Study   Measurement of middle finger length in childern in south indian population and its correlation with tube size which is used in anaestheisa 
Scientific Title of Study   Prediction of endotracheal tube size for pediatric patients from the length of the middle finger in South Indian population 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Ramya Lakhsmi Kamlekar 
Designation  Junior Resident 
Affiliation  Kasturba Medical College 
Address  Department of Anaesthesiology, Kasturba Medical College, Manipal ,Udupi District,

Udupi
KARNATAKA
576104
India 
Phone  9032225503  
Fax    
Email  ramyakamlekar99@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR Malavika Kulkarni 
Designation  MBBS, MD 
Affiliation  Kasturba Medical College Manipal 
Address  ASSOCIATE PROFESSOR Department of Anaesthesiology, Kasturba Medical College, Manipal.

Udupi
KARNATAKA
576104
India 
Phone  9844241620  
Fax    
Email  malavika.kulkarni@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  DR Malavika Kulkarni 
Designation  MBBS, MD 
Affiliation  Kasturba Medical College Manipal 
Address  ASSOCIATE PROFESSOR Department of Anaesthesiology, Kasturba Medical College, Manipal.

Hassan
KARNATAKA
576104
India 
Phone  9844241620  
Fax    
Email  malavika.kulkarni@manipal.edu  
 
Source of Monetary or Material Support  
kasturba medical college manipal 
 
Primary Sponsor  
Name  Ramya Lakshmi Kamlekar 
Address  Department of Anaesthesiology, Kasturba Medical College, Manipal 
Type of Sponsor  Other [kasturba 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 
RAMYA LAKSHMI KAMLEKAR  Kasturba Medical College  department of anaesthesiology
Udupi
KARNATAKA 
9032225503

ramyakamlekar99@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College and Kasturba Hospital - Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  asaps 1 and 2 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  not applicable  not applicable 
 
Inclusion Criteria  
Age From  0.00 Year(s)
Age To  18.00 Year(s)
Gender  Both 
Details  Age 0-18 years
Undergoing any surgery requiring General Anaesthesia with endotracheal intubation
Use of muscle relaxants before intubation
American society of anesthesiologists physical status class 1 and 2
 
 
ExclusionCriteria 
Details  American Society of Anesthesiologists physical status classification of 3 or beyond.
Patients requiring nasal intubation.
Patients with predicted difficult airway
Children with known airway or finger abnormalities
Known allergy to any anesthetic medications
In case of leak at 10cm H2O pressure (small size tube) If the attending anesthetist does not change it till leak is achieved between 10 and 25 cmH2O and uses a throat pack to seal the leak.

 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
The child may or may not get benefit from participating in this study. This study will be helpful in creating a predictable formula for selection of appropriate size endotracheal tube which may help other patients in future  september 2020 
 
Secondary Outcome  
Outcome  TimePoints 
correlation and formulation of formula for endotracheal tube internal diameter size estimation in paediatric population for furture  september 2020 
 
Target Sample Size   Total Sample Size="325"
Sample Size from India="325" 
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)   20/03/2019 
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)  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  

Choosing​ the correct endotracheal tube size is important in paediatric anaesthesia. The subglottic diameter being the narrowest diameter of the paediatric upper airway plays an important role in appropriate ETT size selection . Thus predicting internal diameter of tracheal tube using middle finger length is clearly advantageous in emergency situation. The benefit of reduced tracheal tube exchanges multiple attempts in intubating, decreased risk of postoperative laryngospasm bronchospasm, and laryngeal edema. Decreases risk associated with a tracheal tube with smaller internal diameter such as increased airway resistance, increased risk of tracheal tube blockade by secretions.  

 
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