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CTRI Number  CTRI/2019/05/019405 [Registered on: 29/05/2019] Trial Registered Prospectively
Last Modified On: 13/07/2021
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   To find out which technique of i-gel insertion is better then each other 
Scientific Title of Study   Comparison of malposition of i-gel in paediatric patients after blind and C-MAC guided insertion- A Randomised controlled trial 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Rakesh Kumar 
Designation  Assistant Professor 
Affiliation  All India Institute of Medical Sciences Jodhpur  
Address  Department of Anaesthesiology and Critical Care All India Institute of Medical Sciences Jodhpur Jodhpur RAJASTHAN 342005 India Jodhpur RAJASTHAN 342005 India

Jodhpur
RAJASTHAN
342005
India 
Phone  9460429221  
Fax    
Email  drrakeshspmc@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Rakesh Kumar 
Designation  Assistant Professor 
Affiliation  All India Institute of Medical Sciences Jodhpur  
Address  Department of Anaesthesiology and Critical Care All India Institute of Medical Sciences Jodhpur Jodhpur RAJASTHAN 342005 India Jodhpur RAJASTHAN 342005 India


RAJASTHAN
342005
India 
Phone  9460429221  
Fax    
Email  drrakeshspmc@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Rakesh Kumar 
Designation  Assistant Professor 
Affiliation  All India Institute of Medical Sciences Jodhpur  
Address  Department of Anaesthesiology and Critical Care All India Institute of Medical Sciences Jodhpur Jodhpur RAJASTHAN 342005 India Jodhpur RAJASTHAN 342005 India


RAJASTHAN
342005
India 
Phone  9460429221  
Fax    
Email  drrakeshspmc@gmail.com  
 
Source of Monetary or Material Support  
All India Institute of Medical Sciences Jodhpur 
 
Primary Sponsor  
Name  All India Institute of Medical Sciences Jodhpur 
Address  Basni phase 2 Jodhpur 342005 
Type of Sponsor  Government 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 
Rakesh Kumar  All India Institute of Medical Sciences Jodhpur   Department of anesthesia and Critical care OPD building, 3rd floor OT Complex AIIMS Jodhpur
Jodhpur
RAJASTHAN 
9460429221

drrakeshspmc@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institute Ethical Committee, All India Institute of Medical Sciences Jodhpur  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  , (1) ICD-10 Condition: R688||Other general symptoms and signs,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  C-MAC  C-MAC Videolaryngoscope will be used to guide insertion of i-gel device. 
Comparator Agent  Conventional  Convention technique or blind insertion of i-gel. 
 
Inclusion Criteria  
Age From  2.00 Year(s)
Age To  5.00 Year(s)
Gender  Both 
Details  American society of Anaesthesiologist (ASA) physical status I and II, aged between 2 to 5 years, scheduled for elective surgery in supine position under general anaesthesia will be enrolled 
 
ExclusionCriteria 
Details  Patients with anticipated difficult airway, having upper respiratory tract infection, patients at risk of gastroesophageal regurgitation, history of upper gastrointestinal surgery, children having limited mouth opening, mass in pharyngeal/laryngeal cavity and syndromic babies will be excluded from the study 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant, Investigator, Outcome Assessor and Date-entry Operator Blinded 
Primary Outcome  
Outcome  TimePoints 
To compare the incidence of malposition between two insertion techniques (Blind vs C-MAC guided) of i-gel where the correct position will be confirm by using flexible laryngoscope  To compare the incidence of malposition between two insertion techniques (Blind vs C-MAC guided) of i-gel where the correct position will be confirm by using flexible laryngoscope five minute after induction of anesthesia 
 
Secondary Outcome  
Outcome  TimePoints 
To compare the insertion characteristics (number of attempts, ease of insertion and time required for successful insertion) of i-gel.
To compare Oropharyngeal seal pressure (OPLP) between the two techniques.
To compare any untoward event eg. sore throat, nerve injuries etc
 
at time of insertion then intraoperatively and lastely at time of extubation  
 
Target Sample Size   Total Sample Size="94"
Sample Size from India="94" 
Final Enrollment numbers achieved (Total)= "110"
Final Enrollment numbers achieved (India)="110" 
Phase of Trial   N/A 
Date of First Enrollment (India)   05/06/2019 
Date of Study Completion (India) 25/02/2021 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="9"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   none 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   . The use of supraglottic airway (SGA) has also been increased in routine airway management during general anaesthesia practice.Paediatric SGA devices have also become popular and are being used in over 50% of general anaesthetic procedures as reflected by a survey of the Association of Paediatric Anaesthetists of Great Britain and Ireland.Blind insertion often result in malposition of supraglottic airway with incidence ranging from 50-80%, as confirmed by various imaging studies including magnetic resonance image(MRI), computer tomography scan (CT) and X-ray soft tissue neck.The use of VL for SGA placement in paediatric patients have not been studied yet. Hence, this study is planned to compare the conventional versus C-MAC guided insertion of i-gel in paediatric patient. We hypothesize that C-MAC guided insertion will result in better positioning of i-gel compared to blind insertion in paediatric patients undergoing surgery in supine position 
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