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CTRI Number  CTRI/2020/05/025196 [Registered on: 15/05/2020] Trial Registered Prospectively
Last Modified On: 05/12/2021
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparision of video laryngoscope with routine laryngoscope for nasal intubation. 
Scientific Title of Study   Comparision of king vision video laryngoscope with macintosh laryngoscope for nasotracheal intubation: A randomized control study. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Chetan R Patil 
Designation  Junior Resident 
Affiliation  s.nijalingappa medical college bagalkot 
Address  Department of Anaesthesia,snmc bagalkot ,navanagar.
Dr Chetan R Patil ,c/o G.D.Nemadi,ward no1,near I B,Guledgudd
Bagalkot
KARNATAKA
587103
India 
Phone  8050352467  
Fax    
Email  cpchetanpatil700@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr S Y Hulakund 
Designation  Professor and Head of the department 
Affiliation  s.nijalingappa medical college bagalkot 
Address  Department of Anaesthesia,snmc bagalkot ,navanagar.
Department of Anaesthesia,snmc bagalkot ,navanagar.
Bagalkot
KARNATAKA
587103
India 
Phone  9901098533  
Fax    
Email  hulkunds@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr Chetan R Patil 
Designation  Junior Resident 
Affiliation  s.nijalingappa medical college bagalkot 
Address  Department of Anaesthesia,snmc bagalkot ,navanagar.
c/o G.D.Nemadi,ward no1,near I B,Guledgudd
Bagalkot
KARNATAKA
587103
India 
Phone  8050352467  
Fax    
Email  cpchetanpatil700@gmail.com  
 
Source of Monetary or Material Support  
Department of Anaesthesia, H.S.K Hospital, snmc,navanagar, Bagalkot, Karnataka,587103 
 
Primary Sponsor  
Name  HSK hospital 
Address  H.S.K. Hospital, navanagar, bagalkot. 
Type of Sponsor  Private 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 
Dr Chetan R Patil  HSK Hospital  Department of Anaesthesia, H.S.K.hospital, snmc, navanagar, Bagalkot Karnataka 587103
Bagalkot
KARNATAKA 
8050352467

cpchetanpatil700@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SNMC institutional ethics committe on human subjects  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: S024||Fracture of malar, maxillary and zygoma bones,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  king vision video laryngoscope for nasotracheal intubation  king vision video laryngoscope has inbuilt digital video display for view of glottis. 
Comparator Agent  macintosh laryngoscope for nasotracheal intubation.  macintosh laryngoscope is routinely used for intubation. 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1.patients posted for elective maxillo facial and ent surgeries under general anaesthesia for nasotracheal intubation.
2.patient belongs to ASA 1 and 2
3.patient with age 20-65years
 
 
ExclusionCriteria 
Details  1.Patients refusal to participate in the study 2.Patients with limited mouth opening of less than 3cm
3.History of documented difficult tracheal intubation
4.Cervical spine instability
5.Chronic suppurative sinusitis
6.Ankylosis of temporomandibular joint
7.Nasal bone fractures.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To compare the total intubation time and each time interval as follows,
time A- placement of the nasotracheal tube from selected nostril to oropharynx;
time B- use of devices to view the glottic opening;
time C- nasotracheal tube advanced from oropharynx into trachea and removal of the scope form oral cavity.
 
total time for intubation and each time intervals will be measured during the intubation. 
 
Secondary Outcome  
Outcome  TimePoints 
-To compare scores of modified nasointubation difficulty scale (MNIDS)
-Hemodynamic responses (MAP and HR)
 
-MNIDS score will assessed after successfull intubation
-Hemodynamic responses (MAP and HR) will be assessed before and after intubation 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
Final Enrollment numbers achieved (Total)= "100"
Final Enrollment numbers achieved (India)="100" 
Phase of Trial   N/A 
Date of First Enrollment (India)   29/05/2020 
Date of Study Completion (India) 29/06/2021 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

1.      Title of the project: COMPARISION OF KING VISION VIDEO LARYNGOSCOPE WITH MACINTOSH LARYNGOSCOPE FOR NASOTRACHEAL INTUBATION: A RANDOMIZED CONTROL STUDY


      Securing the patients airway is essential in general anaesthesia. Airway management problems constitutes about 17 % of anaesthesia closed claims, with difficult intubation being the most common at a rate of 5%. Problems like delayed intubation, misplaced tracheal tube or airway trauma are frequently encountered in outpatient setting and can cause death or brain damage.

Video laryngoscopes have been proven useful for intubating patients with difficult airway. With camera and light source on the tip of its blade, the king vision video laryngoscope (KVVL) provides indirect glottis view without needing the align the oral-pharyngeal-tracheal axis.

Naso-tracheal intubation is commonly practiced in patients undergoing oro-maxillofacial surgery to provide a secure airway undergoing and good operation field.

This allows less tissue damage during laryngoscopy, leading to KVVL’s successful use in awake intubations.

Several studies have reported that KVVL provide better glottis views in comparison with other laryngoscopes when used by novice personnel.

It remains unclear however whether these results can translate into higher intubation success rates or shorter time to intubation when KVVL is used by experienced anaesthesiologists, hence we conduct this study to compare KVVL and Macintosh laryngoscope for nasotracheal intubation.


 
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