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CTRI Number  CTRI/2012/04/002562 [Registered on: 11/04/2012] Trial Registered Prospectively
Last Modified On: 30/12/2021
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   A clinical trial to compare the use of three laryngoscopes McGrath and Truview and Macintosh, for intubation by new and experienced anaesthetists. 
Scientific Title of Study   A prospective, randomized clinical study to compare use of McGrath and Truview and Macintosh laryngoscopes for endotracheal intubation by novice and experienced anesthetists  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Sumitra Bakshi 
Designation  Associate Professor 
Affiliation  Tata Memorial Hospital  
Address  1102, Gloriosa, Prin N.M.Kale Marg, Agar Bazar, Mumbai
Dept of Anaesthesiology, Critical Care and Pain, Tata Memorial hospital Parel, Mumbai 400012
Mumbai
MAHARASHTRA
400028
India 
Phone  9869334449  
Fax    
Email  sumitrabakshi@yahoo.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Vinayak Vanjari 
Designation  P.G.Student 
Affiliation  Tata Memorial Hospital  
Address  B 3 Kohir chs, Patel Estate, Jogeshwari west, Mumbai
Dept of Anaesthesiology, Critical Care and Pain, Tata Memorial hospital Parel, Mumbai 400012
Mumbai
MAHARASHTRA
400102
India 
Phone  9821520950  
Fax    
Email  vinayakvanjari@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Dr Sumitra Bakshi 
Designation  Associate Professor 
Affiliation  Tata Memorial Hospital  
Address  1102, Gloriosa, Prin N.M.Kale Marg, Agar Bazar, Mumbai
Dept of Anaesthesiology, Critical Care and Pain, Tata Memorial hospital Parel, Mumbai 400012
Mumbai
MAHARASHTRA
400028
India 
Phone  9869334449  
Fax    
Email  sumitrabakshi@yahoo.in  
 
Source of Monetary or Material Support  
Dept of Anesthesia, Critical Care and Pain Tata Memorial Hospital Mumbai 
 
Primary Sponsor  
Name  Department of Anesthesia Tata Memorial Hospital  
Address  Borges Road, Parel, Mumbai 400012  
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
Dr JV Divatia  Professor and HOD, Dept of Anaesthesiology, Critical Care and Pain, Tata Memorial hospital Parel, Mumbai 400012  
Dr V Vanjari  P.G.Student Dept of Anaesthesiology, Critical Care and Pain, Tata Memorial hospital Parel, Mumbai 400012  
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr S Bakshi  OT complex  Second floor ,Main Building, Tata Memorial Hospital,Borges Road, Parel, Mumbai
Mumbai
MAHARASHTRA 
919869334449

sumitrabakshi@yahoo.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
IRB, Tata Memorial Hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Patients planned for elective surgery at Tata Memorial hospital and meeting the inclusion criteria. ,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Macintosh Blade  The intubation time to be compared 
Comparator Agent  McGrath Blade  The intubation time with different laryngoscope blades to be compared 
Intervention  No new intervention to be done as part of study- intubation is the only intervention and is part of anesthesia plan.  As part of routine anesthetic, patient would undergo laryngoscopy and intubation  
Comparator Agent  Truview larngoscope  The intubation time to be compared 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  85.00 Year(s)
Gender  Both 
Details  Informed consent agreed upon
ASA physical status I to II patients,
Aged 18 years or older,
Scheduled to undergo elective surgical procedures requiring general anesthesia and tracheal intubation
 
 
ExclusionCriteria 
Details  Refusal to consent
ASA physical status III and above
A history of difficult airway
Anticipated difficult airway on clinical examination (includes MPC I-II, Thyromental distance less than 6.5cm, Sternomental distance less than 12.5cms, interincisor gap of less than 3 cms.)
The presence of indications for rapid sequence induction of anesthesia
Patients with BMI over 30
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Centralized 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Mean time to intubate for McGrath and Truview laryngoscopes with Macintosh laryngoscope for endotracheal intubation by novice and experienced anesthetists  The duration of the intubation attempt is defined as the time elapsed from insertion of the blade between the dental arches and the first upward deflection on the capnograph. This will be noted in seconds 
 
Secondary Outcome  
Outcome  TimePoints 
The rate of successful placement of endotracheal tube, the number of optimization maneuvers and airway aids required to perform tracheal intubation and the incidence of trauma (broken teeth, , bleeding from gums or lips), the ease of use of the laryngoscope on a numerical rating scale (NRS) between the groups.  Rate of successful intubation will be taken as percentage

The incidence of complication i.e. sore throat injury will be entered as categorical data. The incidence will ne recorded on the morning following surgery 
 
Target Sample Size   Total Sample Size="126"
Sample Size from India="126" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial   N/A 
Date of First Enrollment (India)   15/05/2012 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
44. Bakshi SG, Vanjari VS, Divatia JV. A prospective, randomized, clinical study to compare the use of McGrath, Truview and MacIntosh laryngoscopes for endotracheal intubation by novice and experienced Anaesthesiologists. Indian J Anaesth 2015; 59: 421-7. 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

This study is a Randomized, parallel group, active controlled, prospective multiple arm trail comparing use of McGrath and Truview and Macintosh laryngoscopes for endotracheal intubation by novice and experienced anesthetists that will be conducted at a single center in India. The primary outcome measures will be mean time to intubate for McGrath and Truview and Macintosh laryngoscopes. The secondary outcomes will the rate of successful placement of endotracheal tube, the number of optimization maneuvers and airway aids required to perform tracheal intubation and the incidence of  trauma (broken teeth, bleeding from gums or lips), the ease of use of the laryngoscope on a numerical rating scale (NRS) between the groups.

 
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