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CTRI Number  CTRI/2020/07/026375 [Registered on: 06/07/2020] Trial Registered Prospectively
Last Modified On: 30/06/2020
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Medical Device
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Which is better for intubation for giving anaestheisa in terms of lesser time in patient undergoing spine surgery of the neck region? Endotracheal tube with stylet or bougie guided. 
Scientific Title of Study   To assess the time taken for successful intubation using bougie vs endotracheal tube and stylet in patients with cervical immobilization undergoing cervical spine surgery. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DNamratha 
Designation  Junior resident 
Affiliation  PGIMER,Chandiagrh 
Address  Dept of anaesthesia and intensive care PGIMER Chandigarh

Chandigarh
CHANDIGARH
160012
India 
Phone  01722756500  
Fax    
Email  namrathareddydr1@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Amarjyoti Hazarika 
Designation  Associate Professor 
Affiliation  PGIMER,Chandigarh 
Address  Dept of anaesthesia and intensive care PGIMER Chandigarh

Chandigarh
CHANDIGARH
160012
India 
Phone  01722920016  
Fax    
Email  amarjyoti28@rediffmail.com  
 
Details of Contact Person
Public Query
 
Name  Amarjyoti Hazarika 
Designation  Associate Professor 
Affiliation  PGIMER,Chandigarh 
Address  Dept of anaesthesia and intensive care PGIMER Chandigarh

Chandigarh
CHANDIGARH
160012
India 
Phone  01722920016  
Fax    
Email  amarjyoti28@rediffmail.com  
 
Source of Monetary or Material Support  
PGIMER 
 
Primary Sponsor  
Name  PGIMER 
Address  Dept of anaesthesia and intensive care PGIMER Chandigarh 
Type of Sponsor  Research institution and hospital 
 
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 
Amarjyoti Hazarika  PGIMER  room no 1; Dept of anaesthesia and intensive care, PGIMER Chandigarh
Chandigarh
CHANDIGARH 
01722920016

amarjyoti28@rediffmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institute Ethics Committee,PGIMER,Chandigarh  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: W178||Other fall from one level to another,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  bougie guided  bougie guided endotracheal intubation 
Intervention  Stylet guided ETT   comparing ETI using bougie and ETI with stylet in cervical immobilized patients in regards to time to successful intubation.The duration that will be measured will be the time taken from laryngoscope reaching the epiglottis to successful intubation of the ETT tube and appearance of first capnography waves on the monitor 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1.Age group: 18 yrs and Above
2.ASA Status: ASA I and II
3.Patients with cervical spine immobilization
with a collar or with traction
4.Undergoing cervical spine surgery
5.Using a Video laryngoscope to visualize the cords.
 
 
ExclusionCriteria 
Details  1.ASA III or IV Patients
2.AGE <18 YRS
3.Mouth opening of less than three fingers
4.Pregnant women
5.Patients with known distortion of the upper airway or glottic structures (eg: angioedema, epiglottitis, laryngeal mass or malignancy)
 
 
Method of Generating Random Sequence   Random Number Table 
Method of Concealment   Not Applicable 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Time to successful intubation facilitated by the bougie vs the ET with stylet using video-laryngoscope   Baseline, at neutral position.
point of insertion of the ETI through the glottis aperture.
 
 
Secondary Outcome  
Outcome  TimePoints 
First attempt successful intubation, overall success rate of ETI, Cervical spine motion using fluoroscopy, CL grade and rate of complications in the form of desaturation, bleeding, broken teeth, trachea-bronchial perforation, pneumothorax, vocal cord injury would be assessed as secondary outcomes  Baseline, at neutral position.
point of insertion of the ETI through the glottis aperture.
 
 
Target Sample Size   Total Sample Size="86"
Sample Size from India="86" 
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)   22/07/2020 
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)  Not Yet Recruiting 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

There are studies which have compared the intubation success between bougie and stylet in varied group of patients including difficult airways both actual and simulated, but there is paucity of literature comparing ETI using bougie and ETI with stylet in cervical immobilized patients. We hypothesized that time to successful intubation would be less with Bougie than ET with stylet.

 
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