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CTRI Number  CTRI/2020/07/026804 [Registered on: 27/07/2020] Trial Registered Prospectively
Last Modified On: 22/07/2024
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Single Arm Study 
Public Title of Study   Assessment of vocal cords using newer technique in patients undergoing operations of thyroid: a prospective, observational study 
Scientific Title of Study   Fiberoptic bronchoscope guided assessment of vocal cords using Bailey’s maneuver with I-gel supraglottic airway device in patients undergoing thyroid surgery: a prospective, observational study 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  NARENDER KALORIA 
Designation  ASSISTANT PROFESSOR 
Affiliation  PGIMER, CHANDIGARH 
Address  DEPARTMENT OF ANAESTHESIA AND INTENSIVE CARE, 4TH FLOOR, NEHRU HOSPITAL, PGIMER, SECTOR 12, CHANDIGARH
PGIMER, SECTOR 12, CHANDIGARH
Chandigarh
CHANDIGARH
160012
India 
Phone  8872495145  
Fax    
Email  naren.keli@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  NARENDER KALORIA 
Designation  ASSISTANT PROFESSOR 
Affiliation  PGIMER, CHANDIGARH 
Address  DEPARTMENT OF ANAESTHESIA AND INTENSIVE CARE, 4TH FLOOR, NEHRU HOSPITAL, PGIMER, SECTOR 12, CHANDIGARH
PGIMER, SECTOR 12, CHANDIGARH
Chandigarh
CHANDIGARH
160011
India 
Phone  8872495145  
Fax    
Email  naren.keli@gmail.com  
 
Details of Contact Person
Public Query
 
Name  NARENDER KALORIA 
Designation  ASSISTANT PROFESSOR 
Affiliation  PGIMER, CHANDIGARH 
Address  DEPARTMENT OF ANAESTHESIA AND INTENSIVE CARE, 4TH FLOOR, NEHRU HOSPITAL, PGIMER, SECTOR 12, CHANDIGARH
PGIMER, SECTOR 12, CHANDIGARH
Chandigarh
CHANDIGARH
160011
India 
Phone  8872495145  
Fax    
Email  naren.keli@gmail.com  
 
Source of Monetary or Material Support  
PGIMER CHANDIGARH 
 
Primary Sponsor  
Name  PGIMER CHANDIGARH 
Address  PGIMER SECTOR 12 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 
NARENDER KALORIA  NEHRU HOSPITAL, PGIMER, SECTOR 12, CHANDIGARH  OPERATION THEATRE, 5TH FLOOR
Chandigarh
CHANDIGARH 
8872495145

naren.keli@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C73||Malignant neoplasm of thyroid gland, (2) ICD-10 Condition: E078||Other specified disorders of thyroid,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  PATIENTS WHO UNDERGOING THYROID SURGERY 
 
ExclusionCriteria 
Details  1. ASA > II
2. Emergency surgery
3. Contraindication for I gel® SAD placement
4. Pre-existing VC palsy
5. Obesity (BMI>35 kg/m2)
6. Refusal to give consent for participation in the study
7. Patients at high risk for aspiration
8. Anticipated difficult airway 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Fiberoptic bronchoscope guided visualization of VC with Bailey’s maneuver using I gel® SAD in patients undergoing thyroid surgery.  one year 
 
Secondary Outcome  
Outcome  TimePoints 
1. To assess the incidence of VC palsy following thyroid surgery
2. Grading of glottic view with FOB (Annexure 1)
3. Haemodynamic response during VC assessment
4. Time taken for VC assessment (starts from insertion of I gel to VC assessment)
5. Patient reactivity score during VC assessment.
6. Surgeon satisfaction score for appreciation of VC.
7. Adverse event related to the Bailey’s maneuver. 
one year 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
Final Enrollment numbers achieved (Total)= "50"
Final Enrollment numbers achieved (India)="50" 
Phase of Trial   N/A 
Date of First Enrollment (India)   30/07/2020 
Date of Study Completion (India) 20/12/2023 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
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   Iatrogenic injury to laryngeal nerves during thyroid surgery is a common complication, that occurs because of their close proximity to thyroid and parathyroid gland. Laryngeal mask exchange (Bailey’s maneuver) had been described for extubation in deep anaesthesia plane in Difficult Airway Society (DAS) guidelines 2012 for extubation and All India Difficult Airway association (AIDAA) for anticipated  difficult extubation. Fibreoptic bronchoscope (FOB) inserted over the stem of Supraglottic Airway Device (SAD) which can be used to look at the correct positioning and mobility of vocal cords (VC) after thyroid surgery. 
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