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CTRI Number  CTRI/2020/10/028203 [Registered on: 01/10/2020] Trial Registered Prospectively
Last Modified On: 26/09/2020
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Diagnostic 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Role of Ultrasonography For Endotracheal Tube position In Neonates 
Scientific Title of Study   Role Of Point Of Care Ultrasonography For Endotracheal Tube Placement In Neonates : A Randomized Controlled Study 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Pranaya Kumar Mall 
Designation  Senior Resident (Academic DM) 
Affiliation  ABVIMS And Dr. RML hospital 
Address  Department Of Neonatology, ABVIMS And Dr RML Hospital New Delhi

New Delhi
DELHI
110008
India 
Phone  8423839069  
Fax    
Email  pranayamall2011@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Prof Arti Maria 
Designation  Head Of Department, Department Of Neonatology 
Affiliation  ABVIMS And Dr. RML hospital 
Address  Department Of Neonatology, ABVIMS And Dr RML Hospital New Delhi

New Delhi
DELHI
110008
India 
Phone  9818618586  
Fax    
Email  artimaria@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Pranaya Kumar Mall 
Designation  Senior Resident (Academic DM) 
Affiliation  ABVIMS And Dr. RML hospital 
Address  Department Of Neonatology, ABVIMS And Dr RML Hospital New Delhi

New Delhi
DELHI
110008
India 
Phone  8423839069  
Fax    
Email  pranayamall2011@gmail.com  
 
Source of Monetary or Material Support  
ABVIMS And RML Hospital New Delhi 
 
Primary Sponsor  
Name  ABVIMS And RML Hospital New Delhi 
Address  ABVIMS And Dr RML Hospital New Delhi 110001  
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 
Dr Pranaya Kumar Mall  department of neonatology  ABVIMS and DrRML hospital new delhi
New Delhi
DELHI 
8423839069

pranayamall2011@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee ABVIMS And Dr RML Hospital New Delhi  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: J962||Acute and chronic respiratory failure,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Conventional Method (Tochens Formula Or Weight Based Intubation Follwed By Xray Chest)  In Conventional Method Initial Intubation Is Based On Tochens Formula That Is Weight Based Decision Of Initial Insertion Depth Of Endotracheal Tube Followed By Xray Chest To Confirm Final Tip Position. X Ray Will Be Done Once Per Intubation. 
Intervention  Conventional Plus Ultrasonography Method For Endotracheal Tube Placement In Neonates  in Neonates Requiring Invasive Mode Of Mechanical Ventilation In Our NICU Will Be Subjected To Ultrasonography Method To Complement Conventional Method For Confirmation Of Endotracheal Tube Tip Position In Neonates. It Will Be Done Only Once Per Intubation Period Immediately After Intubation.  
 
Inclusion Criteria  
Age From  0.00 Day(s)
Age To  28.00 Day(s)
Gender  Both 
Details  Neonates Requiring Intubation And Mechanical Ventilation As Per Clinical Indication. 
 
ExclusionCriteria 
Details  Neonates With Major Upper Airway Congenital Malformation Precluding Intubation 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Malposition Rate Of Endotracheal Tube In “Conventional Method” As Compared To “Conventional Plus Ultrasonography Method” Among Neonate Requiring Mechanical Ventilation.   Till Xray Chest Post Intubation 
 
Secondary Outcome  
Outcome  TimePoints 
difference in turnaround time between intubation and USG and intubation and X ray   till Xray chest post intubation 
 
Target Sample Size   Total Sample Size="44"
Sample Size from India="44" 
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)   06/10/2020 
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="1"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   Nill 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   optimal Position Of Endotracheal Tube Is necessary For Safe And Effective Ventilation. Initial Estimation Of Endotracheal Tube Depth To Be Inserted Is Based Upon Various Methods That Are Weight Based, Gestation Based , Vocal Cord Guide Based, Nasotragal Length Based And Suprasternal Notch Palpation Method Based. All These Methods Are Crude Estimation Methods And Frequently Needs Manipulation Of Endotracheal Tube After Getting X-ray Chest. Often These Methods Place Endotracheal Tube At Sub-optimal Position Leading To Life Threatening Complications Such As Hypoxia, Hypercarbia, Lung Collapse, Pneumothorax. Ultrasonography To Detect Endotracheal Tube Position Has Shown Very Good Correlation With X-ray Chest in Various Previous Studies. Our Present Study Will Assess The Role Of Ultrasonography To Complement Our Conventional Method (Tochen’s Plus X-ray Chest ) In Placing Endotracheal Tube At Optimal Position In Neonates Requiring Mechanical Ventilation In Our NICU.  
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