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CTRI Number  CTRI/2022/01/039365 [Registered on: 12/01/2022] Trial Registered Prospectively
Last Modified On: 01/09/2022
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Positioning of patient for giving General Anaesthesia in trolley 
Scientific Title of Study   Comparison of intubating conditions in two different head elevations for direct laryngoscopy in trolley: A Prospective randomised controlled study 
Trial Acronym  HELDinT 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Tejasri KetiREddy 
Designation  Resident 
Affiliation  NIMS 
Address  Dept of Anaesthesia And Critical Care Nizams Institute of Medical SCiences Panjagutta Hyderabad

Hyderabad
TELANGANA
500008
India 
Phone    
Fax    
Email  tejasri.ketireddy@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Tejasri KetiREddy 
Designation  Resident 
Affiliation  NIMS 
Address  Dept of Anaesthesia And Critical Care Nizams Institute of Medical SCiences Panjagutta Hyderabad

Hyderabad
TELANGANA
500008
India 
Phone    
Fax    
Email  tejasri.ketireddy@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Kavitha Jayaram 
Designation  Associate Professor 
Affiliation  Associate professor 
Address  B 410,Western plaza Shaikpet Manikonda Hyderabad
Department of anesthesiology and intensive care NIMS Panjagutta Hyderabad
Hyderabad
TELANGANA
500080
India 
Phone    
Fax    
Email  drkarunya@gmail.com  
 
Source of Monetary or Material Support  
Nizams institute of medical sciences 
 
Primary Sponsor  
Name  NIMS 
Address  NIMS Panjagutta Hyderabad 
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 
Tejasri Ketireddy  Nizams Institute Of Medical Sciences  Department of anesthesiology and intensive care, NIMS Panjagutta Hyderabad
Hyderabad
TELANGANA 
8919350754

tejasri.ketireddy@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
NIMS Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  customised head cushion   At the time of intubation only 
Intervention  popitz pillow  Only at the time of intubation 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  undergoing elective surgery in prone postion under general anaesthesia 
 
ExclusionCriteria 
Details  ASA >/III patients
BMI >30 kg/m2
difficult mask ventilation or intubation
emergency 
 
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 glottis visualisation during direct laryngoscopy for intubation in trolley while using two different head supports  During direct laryngoscopy only 
 
Secondary Outcome  
Outcome  TimePoints 
Assess intubating conditions, intubation difficulty score, time taken for intubation  At the time of intubation 
 
Target Sample Size   Total Sample Size="156"
Sample Size from India="156" 
Final Enrollment numbers achieved (Total)= "156"
Final Enrollment numbers achieved (India)="156" 
Phase of Trial   N/A 
Date of First Enrollment (India)   28/01/2022 
Date of Study Completion (India) 30/05/2022 
Date of First Enrollment (Global)  28/01/2022 
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   Will be sent for publication once the study is complete 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   Effectiveness of Sniffing position , the gold standard  and ideal position for better glottic visualisation has been  questioned and different head elevations have been suggested. So we designed this study in 156 patients aged 18 to 60 years of both sex undergoing elective surgery in prone position  using conventional head cushion or popitz pillow intubated in trolley, after getting  NIEC  approval and CTRI registration . Our study participants will be divided into 2 groups : group S - Conventional head cushion , group P-popitz pillow. After induction, the patients will be positioned for direct laryngoscopy in sniffing position with either of the pillow as per the group. Preoperative airway parameters, intubation difficulty score and time taken for intubation will be measured.  
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