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CTRI Number  CTRI/2022/04/042130 [Registered on: 25/04/2022] Trial Registered Prospectively
Last Modified On: 30/04/2022
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   PROSPECTIVE 
Study Design  Other 
Public Title of Study   Study of Alteration in Cuff Pressure Position, Ventilator Mode or Time.  
Scientific Title of Study   A Prospective Observational Study of Tracheal Tube Cuff Pressure Variation with Position, Time and Mode of Ventilation in Intensive Care Unit 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Rajswee Rana 
Designation  Junior Resident, Dept of Anaesthesiology 
Affiliation  All India Institute of Medical Sciences, Rishikesh 
Address  Room No: 016129, Dept of Anaesthesiology, All India Institute of Medical Sciences, Virbhadra road, 249203, Rishikesh, Dehradun, Uttaranchal
Room No: 016129, Dept of Anaesthesiology, All India Institute of Medical Sciences, Virbhadra road, 249203, Rishikesh, Dehradun, Uttaranchal
Dehradun
UTTARANCHAL
249203
India 
Phone  8013860031  
Fax    
Email  rrajswee@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ankit Agarwal 
Designation  Additional Professor, Dept. of Anaesthesiology 
Affiliation  All India Institute of Medical Sciences, Rishikesh 
Address  All India Institute of Medical Sciences, Virbhadra road, 249203, Rishikesh, Dehradun, Uttaranchal

Dehradun
UTTARANCHAL
249203
India 
Phone  8475000280  
Fax    
Email  ankit.anaes@aiimsrishikesh.edu.in  
 
Details of Contact Person
Public Query
 
Name  Dr Rajswee Rana 
Designation  Junior Resident, Dept of Anaesthesiology 
Affiliation  All India Institute of Medical Sciences, Rishikesh 
Address  Room No: 016129, Dept of Anaesthesiology, All India Institute of Medical Sciences, Virbhadra road, 249203, Rishikesh, Dehradun, Uttaranchal
Room No: 016129, Dept of Anaesthesiology, All India Institute of Medical Sciences, Virbhadra road, 249203, Rishikesh, Dehradun, Uttaranchal
Dehradun
UTTARANCHAL
249203
India 
Phone  8013860031  
Fax    
Email  rrajswee@gmail.com  
 
Source of Monetary or Material Support  
AIIMS RISHIKESH 
 
Primary Sponsor  
Name  AIIMS RISHIKESH 
Address  ALL INDIA INSTITUTE OF MEDICAL SCIENCES, VIRBHADRA ROAD, 249203, RISHIKESH, DEHRADUN, UTTARANCHAL 
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 
Dr Rajswee Rana   All India Institute of Medical Sciences, Rishikesh  Room No: 016129, Dept of Anaesthesiology, All India Institute of Medical Sciences, Virbhadra road, 249203, Rishikesh, Dehradun, Uttaranchal
Dehradun
UTTARANCHAL 
8013860031

rrajswee@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Instituitional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: R092||Respiratory arrest, (2) ICD-10 Condition: R198||Other specified symptoms and signsinvolving the digestive system and abdomen, (3) ICD-10 Condition: R298||Other symptoms and signs involvingthe nervous and musculoskeletal systems, (4) ICD-10 Condition: R398||Other symptoms and signs involvingthe genitourinary system, (5) ICD-10 Condition: E078||Other specified disorders of thyroid, (6) ICD-10 Condition: E139||Other specified diabetes mellituswithout complications, (7) ICD-10 Condition: E878||Other disorders of electrolyte andfluid balance, not elsewhere classified, (8) ICD-10 Condition: G998||Other specified disorders of nervous system in diseases classified elsewhere, (9) ICD-10 Condition: J969||Respiratory failure, unspecified, (10) ICD-10 Condition: R688||Other general symptoms and signs,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. Age>18 years and <65 years.
2. American Society of Anesthesiologists (ASA) grading I-IV.
3. Patients admitted in the Critical Care Unit of AIIMS, Rishikesh with either ETT or TT already in place or during subsequent course of stay.
 
 
ExclusionCriteria 
Details  1. Pre-existing chronic cardio-respiratory disease.
2. Obesity (BMI>30 kg/m2).
3. Pregnant and breastfeeding.
4. Refusal for consent.
5. Airway anatomical malformations.
6. Limited neck movement or neck mass.
7. Raised intra-abdominal pressure.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To evaluate the variation in the cuff pressure of tracheal tube in ICU patients with mode of ventilation.  8 HOURS 
 
Secondary Outcome  
Outcome  TimePoints 
1. To evaluate the variation in the cuff pressure of tracheal tube in ICU patients with position.
2. To evaluate the variation in the cuff pressure of tracheal tube in ICU patients with time.
3. To evaluate the change in cuff pressure amongst Endotracheal tube and Tracheostomy tube in ICU patients with respect to above parameters.
 
8 HOURS 
 
Target Sample Size   Total Sample Size="70"
Sample Size from India="70" 
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)   01/05/2022 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  01/05/2022 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details
Modification(s)  
nil 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   This is a prospective observational study comapring the variation in the tracheal tube cuff pressure with the change in mode of ventilation, position and duration in ICU. Patients either on ETT/ Tracheostomised will be placed on T-piece for the first four hours and then under PSV for the next four hours.The position of the patients on ETT with T-piece/PSV or Tracheostomised with T-piece/PSV will be changed from supine to non-supine or vice versa 2nd houly hourly.The cuff pressure will be recorded with a digital cuff manometer (AG- cuffill) at the starting of one position, at 2nd hour in the same position and immediately after the change in position


 
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