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CTRI Number  CTRI/2022/05/042531 [Registered on: 13/05/2022] Trial Registered Prospectively
Last Modified On: 12/05/2022
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A Clinical Trial To Study The Efficacy Of Two Larnygoscopes, C-Mac And Macintosh Laryngoscope In Children With Cervical Spine Injury 
Scientific Title of Study   Comparison Of Endotracheal Intubation Time Between C-Mac And Macintosh Laryngoscope In Simulated Unstable Cervical Spine In Paediatric Patients: A Randomised 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  Dr Bhumika Kalra 
Designation  Assistant Professor 
Affiliation  Chacha Nehru Bal Chikitsalaya, Delhi 
Address  Room no.2, Ot complex,2nd floor Department of Anaesthesia, Chacha Nehru Bal Chikitsalaya, Raja Ram Kohli Marg, Geeta Colony, Delhi 110031
C 209, Prashant vihar, Delhi-110085
East
DELHI
110031
India 
Phone  9810847992  
Fax    
Email  bhumikakalra@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Neha Bansal 
Designation  Fellow in Paediatric Anaesthesia 
Affiliation  Chacha Nehru Bal Chikitsalaya, Delhi 
Address  Room no. 1, Ot complex, 2nd floor Department of Anaesthesia Chacha Nehru Bal Chikitsalaya, Raja Ram Kohli Marg, Geeta Colony, Delhi 110031

East
DELHI
110085
India 
Phone  09873888950  
Fax    
Email  docneha999@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Neha Bansal 
Designation  Fellow in Paediatric Anaesthesia 
Affiliation  Chacha Nehru Bal Chikitsalaya, Delhi 
Address  Room no. 1, Ot complex, 2nd floor Department of Anaesthesia Chacha Nehru Bal Chikitsalaya, Raja Ram Kohli Marg, Geeta Colony, Delhi 110031

East
DELHI
110085
India 
Phone  09873888950  
Fax    
Email  docneha999@gmail.com  
 
Source of Monetary or Material Support  
Chacha Nehru Bal Chikitsalaya, Raja Ram Kohli Marg, Geeta Colony, Delhi 110031 
 
Primary Sponsor  
Name  DR BHUMIKA KALRA  
Address  C – 209 Prashant Vihar Delhi - 110085 
Type of Sponsor  Other [Assistant Professor at Chacha Nehru Bal Chikitsalaya] 
 
Details of Secondary Sponsor  
Name  Address 
DR AIKTA GUPTA  2/30, Malviya Nagar, Delhi - 110017  
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Bhumika Kalra  CHACHA NEHRU BAL CHIKITSALAYA  Ot A,B,C Ot complex, 2nd floor Department of Anaesthesia Chacha Nehru Bal Chikitsalaya, Raja Ram Kohli Marg, Geeta Colony, Delhi 110031
East
DELHI 
9810847992

bhumikakalra@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Chacha Nehru Bal Chikitsalya, Geeta Colony, Delhi ( ECR/1059/Inst/DL/2018)  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 
Intervention  C-MAC Videolaryngoscope  The C-MAC video laryngoscope system (Karl Storz GmbH & Co. KG, Tuttlingen, Germany) is the latest generation videolaryngoscope with a camera providing an 80° angle of view and a light source which is recessed from the tip of the blade. This portable videolaryngoscope along with other blades, comes with a modified Macintosh blade made of steel, the CMOS digital camera and high power LED hence providing both direct and indirect visualization of the glottic structures. 
Comparator Agent  Macintosh Laryngoscope  Macintosh laryngoscope is the standard laryngoscope providing direct glottic view  
 
Inclusion Criteria  
Age From  1.00 Year(s)
Age To  12.00 Year(s)
Gender  Both 
Details  ASA physical status grade I and II
Children aged 1-12 years undergoing elective or emergency surgery requiring general anaesthesia with orotracheal intubation

 
 
ExclusionCriteria 
Details  Patients with anticipated difficult airway
Children with known metabolic disease
Children with uncontrolled reactive airway disease  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Total duration of successful intubation procedure (Time to best glottic view + Time to intubate)  at laryngoscopy and intubation 
 
Secondary Outcome  
Outcome  TimePoints 
1. Cormack Lehane grading during first attempt at laryngoscopy and the best laryngoscopic view obtained
2. First intubation success rate and total number of attempts required
3. Number of airway optimisation maneuvers applied
4. Hemodynamic responses
5. Number of episodes of complications
6. Ease of insertion of laryngoscope blade
 
during laryngoscopy and intubation 
 
Target Sample Size   Total Sample Size="80"
Sample Size from India="80" 
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)   15/05/2022 
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="0"
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)?  

Response - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report

  3. Who will be able to view these files?
    Response - Anyone

  4. For what types of analyses will this data be available?
    Response - Any purpose.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [Docneha999@gmail.com ].

  6. For how long will this data be available start date provided 16-05-2022 and end date provided 31-12-2022?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - Nil
Brief Summary   This study is a hospital-based, prospective, randomized, parallel group, active controlled, open labelled trial comparing endotracheal intubation time between C-Mac and Macintosh laryngoscope in paediatric patients with simulated unstable cervical spine. The primary objective is to compare the total duration taken during the successful intubation with C-Mac videolaryngoscope with the total duration of time taken during the intubation procedure with Macintosh laryngoscope and the secondary objectives are to compare glottic views obtained on laryngoscopy during first attempt and after applying external laryngeal manipulation maneuver in the above two groups, to compare first intubation attempt success rate, number of intubation attempts, number of airway optimisation maneuvers required and ease of insertion of blade in the above two group and to compare incidence of complications,  if any (desaturation, esophageal intubation, trauma) during intubation procedure in the above two groups.
  
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