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CTRI Number  CTRI/2025/01/079214 [Registered on: 22/01/2025] Trial Registered Prospectively
Last Modified On: 21/08/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Medical Device
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparison of endotracheal intubation through two different supraglottic airway devices with fiberoptic guidance 
Scientific Title of Study   Comparison of endotracheal intubation through BlockBuster® versus Fastrach® LMA (Laryngeal Mask Airway) with fiberoptic guidance 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Rudhra Jayachandran 
Designation  JRD Anaesthesia 
Affiliation  Bhabha Atomic Research Centre Hospital 
Address  BARC Hospital Bhabha Atomic Research Centre Anushakti Nagar Mumbai

Mumbai
MAHARASHTRA
400094
India 
Phone  9566278071  
Fax    
Email  medico.rudy@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Kajal Dalal 
Designation  Full time consultant 
Affiliation  Bhabha Atomic Research Centre Hospital 
Address  BARC Hospital Bhabha Atomic Research Centre Anushakti Nagar Mumbai

Mumbai
MAHARASHTRA
400094
India 
Phone  9821577175  
Fax    
Email  ksdalal@barc.gov.in  
 
Details of Contact Person
Public Query
 
Name  Dr Rudhra Jayachandran 
Designation  JRD Anaesthesia 
Affiliation  Bhabha Atomic Research Centre Hospital 
Address  BARC Hospital Bhabha Atomic Research Centre Anushakti Nagar Mumbai

Mumbai
MAHARASHTRA
400094
India 
Phone  9566278071  
Fax    
Email  medico.rudy@gmail.com  
 
Source of Monetary or Material Support  
Bhabha Atomic Research Centre hospital, Anushakti nagar, Mumbai, Maharashtra-400094, India 
 
Primary Sponsor  
Name  BARC hospital 
Address  BARC hospital Bhabha Atomic Research Centre Anushakti nagar Mumbai 600094 
Type of Sponsor  Other [DNB teaching institute] 
 
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 
Rudhra Jayachandran  Bhabha Atomic Research Centre hospital  Main operation theater Second floor Anaesthesia department BARC hospital Anushakti nagar Mumbai 400094
Mumbai (Suburban)
MAHARASHTRA 
9566278071

medico.rudy@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
BARC Hospital Medical 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, (2) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Endotracheal intubation through BlockBuster® LMA (Laryngeal Mask Airway) with fiberoptic guidance  Ease of endotracheal intubation through BlockBuster® LMA (Laryngeal Mask Airway) with fiberoptic guidance. An easy intubation will be sucessful endotracheal tube placement in one attempt, difficult intubation will be successful tube placement requiring more than one attempt and if trachea is not able to be intubated through LMA in three attempts, it will be labelled as failure and surgery will be continued with endotracheal intubation following direct laryngoscopy. 
Intervention  Endotracheal intubation through Fastrach® LMA (Laryngeal Mask Airway) with fiberoptic guidance  Ease of endotracheal intubation through Fastrach® LMA (Laryngeal Mask Airway) with fiberoptic guidance. An easy intubation will be sucessful endotracheal tube placement in one attempt, difficult intubation will be successful tube placement requiring more than one attempt and if trachea is not able to be intubated through LMA in three attempts, it will be labelled as failure and surgery will be continued with endotracheal intubation following direct laryngoscopy. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Adult patients (age: 18-60yrs).
Patients with ASA physical status I to III.
Patients with adequate mouth opening of at least 3cms.
 
 
ExclusionCriteria 
Details  Oropharyngeal pathology
Morbid obesity
Pregnancy
Patients with gastroesophageal reflux
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Time taken for intubation and ease of tracheal intubation  minutes, seconds 
 
Secondary Outcome  
Outcome  TimePoints 
1. Time taken for LMA placement.
2. Ease of insertion of LMA.
3. Time required for removal of LMA.
4. Blood on laryngeal mask airway and sore throat.
 
minutes, seconds 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
Final Enrollment numbers achieved (Total)= "100"
Final Enrollment numbers achieved (India)="100" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/02/2025 
Date of Study Completion (India) 21/08/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
None yet 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary
Modification(s)  
A prospective, randomized, comparative study to compare the ease of intubation through Blockbuster LMA versus Fastrach LMA with fiberoptic guidance in patients undergoing elective surgery under general anaesthesia.
The ease of intubation was measured based on time taken to intubate and the number of attempts taken to intubate.
The grade of fiberoptic view of the glottis, presence of blood on the LMA and sore throat before discharge from recovery room were also be noted.

The time for insertion was noted from picking of LMA till adequate ventilation is established with square wave capnogram. 

Ease of insertion of the LMA was graded as easy, difficult or failure. An easy insertion is defined as placement without resistance following a single attempt. More than one attempt will be considered a difficult insertion. A failed insertion will be defined as failure to insert the device after three attempts.

The score of the bronchoscopic view of the glottis was noted

Brimacombe score:

1. vocal cords not seen

2. cords with anterior epiglottis seen

3. cords plus posterior epiglottis seen

       4. only cords visible

The ease of ETT placement was noted.

Time required for the ETT placement was noted (the time interval between picking up the fiberscope loaded with ETT till square wave capnogram is seen).

Time required to remove LMA was  noted. After LMA removal, the tube cuff was reinflated and connected to the ventilator circuit and anaesthesia will be continued by balanced general anaesthesia.

Damage or blood on cuff of LMA was noted.

After the surgery is completed, presence of sore throat was recorded.

 
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