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CTRI Number  CTRI/2023/06/053576 [Registered on: 06/06/2023] Trial Registered Prospectively
Last Modified On: 04/06/2023
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Prospective observational single blinded study 
Study Design  Other 
Public Title of Study   A clinical trial to study use of ultrasonography to measure airway indices to predict difficult laryngoscopy.  
Scientific Title of Study   Predicting difficult laryngoscopy using ultrasonographic airway indices- prospective,observational, single blinded 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 Prachi Hanumant Mungi  
Designation  Junior Resident  
Affiliation  Goa Medical College  
Address  Department of Anesthesiology Goa Medical College Bambolim North Goa
Bambolim Goa
North Goa
GOA
403401
India 
Phone  9657554348  
Fax    
Email  prachimungi96@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Shirley Ann DSouza  
Designation  Professor and Head of the Department  
Affiliation  Goa Medical College  
Address  Department of Anesthesiology Goa Medical College Bambolim North Goa

North Goa
GOA
403202
India 
Phone  9822159170  
Fax    
Email  shirley_dsouza05@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr Prachi Hanumant Mungi  
Designation  Junior Resident  
Affiliation  Goa Medical College  
Address  Department of Anesthesiology Goa Medical College Bambolim North Goa
Bambolim Goa
North Goa
GOA
403401
India 
Phone  9657554348  
Fax    
Email  prachimungi96@gmail.com  
 
Source of Monetary or Material Support  
Goa Medical College and Hospital  
 
Primary Sponsor  
Name  Goa Medical College 
Address  Goa Medical College Bambolim Tiswadi North Goa Goa 403201 
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 Prachi Hanumant Mungi  Goa Medical College and Hospital   Lower Operation Theatre Upper Operation Theatre
North Goa
GOA 
9657554348

prachimungi96@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Goa Medical College Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  , (1) ICD-10 Condition: X||New Technology,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  90.00 Year(s)
Gender  Both 
Details  ASA I-III patients
Undergoing general anesthesia for elective surgery
Age 18-90 years
Informed consent 
 
ExclusionCriteria 
Details  Body mass index greater than or equal to 30kg per metre square
Pregnancy
Neck swelling
History of radiation therapy to neck
Maxillofacial or cervical abnormalities
Restricted mouth opening
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Modified Cormack-Lehane
Grade 1 to 2a Easy laryngoscopy
Grade 2b to 4 Difficult laryngoscopy
Grade 2b  
Baseline 
 
Secondary Outcome  
Outcome  TimePoints 
Easy laryngoscopy: Cormack-lehane grade 1 to 2a
Difficult laryngoscopy: Cormack-lehane grade 2b-4a 
Baseline 
 
Target Sample Size   Total Sample Size="160"
Sample Size from India="160" 
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)   15/06/2023 
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 Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   Not yet published 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  


 Preanesthetic check-up and clinical assessment of airway will be done.

Consultant Anaesthesiology will perform 2D USG of the airway with patient in supine, sniffing position using ultrasonography linear probe of 6-13MHz.

Distance

Between Skin and hyoid bone (DSHB) and

Between Skin and epiglottis DSE) will be measured in transverse plane.

After complete evaluation general anesthesia is induced with propofol (2-2.5mg/kg), fentanyl (2-4mcg/kg) and vecuronium (0.08-0.1mg/kg).

o After verifying adequate neuromuscular relaxation direct laryngoscopy using Macintosh blade will be performed in sniffing position to evaluate Cormack-Lehane grade followed by tracheal intubation.

Patient will be assessed for

Easy laryngoscopy- Grade 1-2a

Difficult laryngoscopy- Grade 2b-4

Number of intubation attempts/ intubation aids/ Need for difficult intubation approach or invasive approach will be noted.


 
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