| CTRI Number |
CTRI/2024/03/063974 [Registered on: 11/03/2024] Trial Registered Prospectively |
| Last Modified On: |
07/03/2024 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Observational |
|
Type of Study
|
prospective comparative study |
| Study Design |
Other |
|
Public Title of Study
|
change in endotracheal tube cuff pressure after genaral anaesthesia in supine and prone position. |
|
Scientific Title of Study
|
A Comparative study of endotracheal tube cuff pressure changes in supine vs prone position in neurosurgical patients using air and oxygen as anaesthetic gas mixture†|
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Dr Shrikanta Oak |
| Designation |
Professor (Additional) |
| Affiliation |
Seth G S Medical College and KEM Hospital |
| Address |
Room No.139 , Department of Anaesthesia,First floor,
OLD Building,
KEM Hospital,
Ernest Borges Marg ,Parel 12
Mumbai MAHARASHTRA 400066 India |
| Phone |
9324134023 |
| Fax |
|
| Email |
shrikanta_oak@yahoo.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Shrikanta Oak |
| Designation |
Professor (Additional) |
| Affiliation |
Seth G S Medical College and KEM Hospital |
| Address |
Room No.139 , Department of Anaesthesia,First floor,
OLD Building,
KEM Hospital,
Ernest Borges Marg ,Parel 12
Mumbai MAHARASHTRA 400066 India |
| Phone |
9324134023 |
| Fax |
|
| Email |
shrikanta_oak@yahoo.com |
|
Details of Contact Person Public Query
|
| Name |
Dr naresh kumar Kushwah |
| Designation |
junior Resident 2 |
| Affiliation |
Seth G S Medical College and KEM Hospital |
| Address |
Room No 315,
ANEX Hostel, Near Monorail Station,
KEM Hospital, MUMBAI
Mumbai MAHARASHTRA 400066 India |
| Phone |
9039812076 |
| Fax |
|
| Email |
kushwahnaresh92@gmail.com |
|
|
Source of Monetary or Material Support
|
| Department of Anaesthesia,GSMC and KEM Hospital
|
|
|
Primary Sponsor
|
| Name |
Seth G S Medical college and KEM Hospital |
| Address |
KEM Hospital, PAREL,
MUMBAI,MAHARASHTRA
400066 |
| Type of Sponsor |
Government medical college |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr shrikanta Oak |
GSMC and KEM Hospital, Mumbai, INDIA |
Department of Anaesthesiology,
Room No.139,
Neurosurgery operation Theatre
400066, Mumbai, Maharashtra Mumbai MAHARASHTRA |
9324134023
shrikanta_oak@yahoo.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institutional Ethics committee(IEC)-III ,relating to biomedical and health Research |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
, (1) ICD-10 Condition: G89-G99||Other disorders of the nervous system, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
study of change of endotracheal tube cuff pressure in supine and prone position in neurosurgical patient using ET Tube cuff manometer while using oxygen and air as an anaesthetic gas mixture. |
Patient is intubated with ET Tube under general anaesthesia .The ET tube cuff pressure will be checked with ET Tube cuff manometer and pressure volume loop completion also checked and reading recorded . cuff pressure adjusted with in 20 to 30 cm H2o.The cuff pressure will be checked and adjusted again after achieving the final position, At the end of procedure and Before extubation. at every time pressure volume loop completion and Time will be recorded.The volume of Air required to inflate or deflate the ET tube cuff will be recorded using 2cc syringe. This study done whole intraoperativally ,plus patient is also followed for 24 hour post operativally for sore throat.
total duration of study is 15 month. |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
65.00 Year(s) |
| Gender |
Both |
| Details |
Patients whose age group is between 18 and 65years.
ASA grade 1 & ASA grade 2 patients.
Elective neurosurgical patients whose surgical. position is either supine or prone in genaral anaesthesia. |
|
| ExclusionCriteria |
| Details |
pregnant pateint
emergency cases
history of urti/lrti with in last 15 days
pateint with thyroid swelling,tracheal pathologies |
|
|
Method of Generating Random Sequence
|
Not Applicable |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
| To compare the Endotracheal tube cuff pressure changes in supine and prone position in neurosurgical patients. |
After intubation, After final position, At the end of procedure, Before extubation. |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
1.Incidence of change in endotracheal tube cuff volume required to keep the endotracheal cuff pressure with in the allowable limit (20 to 30 cm of H2O)
2.The post operative incidence of sore throat |
After intubation, After final position, At the end of procedure, Before extubation.
Ask for Post operative sore throat at 2hour,6hour,24hours |
|
|
Target Sample Size
|
Total Sample Size="120" Sample Size from India="120"
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)
|
20/03/2024 |
| 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="3" Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - YES
- What data in particular will be shared?
Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).
- What additional supporting information will be shared?
Response - Study Protocol Response - Statistical Analysis Plan Response - Informed Consent Form Response - Clinical Study Report
- Who will be able to view these files?
Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.
- For what types of analyses will this data be available?
Response - To achieve aims in the approved proposal.
- By what mechanism will data be made available?
Response (Others) - personal email id .. shrikanta_oak@yahoo.com
- For how long will this data be available start date provided 11-03-2024 and end date provided 11-04-2036?
Response - Immediately following publication. No end date.
- Any URL or additional information regarding plan/policy for sharing IPD?
Additional Information - nil
|
|
Brief Summary
|
Main function of Endotracheal tube(ET tube)cuff is maintain adequate sealing of airway to gastropharyngeal aspiration & ensure the effective lung ventilation. Cuffed ET tube become the standard care for providing general anaesthesia because of better seal of trachea. Pressure inside the cuff should be good enough to prevent aspiration but not too high to obstruct the tracheal mucosa blood flow, it can also cause post op sore throat, hoarseness of voice and dysphagia. It is recommended that ET tube cuff pressure should be maintained between 20 t0 30 cm of H2O. This study will compare the ET tube cuff pressure changes in supine or prone position in neurosurgical pateints while using oxygen & air as anaesthetic gas mixture. The cuff pressure will be checked and adjusted at different interval of time (After intubation, After final position, After procedure and Before extubation. Pressure volume loop completion is also checked at everytime. The volume of air required to inflate of deflate the ET tube cuff will also be recorded using 2cc syringe. post operatively patient is follow up for sore throat in 2 hours, 6 hours, 24 hours. Primary aim of study is to compare effect of positions(Supine and prone) on ET tube cuff pressure in neurosurgery pateints. Secondary aim is incidence of change in ET tube cuff volume required to keep the ET tube cuff pressure with in the allowable limit (20 to 30 cm of H2O) and to find out incidence of post operative sore Throat. |