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IRCT20170109031852N5 IRCT 2020-05-07 Iran University of Medical Sciences Comparison of RAMP position with modified RAMP position in laryngoscopic view during intubation of morbid obese patients for bariatric surgery. Comparison of RAMP position with modified RAMP position in laryngoscopic view during intubation of morbid obese patients for bariatric surgery. 2020-04-19 anticipated 80 Complete https://irct.ir/trial/47660 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: In this study, we use the block randomization method so that after selecting patients according to the inclusion and exclusion criteria by selecting numbers from the table of random numbers and adapting to the blocks, patients are divided into study groups, Blinding description: In this study, a person who is responsible for analyzing statistical data is not aware of the treatment process and study groups and the information is provided to that person in groups A and B. This helps the person's personal opinion not to affect the results. . N/A obesity. Intervention 1: Intervention group one : In the RAMP group, the patient lies on the bed in a supine position and a standard pillow is made of surgical drapes and placed under the patient's head and shoulders so that the patient's ear is in the direction of the sternum and then anesthesia is done. After intubation, study variables are measured. This intervention is performed once for each patient. Intervention 2: Intervention group: In Modified RAMP group, the patient lies on the bed in supine position a one-liter Normal Saline serum Prepare the and cover it completely with underpads and place it the two shoulders of the patient and set the bed angle to 30 degrees and then anesthesia is done. After intubation, study variables are measured. This intervention is performed once for each patient. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no further information
public Mahzad Alimian
Iran University of Medical Sciences., Hemmat Highway., Next to Milad Tower., Tehran Town
Tehran Iran (Islamic Republic of) 1433933111 +98 21 6435 2326 mahzadalimian@gmail.com Iran University of Medical Sciences scientific Ramin Ronasi
Iran University of Medical Sciences., Hemmat Highway., Next to Milad Tower., Tehran Town
Tehran Iran (Islamic Republic of) 1433933111 +98 21 6435 2326 Dr.r.rounasi@gmail.com Iran University of Medical Sciences Iran (Islamic Republic of) BMI greater than 35 No history of deformity in the head and neck No lung disease No history of drug use The average age between 18-70 years No history of difficult intubation 18 years 70 years Both Patients with difficult airways History of heart disease History of asthma History of COPD History of obstructive sleep apnea Malampati score more than 3 E66 Overweight and obesity Treatment - Devices Treatment - Devices Intervention group one : In the RAMP group, the patient lies on the bed in a supine position and a standard pillow is made of surgical drapes and placed under the patient's head and shoulders so that the patient's ear is in the direction of the sternum and then anesthesia is done. After intubation, study variables are measured. This intervention is performed once for each patient Intervention group: In Modified RAMP group, the patient lies on the bed in supine position a one-liter Normal Saline serum Prepare the and cover it completely with underpads and place it the two shoulders of the patient and set the bed angle to 30 degrees and then anesthesia is done. After intubation, study variables are measured. This intervention is performed once for each patient Intubation time. Timepoint: From the moment of starting the intubation to the end of the intubation. Method of measurement: Minutes. Blood O2 saturation after intubation. Timepoint: After intubation. Method of measurement: Pulse oximeter. Iran University of Medical Sciences Approved 2020-04-18 Ethics committee of Iran University of Medical Sciences Iran University of Medical Sciences., Hemmat Highway., Next to Milad Tower., Tehran Town Tehran Tehran Iran (Islamic Republic of)