CClinicalTrials.gg
CompletedNCT05043025Updated Dec 11, 2025

Patient Positions for Locating the Cricothyroid Membrane

An interventional study of Identification of the cricothyroid membrane in Cricothyroid Membrane, sponsored by SMG-SNU Boramae Medical Center. Completed at 1 site in South Korea. Open to female participants aged 19 Years and older. Per ClinicalTrials.gov, last updated 2025-12-11.

Sponsored by SMG-SNU Boramae Medical Center · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
116
Allocation
Randomized
Ages
19 Years and older
Sex
Female
01

Study summary

Cricothyroidotomy is an emergency rescue technique to secure the airway in a 'Can't intubate, Can't Oxygenate' (CICO) situation. The cricothyroid membrane (CTM) is the target site of cricothyroidotomy, and accurate identification of the CTM is essential for successful cricothyroidotomy. In this study, the investigators compare patient positions (neck extension vs. modified ramped position) in terms of the success rate for identifying the CTM in obese patients.

02

Conditions studied

  • Cricothyroid Membrane
03

In context

Lead sponsor

SMG-SNU Boramae Medical Center is the lead sponsor of 38 studies on the registry; 6 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
19 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • body mass index >30 kg/m2

Exclusion criteria

Exclusion Criteria:

  • anatomical abnormalities or pathologies of the neck
  • a history of neck surgery
  • cervical spine disorders
  • skin lesions on the neck
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Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
116 participants (actual)

Study arms

  • Active comparator
    Neck extension group

    The cricothyroid membrane is identified in a neck extended position.

    Other: Identification of the cricothyroid membrane

  • Experimental
    Modified ramped position group

    The cricothyroid membrane is identified in a modified ramped position.

    Other: Identification of the cricothyroid membrane

Interventions

  • OtherIdentification of the cricothyroid membrane

    The cricothyroid membrane is identified using a laryngeal handshake technique in different patient positions.

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What researchers measure

Primary outcomes

  1. Success rate for the correct identification of the cricothyroid membrane

    After identifying the cricothyroid membrane using a laryngeal handshake technique in different head positions, an assessor evaluates the correctness of its localization using ultrasound.

    Time frame: Immediately after identifying the cricothyroid membrane using a laryngeal handshake technique

Secondary outcomes

  1. Duration for identifying the cricothyroid membrane

    Time taken to locate the cricothyroid membrane is checked.

    Time frame: At 90 seconds after administering neuromuscular blockade

  2. Distances between the center of the actual and perceived cricothyroid membrane

    Distances between the center of the actual and perceived cricothyroid membrane is measured using ultrasound.

    Time frame: Immediately after identifying the cricothyroid membrane using a laryngeal handshake technique

  3. Perceived difficulty during cricothyroid membrane identification

    Anatomical difficulty perceived by the anesthesiologists during cricothyroid membrane identification is assessed (1, very easy; 2, easy; 3, moderate; 4, difficult; and 5, very difficult).

    Time frame: At 5 minutes after identifying the cricothyroid membrane using a laryngeal handshake technique

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Study locations

1 site
  • SMG-SNU Boramae Medical Center
    Seoul, Select State/Province 07061, South Korea
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 11, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05043025
Lead sponsor
SMG-SNU Boramae Medical Center
Responsible party
Jin-Young Hwang (Professor, SMG-SNU Boramae Medical Center) — Principal investigator
First posted
Sep 13, 2021
Start date
Jul 1, 2022
Primary completion
Dec 30, 2024
Completion
Dec 30, 2024
Last update
Dec 11, 2025

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.

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