{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T20:43:57Z","timestamp":1786653837837,"version":"build-2736575974"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,6]]},"abstract":"\n Background and Aims:<\/jats:title>\n Correctly holding the endotracheal tube (ETT) is essential for successful tracheal intubation. The study\u2019s primary objective was to compare the between-the-fingers grip with the conventional pen-holding grip regarding the number of attempts required for orotracheal intubation and usage of external aids.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n Three hundred patients undergoing elective surgeries under general anaesthesia were randomised according to the method to hold the ETT to Group C (conventional grip) and Group M (modified, between-the-fingers grip) during oro-tracheal intubation. A designated anaesthetist blinded to the groups performed laryngoscopy in all the patients, and difficult Cormack-Lehane grade 3b and 4 (n = 24) were excluded. Then, the group was revealed to the anaesthetist, and intubation was done accordingly; the number of attempts, use of backward upward rightward pressure (BURP), and time taken were noted. The sample size was estimated using the software G*Power version 3.1.9.2. Statistical Package for Social Sciences, version 23 (SPSS-23, IBM, Chicago, USA) was used for data analysis.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Single-attempt intubation was comparable between the groups (99.3% versus 97.2%,\n P<\/jats:italic>\n = 0.197). In contrast, the external assistance as BURP (0.75% versus 6.99%,\n P<\/jats:italic>\n = 0.009) and the time taken for intubation (\n P<\/jats:italic>\n = 0.008) were reduced in group M significantly.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n The between-the-fingers grip seems as effective as the standard grip to hold the ETT during intubation. However, it proved to be better as it can reduce the requirement for external assistance in BURP.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/ija.ija_1079_23","type":"journal-article","created":{"date-parts":[[2024,5,7]],"date-time":"2024-05-07T07:00:44Z","timestamp":1715065244000},"page":"527-532","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["To compare the efficacy of the between-the-fingers grip with the conventional pen-holding grip to hold an endotracheal tube for orotracheal intubation: A randomised controlled trial"],"prefix":"10.4103","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6273-0573","authenticated-orcid":false,"given":"Soumya","family":"Thakur","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3216-2795","authenticated-orcid":false,"given":"Prabhat","family":"Tewari","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9175-0514","authenticated-orcid":false,"given":"Chetna","family":"Shamshery","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4769-9106","authenticated-orcid":false,"given":"Prabhakar","family":"Mishra","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,5,8]]},"reference":[{"key":"R1-20260504","doi-asserted-by":"crossref","first-page":"836","DOI":"10.1097\/00000542-200110000-00009","article-title":"Randomized study comparing the \u201cSniffing Position\u201d with simple head extension for laryngoscopic view in elective surgery patients","volume":"95","author":"Adnet","year":"2001","journal-title":"Anesthesiology"},{"key":"R2-20260504","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1097\/00000542-194809000-00016","article-title":"Endotracheal intubation","volume":"9","author":"Caine","year":"1948","journal-title":"Anesthesiology"},{"key":"R3-20260504","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1046\/j.1365-2044.2003.296828.x","article-title":"Development of the \u2018gum-elastic bougie\u2019","volume":"58","author":"Henderson","year":"2003","journal-title":"Anaesthesia"},{"key":"R4-20260504","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1007\/BF03037041","article-title":"Difficult laryngoscopy made easy with a \u201cBURP","volume":"40","author":"Knill","year":"1993","journal-title":"\u201d Can J Anaesth"},{"key":"R5-20260504","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1111\/j.1365-2044.2011.06934.x","article-title":"Supraglottic airways in difficult airway management: Successes, failures, use and misuse","volume":"66","author":"Timmermann","year":"2011","journal-title":"Anaesthesia"},{"key":"R6-20260504","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1097\/00000539-200107000-00057","article-title":"A new grip to help during endotracheal intubation","volume":"93","author":"Tewari","year":"2001","journal-title":"Anesth Analg"},{"key":"R7-20260504","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1007\/BF03011357","article-title":"A clinical sign to predict difficult tracheal intubation: A prospective study","volume":"32","author":"Mallampati","year":"1985","journal-title":"Can Anaesth Soc J"},{"key":"R8-20260504","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1093\/bja\/aeq136","article-title":"Cormack\u2013Lehane classification revisited","volume":"110","author":"Krage","year":"2010","journal-title":"Br J Anaesth"},{"key":"R9-20260504","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1111\/acem.12055","article-title":"The importance of first pass success when performing orotracheal intubation in the emergency department","volume":"20","author":"Sakles","year":"2013","journal-title":"Acad Emerg Med"},{"key":"R10-20260504","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1186\/s12871-018-0663-9","article-title":"The evaluation of a better intubation strategy when only the epiglottis is visible: A randomized, cross-over mannequin study","volume":"19","author":"Hung","year":"2019","journal-title":"BMC Anesthesiol"}],"container-title":["Indian Journal of Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ija.ija_1079_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:43:05Z","timestamp":1786650185000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ija.ija_1079_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,8]]},"references-count":10,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/ija.ija_1079_23","relation":{},"ISSN":["0019-5049","0976-2817"],"issn-type":[{"value":"0019-5049","type":"print"},{"value":"0976-2817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,8]]},"assertion":[{"value":"2023-11-07","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-03-13","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}