Article History
Received: 13 April 2021
Accepted: 15 September 2021
First Online: 9 October 2021
Declarations
:
: The Institutional Ethics committee has approved the study of AIIMS, Bhubaneswar, on 15 July 2019.
: PARTICIPANT INFORMED CONSENT FORM (PICF)Participant identification number for this study: _______________________Title of Thesis:Is there an optimal place to hold the Endotracheal Tube during Direct Laryngoscopy? A Randomised Controlled TrialName of Principal Investigator: Dr Manisha SahooThe contents of the information sheet dated …….. that were provided have been read carefully by me / explained in detail to me, in a language that I comprehend, and I have fully understood the contents. I confirm that I have had the opportunity to ask questions.The nature and purpose of the study and its potential risks/benefits and expected duration of the study and other relevant details of the study have been explained to me in detail. I understand that my participation is voluntary and that I am free to withdraw at any time, without giving any reason, without my medical care or legal right being affected.I understand that the information collected about me from my participation in this research and sections of any of my medical notes may be looked at by responsible individuals from AIIMS, Bhubaneswar. I give permission for these individuals to have access to my records.I agree to take part in the above study.--------------------------------------------- Date:(Signatures / Left Thumb Impression) Place:Name of the Participant: ____________________________________Son / Daughter / Spouse of: _________________________________Complete postal address: ____________________________________This is to certify that the above consent has been obtained in my presence.________________________________________________________Signatures of the Principal Investigator Date: Place:1) Witness – 1 2) Witness – 2------------------------------ --------------------------------Signature SignatureName: Name:Address: Address:
: The authors declare that they have no competing interests.