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CTRI Number  CTRI/2024/05/067114 [Registered on: 09/05/2024] Trial Registered Prospectively
Last Modified On: 08/05/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparison of face mask ventilation efficiency with early or late administration of muscle relaxant for better airway management: Double blinded randomised control study  
Scientific Title of Study   Comparison of face mask ventilation efficiency before and after neuromuscular blockade: Double blinded randomised control study  
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 Varun Kumar S 
Designation  Resident 
Affiliation  Sri Ramachandra Medical College and Research Hospital 
Address  Anaesthesiology Department, Udayar Block and G block, Sri Ramachandra Medical College and Research Hospital, Porur, Chennai-600116

Thiruvallur
TAMIL NADU
600116
India 
Phone  9952952255  
Fax    
Email  varun27395@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Jayaraman V 
Designation  Professor 
Affiliation  Sri Ramachandra Medical College and Research Hospital 
Address  Anaethesiology Department, Udayar block and G block, Sri Ramachandra Institute of Higher Education and Research, Porur, Chennai-600116.

Thiruvallur
TAMIL NADU
600116
India 
Phone  9841219820  
Fax    
Email  vjram2001@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Dr Varun Kumar S 
Designation  Resident 
Affiliation  Sri Ramachandra Medical College and Research Hospital 
Address  Anaesthesiology department, Udayar block and G block, Sri Ramachandra Medical College and Research Hospital, Sri Ramachandra University, Porur, Chennai-600116

Thiruvallur
TAMIL NADU
600116
India 
Phone  9952952255  
Fax    
Email  varun27395@gmail.com  
 
Source of Monetary or Material Support  
Sri Ramachandra Medical College and Research Hospital, Porur, Chennai-600116 
 
Primary Sponsor  
Name  Sri Ramachandra Medical College and Research Hospital 
Address  Sri Ramachandra University Porur, Chennai-600116 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Varun Kumar S  Sri Ramachandra Medical College and Research Hospital  OR Complex Udayar block and OT Complex 5th, 4th and 3rd floors G block, Anaesthesiology Department, Porur, Chennai-600116
Thiruvallur
TAMIL NADU 
9952952255

varun27395@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Research Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Giving NMBD after checking mask ventilation  After checking ventilation status, the NMBD is given as 0.1mg/kg for Vecuronium or 0.5mg/kg for Atracurium as bolus and the patient is ventilated for 3 minutes 
Intervention  Giving NMBD before checking mask ventilation  After inducing the patient, the NMDB is also given as bolus of 0.1mg/kg for Vecuronium or 0.5mg/kg for Atracurium without checking status and the patient is ventilated for 3 minutes 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Adult patients of either gender aged 18-65 years of ASA I and II posted for elective surgery under general anaesthesia. 
 
ExclusionCriteria 
Details  Anticipated difficult airway
Patient refusal
Allergy to the study drug
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Vte at 30, 60, 90, 120, 150 and 180s for a total of 180s of face mask ventilation after cessation of response using mechanical ventilator.  At 30, 60, 90, 120, 150 and 180 seconds 
 
Secondary Outcome  
Outcome  TimePoints 
Han’s grading for face mask ventilation  During apneic ventilation 
Intubation time  From laryngoscopy to appreance of first capnography wave 
Ease of laryngoscopy (vocal cord movement, limb movement, and coughing)  Throughtout intubation 
 
Target Sample Size   Total Sample Size="120"
Sample Size from India="120" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="120" 
Phase of Trial   Phase 2/ Phase 3 
Date of First Enrollment (India)   20/05/2024 
Date of Study Completion (India) 27/02/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Face mask ventilation is essential for general anaesthesia and rescue oxygenation in terms of airway management. The estimated incidence of difficult face mask ventilation is 1%–1.5%. There are methods to improve face mask ventilation, of which neuromuscular blocking drugs (NMBDs) are also reported. But in practice, a NMBD is generally given only after confirmation of satisfactory facemask ventilation. This study hypothesizes that a NMBD will improve face mask ventilation in a patient with a normal airway.


 
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