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CTRI Number  CTRI/2025/04/084265 [Registered on: 07/04/2025] Trial Registered Prospectively
Last Modified On: 04/04/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Other (Specify) [METHODS OF MASK HOLDING]  
Study Design  Randomized, Crossover Trial 
Public Title of Study   Comparison of two methods of mask holding in patients undergoing general anesthesia 
Scientific Title of Study   Comparison of two-handed C-E technique and V-E technique for mask ventilation in unconscious apnoeic adults with simulated C-spine immobilization: A randomized crossover 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 SUSHMA H 
Designation  Senior Resident 
Affiliation  KASTURBA MEDICAL COLLEGE,MANIPAL 
Address  Department of Anesthesiology, Main OT Complex, Baliga block Kasturba Medical College and Hospital, Manipal 576104

Udupi
KARNATAKA
576104
India 
Phone  09483305224  
Fax    
Email  sushmahaithal237@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR SUSHMA H 
Designation  SENIOR RESIDENT 
Affiliation  KASTURBA MEDICAL COLLEGE,MANIPAL 
Address  Department of Anesthesiology, KASTURBA MEDICAL COLLEGE AND HOSPITAL, MANIPAL 576104

Udupi
KARNATAKA
576104
India 
Phone  09483305224  
Fax    
Email  sushmahaithal237@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DR SUSHMA H 
Designation  Senior Resident 
Affiliation  KASTURBA MEDICAL COLLEGE,MANIPAL 
Address  Department of Anesthesiology, Main OT Complex, Baliga block Kasturba Medical College and Hospital, Manipal 576104

Udupi
KARNATAKA
576104
India 
Phone  09483305224  
Fax    
Email  sushmahaithal237@gmail.com  
 
Source of Monetary or Material Support  
Kasturba Medical College and Hospital, Udupi-Hebri road, Madhav nagar, Manipal, Udupi district, Karnataka state, India 576104 
 
Primary Sponsor  
Name  DR SUSHMA H 
Address  Department of Anesthesiology, Main OT Complex, Baliga block, Kasturba Medical College and Hospital, Manipal, Udupi district, Karnataka state, India 576104 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
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 Sushma H  DEPARTMENT OF ANAESTHESIOLOGY KASTURBA MEDICAL COLLEGE,MANIPAL  KASTURBA MEDICAL COLLEGE AND HOSPITAL, MANIPAL 576104
Udupi
KARNATAKA 
9483305224

sushmahaithal237@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
KASTURBA MEDICAL COLLEGE AND KASTURBA HOSPITAL INSTITUTIONAL 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 
Intervention  TECHNIQUE OF MASK HOLDING  Two handed C-E technique of mask ventilation is done for 2 min while induction of general anesthesia 
Comparator Agent  TECHNIQUE OF MASK HOLDING  Two handed V-E technique of mask ventilation is done for 2 min during induction of general anesthesia 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  1. Patients posted for surgery under general anesthesia
2. American Society of Anesthesiologists -physical status (ASA-PS) grade 1 to 3 patients
 
 
ExclusionCriteria 
Details  1.Patients with anticipated difficult airway
2.Pregnant patients 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Mean expired tidal volume as measured by the anesthetic machine flow sensor   Mean expired tidal volume as measured by the anesthetic machine flow sensor over 1 min of mask ventilation 
 
Secondary Outcome  
Outcome  TimePoints 
Mean expired tidal volume per predicted body weight and incidence of audible leak  Over 2 min of mask ventilation 
 
Target Sample Size   Total Sample Size="86"
Sample Size from India="86" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   21/04/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
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  
This study is done to compare the efficacy of two techniques of mask ventilation (two-handed C-E technique and two-handed V-E technique) in unconscious apneic adults with simulated C spine 
immobilization.
Objective is to compare of average expired tidal volume achieved using two-handed C-E technique and V-E technique in unconscious apneic adults with simulated C spine immobilization.
Patients with C-spine injury are an important subset of patients who require special care during mask ventilation. Airway management in patients with neck injury requires C-spine immobilization as 
inordinate flexion or extension of the neck can lead to spinal cord injury and quadriparesis. Mask ventilation has been described as the intervention that leads to maximum neck mobility and hence 
strict C-spine immobilization is paramount during mask ventilation. In this sub-population, the performance of the two techniques has not been compared. Hence this study will help in comparing the technique of mask ventilation.
 
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