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CTRI Number  CTRI/2025/08/092257 [Registered on: 04/08/2025] Trial Registered Prospectively
Last Modified On: 02/08/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Optimal flow rate for Apnoeic oxygenation to achieve firstpass success in pediatric anticipated difficult Intubations prospective study  
Scientific Title of Study   Optimal flow rate for Apnoeic oxygenation to achieve firstpass success in pediatric anticipated difficult Intubations prospective 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  shobana 
Designation  Postgraduate student  
Affiliation  Meenakshi Mission Hospital and Research centre 
Address  Lake area melur road Madurai

Madurai
TAMIL NADU
625107
India 
Phone  8838190343  
Fax    
Email  drsonashobana@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  shobana 
Designation  Postgraduate student  
Affiliation  Meenakshi Mission Hospital and Research centre 
Address  Lake area melur road madurai
Madurai
Madurai
TAMIL NADU
625107
India 
Phone  8838190343  
Fax    
Email  drsonashobana@gmail.com  
 
Details of Contact Person
Public Query
 
Name  shobana 
Designation  Doctor 
Affiliation  Meenakshi Mission Hospital and Research centre 
Address  66,Bharathi nagar main road Krishnapuram colony Madurai


TAMIL NADU
625014
India 
Phone  8838190343  
Fax    
Email  drsonashobana@gmail.com  
 
Source of Monetary or Material Support  
nil 
 
Primary Sponsor  
Name  none 
Address  meenakshi mission hospital and research centre 
Type of Sponsor  Private hospital/clinic 
 
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 
shobana  meenakshi mission hospital and research centre  Fifth floor, department of smile train operation theatre, mmhrc, lake view road madurai
Madurai
TAMIL NADU 
08838190343

drsonashobana@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institute ethics commitee  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  flow of oxygen through nasal airway 0.5 litre per kg vs hfnc nasal cannula 2 litre per kg  comparision between flow of oxygen through nasal airway 0.5 litre per kg vs hfnc nasal canula 2 litre per kg and obtain first pass intubation success 
Intervention  oxygen through nasal airway vs hfnc nasal canula  nasal airway oxygen flow rate will be compared with hfnc oxygen flow 
 
Inclusion Criteria  
Age From  3.00 Month(s)
Age To  10.00 Year(s)
Gender  Both 
Details  All pediatric patients of weight 5 to 20 kg

Scheduled for endotracheal intubation under general anesthesia

Identified as having an anticipated difficult airway, based on standardized criteria (e.g., congenital craniofacial anomalies, limited mouth opening, reduced neck mobility, history of previous difficult intubation)

Hemodynamically stable prior to induction

Consent obtained from parent or legal guardian  
 
ExclusionCriteria 
Details  not giving consent, hemodynamically unstable 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Other 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To find the optimal Flowrate for Apnoeic Oxygenation in pediatric anticipated difficult intubations.   Time from starting Intubation, ( stopping bag mask ventilation ) to successfull first breath after intubations.  
 
Secondary Outcome  
Outcome  TimePoints 
To find the impact of apnoeic oxygenation in first-pass intubation success rates.   Time from starting Intubation, ( stopping bag mask ventilation ) to successfull first breath after intubations.
 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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   Phase 1 
Date of First Enrollment (India)   13/08/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  13/08/2025 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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 - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response (Others) -  nil
  3. Who will be able to view these files?
    Response - Anyone

  4. For what types of analyses will this data be available?
    Response - Any purpose.

  5. By what mechanism will data be made available?
    Response (Others) -  journals or publications

  6. For how long will this data be available start date provided 01-11-2025 and end date provided 31-12-2034?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - nil
Brief Summary  

To find the optimal Flowrate for Apnoeic Oxygenation to achieve first-pass success in pediatric anticipated difficult intubations. By evaluating the optimal flowrate, excessive oxygen usage can be avoided and to find ,in which method, co2 retention is minimal.

  Objectives of the Study 

To find the optimal Flowrate for Apnoeic Oxygenation in pediatric anticipated difficult intubations with minimal co2 retention . and

To find the impact of apnoeic oxygenation in first-pass intubation success rates. 

by comparing HFNC flow with Nasal aiway flows.

 
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