| CTRI Number |
CTRI/2026/01/101762 [Registered on: 21/01/2026] Trial Registered Prospectively |
| Last Modified On: |
21/01/2026 |
| Post Graduate Thesis |
No |
| Type of Trial |
Observational |
|
Type of Study
|
Cross Sectional Study |
| Study Design |
Randomized, Crossover Trial |
|
Public Title of Study
|
Training Mask Ventilation Skills: Comparing CE and Hook Technique in Medical Students |
|
Scientific Title of Study
|
Comparison of The Efficacy of Performing Mask Ventilation by CE Technique and Hook Technique by Undergraduate Medical Students: A Cross-sectional 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 Rahil Singh |
| Designation |
Professor |
| Affiliation |
Maulana Azad Medical College |
| Address |
Department of Anaesthesiology
BL Taneja Block
Maulana Azad Medical College
Bahadurshah Zafar Marg
Central
DELHI
110002
India |
| Phone |
9810719025 |
| Fax |
|
| Email |
drrahilsingh@gmail.com |
|
Details of Contact Person
Scientific Query
|
| Name |
Dr Rahil Singh |
| Designation |
Professor |
| Affiliation |
Maulana Azad Medical College |
| Address |
Department of Anaesthesiology
BL Taneja Block
Maulana Azad Medical College
Bahadurshah Zafar Marg
Central
DELHI
110002
India |
| Phone |
9810719025 |
| Fax |
|
| Email |
drrahilsingh@gmail.com |
|
Details of Contact Person
Public Query
|
| Name |
Dr Rahil Singh |
| Designation |
Professor |
| Affiliation |
Maulana Azad Medical College |
| Address |
Department of Anaesthesiology
BL Taneja Block
Maulana Azad Medical College
Bahadurshah Zafar Marg
Central
DELHI
110002
India |
| Phone |
9810719025 |
| Fax |
|
| Email |
drrahilsingh@gmail.com |
|
|
Source of Monetary or Material Support
|
|
|
Primary Sponsor
|
| Name |
Maulana Azad Medical College |
| Address |
Bahadurshah Zafar Marg
New Delhi 110002 |
| Type of Sponsor |
Government medical college |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Rahil Singh |
Simulation Lab |
Ground Floor
BL Taneja Block
Maulana Azad Medical College
Bahadurshah Zafar Marg
Central
DELHI |
9810719025
drrahilsingh@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institutional Ethics Comittee, Maulana Azad Medical College |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Healthy Human Volunteers |
NIL |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
CE Technique of Bag and Mask Ventilation |
Widely recognised
The conventional E-C (CE) technique is the standard one-handed method for bag-mask ventilation, using the “C” hand shape for mask seal and “E” for jaw lift. |
| Intervention |
Hook Technique of Bag and Mask Ventilation |
Current literature highlights the Hook technique’s advantages over the conventional CE technique for bag-mask ventilation: it reduces operator fatigue during prolonged use and offers greater comfort, particularly for those with smaller hands. |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
24.00 Year(s) |
| Gender |
Both |
| Details |
1. Undergraduate MBBS students
2. Studying at Maulana Azad Medical College, Delhi 110002.
3. No previous training in airway management /mask ventilation.
|
|
| ExclusionCriteria |
| Details |
Medical students will be excluded if they have any current or past Advanced Cardiac Life Support (ACLS) certification or if they have had any experience in bag-mask ventilation, such as formal bag mask training in the past.
|
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
The expired tidal volume VT (in mL) using the CE mask holding technique and the Hook technique and their comparison
|
Immediately after performing BMV with each technique on a mannequin, ventilation metrics were recorded; statistical analysis followed complete data collection from all participants. |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| To assess the comfortability of mask holding of both techniques & overall preference of the techniques. |
Immediately after performing both techniques, participants rated comfort on a 5-point Likert scale & indicated their preference (CE or Hook technique). |
|
|
Target Sample Size
|
Total Sample Size="70"
Sample Size from India="70"
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)
|
02/02/2026 |
| 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="0"
Months="1"
Days="15" |
|
Recruitment Status of Trial (Global)
|
Open to Recruitment |
| 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
- 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).
- What additional supporting information will be shared?
Response - Study Protocol
Response - Informed Consent Form
Response - Clinical Study Report
- Who will be able to view these files?
Response - Researchers who provide a methodologically sound proposal.
- For what types of analyses will this data be available?
Response - Any purpose.
- By what mechanism will data be made available?
Response - Proposals should be directed to [drrahilsingh@gmail.com].
- For how long will this data be available start date provided 28-01-2026 and end date provided 28-06-2026?
Response - Beginning 3 months and ending 5 years following article publication.
- Any URL or additional information regarding plan/policy for sharing IPD?
Additional Information - NIL
|
|
Brief Summary
|
Mask ventilation MV plays a vital role in effective manual ventilation improving oxygenation and ventilation and buying time until a definitive airway can be secured Of the various techniques that exist for mask holding the most widely recognised is the CE technique Another technique which has been recently described is the Hook technique which involves a chin lift maneuver while securely fitting the mask This has been suggested to be better when compared to the CE Technique for prolonged use with less fatigue and finger discomfort Our study aims to compare the expired tidal volume Vt received during single rescuer face mask ventilation in a mannequin model while holding the face mask using a standard CE technique or Hook technique among medical undergraduate students who were novices to mask holding This study will be a randomised Cross Sectional trial After a brief orientation participants will be randomly allocated to Group CH or Group HC In group CH the participants will first hold the mask by the CE technique and then by the hook technique In Group HC the participants will first hold the mask by the hook technique and then by the CE technique with a rest period in between Breaths will be delivered by connecting the mask to a circuit connected to an anaesthesia ventilator to deliver volume controlled ventilation at a tidal volume of 500 ml rate of 10 breaths min and PEEP of 0 cms H2O The primary outcome measure is the mean expired Vt and the secondary outcomes will include the comfortability score and the participants overall preference for one of the techniques |