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CTRI Number  CTRI/2025/12/099868 [Registered on: 26/12/2025] Trial Registered Prospectively
Last Modified On: 24/12/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Using Nasal Oxygen to Maintain Safe Oxygen Levels During Intubation in Children with Cleft Lip and Palate Surgery 
Scientific Title of Study   Effect of Apneic Oxygenation via Nasal Cannula on Oxygen Reserve Index during Laryngoscopy and Intubation in Pediatric Cleft Lip and Palate Surgery: A Randomized Controlled Double blind 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  Priyanka Gupta 
Designation  Additional Professor 
Affiliation  All India Institute of Medical Sciences, Rishikesh 
Address  Departement ofanesthesia, Level-6 medical college
AIIMS, Rishikesh
Dehradun
UTTARANCHAL
249201
India 
Phone  09811894899  
Fax    
Email  drpriyankagupta84@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Priyanka Gupta 
Designation  Additional Professor 
Affiliation  All India Institute of Medical Sciences, Rishikesh 
Address  Departement ofanesthesia, Level-6 medical college
AIIMS, Rishikesh
Dehradun
UTTARANCHAL
249201
India 
Phone  09811894899  
Fax    
Email  drpriyankagupta84@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Priyanka Gupta 
Designation  Additional Professor 
Affiliation  All India Institute of Medical Sciences, Rishikesh 
Address  Departement ofanesthesia, Level-6 medical college
AIIMS, Rishikesh
Dehradun
UTTARANCHAL
249201
India 
Phone  09811894899  
Fax    
Email  drpriyankagupta84@gmail.com  
 
Source of Monetary or Material Support  
AIIMS Rishikesh, district dehradun, uttarakhand, India, pin 24903 
 
Primary Sponsor  
Name  All India Institute of Medical Sciences Rishikesh 
Address  Reserach cell, All India Institute of Medical sciences, Rishikesh, District Dehradun,uttarakhand, India Pin 249203 
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 
Priyanka Gupta  All India Institute of Medical Sciences, Rishikesh  Department of anesthesia, level 6
Dehradun
UTTARANCHAL 
9811894899

drpriyankagupta84@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
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  apneic oxygenation via nasal cannula during laryngoscopy and intubation  following mask ventilation children will be provided apneic oxygenation via nasal cannuala, oxygen will be given at the rate of 2-4 litrese/min for for the duration of laryngoscopy and intubation approximtely 30 seconds to 45 seconds 
Comparator Agent  children in control group will be attached with the nasal cannula however apneic oxygenation will not be done during laryngoscopy and intubation  only nasal cannula will be attached for blinding purpose during the duration of laryngoscopy and intubation approximately 30 to 45 seconds 
 
Inclusion Criteria  
Age From  3.00 Month(s)
Age To  24.00 Month(s)
Gender  Both 
Details  all the children of of 3 months to 24 months scheduled for elective surgery to repair cleft lip and/or palate under general anesthesia with tracheal intubation  
 
ExclusionCriteria 
Details  following children will be excluded:
1.Known congenital cardiac defects.
2.Significant syndromic associations.
3.Anemia
4.Known nasal obstruction.
5.Significant pulmonary or respiratory disease.
6.Recent upper or lower respiratory tract infection (within 2 weeks).
7.Anticipated difficult airway
8.Parental/legal guardian’s refusal to participate in study
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
effect of apneic oxygenation on oxygen reserve index  measurement of oxygen reserve index at baseline, 1 minute after induction, 3 minutes after induction, at starts of laryngoscopy and at intubation 
 
Secondary Outcome  
Outcome  TimePoints 
1. To compare the first-pass success rate of intubation between children receiving apneic oxygenation & those in the control group.  5 minutes after induction 
 
Target Sample Size   Total Sample Size="120"
Sample Size from India="120" 
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)   16/02/2026 
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="1"
Months="6"
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 - NO
Brief Summary  

this randomized prospective study evaluates efficacy of apneic oxygenation in children undergoing cleft lip-palate surgery, which is measured by oxygenation reserve index. the apneic oxygenation will be given by nasal cannula, the oxygen flow will be given according to body weight. the other secondary outcome would be incidences of desaturation during laryngoscopy and intubation, rate of first pass successful intubation and correlation of peripheral oxygenation with oxygen reserve index
 
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