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CTRI Number  CTRI/2026/01/102257 [Registered on: 28/01/2026] Trial Registered Prospectively
Last Modified On: 27/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Medical Device 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A study comparing machine-controlled breathing and hand-controlled breathing during the start of general anaesthesia, to see their effects on lung pressure and the risk of air going into the stomach 
Scientific Title of Study   COMPARISON OF EFFECTS OF PRESSURE-CONTROLLED VENTILATION AND MANUAL VENTILATION ON PEAK AIRWAY PRESSURE AND GASTRIC INSUFFLATION DURING INDUCTION OF GENERAL ANAESTHESIA–A 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  Darshan Gowda G S 
Designation  Junior resident 
Affiliation  Shri B.M. Patil Medical College Hospital and Research Centre 
Address  Department of Anaesthesiology, Shri B.M. Patil Medical College Hospital and Research Centre,Vijayapura ,Karnataka

Bijapur
KARNATAKA
586103
India 
Phone  9008876997  
Fax    
Email  darshansrinivas007@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Renuka Holyachi 
Designation  Professor, Head of the department of Anaesthesiology  
Affiliation  Shri B.M. Patil Medical College Hospital and Research Centre 
Address  Department of Anaesthesiology, Shri B.M. Patil Medical College Hospital and Research Centre,Vijayapura ,Karnataka

Bijapur
KARNATAKA
586103
India 
Phone  9008876997  
Fax    
Email  renuka312@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Darshan Gowda G S 
Designation  Junior resident 
Affiliation  Shri B.M. Patil Medical College Hospital and Research Centre 
Address  Department of Anaesthesiology, Shri B.M. Patil Medical College Hospital and Research Centre,Vijayapura ,Karnataka

Bijapur
KARNATAKA
586103
India 
Phone  9008876997  
Fax    
Email  darshansrinivas007@gmail.com  
 
Source of Monetary or Material Support  
Department of Anaesthesiology, Shri B.M. Patil Medical College Hospital and Research Centre,Vijayapura ,Karnataka 
 
Primary Sponsor  
Name  Shri BM Patil Medical College Hospital and Research Centre 
Address  Department of Anaesthesiology, Shri B.M. Patil Medical College Hospital and Research Centre, Vijayapura ,Karnataka 586103 
Type of Sponsor  Private medical college 
 
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 Darshan Gowda G S  Shri B.M. Patil Medical College Hospital and Research Centre  Department of Anaesthesiology, 3rd floor, Shri B.M. Patil Medical College Hospital and Research Centre, Vijayapura, Karnataka
Bijapur
KARNATAKA 
09008876997

darshansrinivas007@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Shri BM Patil Medical College Hospital and Research Centre  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: R00-R99||Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Comparison of the effects of manual ventilation on peak airway pressure and gastric insufflation during induction of general anaesthesia  Comparison of the effects of manual ventilation on peak airway pressure and gastric insufflation using usg and etco2 during induction of general anaesthesia 
Intervention  Comparison of the effects of pressure-controlled ventilation on peak airway pressure and gastric insufflation during induction of general anaesthesia  Comparison of the effects of pressure-controlled ventilation on peak airway pressure and gastric insufflation using usg and etco2 during induction of general anaesthesia 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1.Patients aged 18 to 60 years receiving elective procedures under general anaesthesia.
2.Patients were classed as American Society of Anaesthesiologists (ASA) 1 and 2 following a complete pre-anaesthetic examination.
 
 
ExclusionCriteria 
Details  1.Patient refusal.
2.Pregnant woman.
3.Patients having a BMI of 30 kg/m2 or higher.
4.Patients with anticipated difficult airway
5.Patients with oropharyngeal/facial pathologies
6.Patients who actively smoke 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Compare Peak Airway Pressure between Pressure Control Ventilation and Manual Ventilation during induction of general Anaesthesia  Compare Peak Airway Pressure between Pressure Control Ventilation and Manual Ventilation during induction of general Anaesthesia 
 
Secondary Outcome  
Outcome  TimePoints 
•Compare End Tidal CO2 levels between Pressure Control Ventilation & Manual Ventilation during anesthesia induction.
•To compare gastric insufflation rates during anaesthesia induction using Pressure Control Ventilation & Manual Ventilation methods
 
EtCo2 0 seconds,30 seconds ,60 seconds ,90 seconds ,120 seconds ,180 seconds
gastric insufflation at 0seconds & 180 seconds 
 
Target Sample Size   Total Sample Size="153"
Sample Size from India="153" 
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)   09/02/2026 
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="0"
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 study is a prospective, randomized controlled trial designed to compare the effects of pressure-controlled ventilation (PCV) and manual ventilation (MV) on peak airway pressure and gastric insufflation during induction of general anaesthesia. Facemask ventilation is a critical component of airway management during induction; however, excessive airway pressure may lead to gastric insufflation, increasing the risk of regurgitation and aspiration.
A total of 154 adult patients scheduled for elective surgeries under general anaesthesia will be randomly allocated into two groups: Group PCV (pressure-controlled ventilation) and Group MV (manual ventilation). After standard induction of anaesthesia and neuromuscular blockade, patients will receive mask ventilation for 180 seconds according to their allocated group. Peak airway pressure, end-tidal carbon dioxide, oxygen saturation, heart rate, and mean arterial pressure will be recorded at 30-second intervals. Gastric insufflation will be assessed using epigastric auscultation and ultrasonography.
The primary outcome is comparison of peak airway pressure between the two ventilation techniques. The secondary outcome is the incidence of gastric insufflation during mask ventilation. This study aims to determine whether pressure-controlled ventilation provides safer airway dynamics and reduces gastric insufflation compared to manual ventilation during induction of general anaesthesia.
 
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