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CTRI Number  CTRI/2026/01/100714 [Registered on: 09/01/2026] Trial Registered Prospectively
Last Modified On: 07/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Ultrasound study of the space between the tongue and soft palate to predict difficulty in mask ventilation during anaesthesia in adults of different age groups 
Scientific Title of Study   Ultrasonographic assessment of Palatoglossal space as a Predictor of Difficult Bag mask ventilation in adults of different age groups 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Ramila A Suthar 
Designation  Post Graduate Resident 
Affiliation  Vardhman Mahavir medical college and Safdarjung hospital  
Address  Department of Anaesthesia and Intensive care, Vardhman Mahavir medical college and Safdarjung hospital, Ansari nagar East, New Delhi

New Delhi
DELHI
110029
India 
Phone  9571735769  
Fax    
Email  ramilasuthar1234@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Amita Gupta  
Designation  Professor and Consultant  
Affiliation  Vardhman Mahavir medical college and Safdarjung hospital  
Address  Department of Anaesthesia and Intensive care, Vardhman Mahavir medical college and Safdarjung hospital, Ansari nagar East, New Delhi

New Delhi
DELHI
110029
India 
Phone  9910382190  
Fax    
Email  amitaguptadr@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Amita Gupta  
Designation  Professor and Consultant  
Affiliation  Vardhman Mahavir medical college and Safdarjung hospital  
Address  Department of Anaesthesia and Intensive care, Vardhman Mahavir medical college and Safdarjung hospital, Ansari nagar East, New Delhi

New Delhi
DELHI
110029
India 
Phone  9910382190  
Fax    
Email  amitaguptadr@gmail.com  
 
Source of Monetary or Material Support  
Department of Anaesthesia and Intensive care, Vardhaman Mahavir medical College and Safdarjung hospital, Ansari Nagar East, New Delhi,India  
 
Primary Sponsor  
Name  Vardhman Mahavir Medical College and Safdarjung hospital 
Address  Department of Anaesthesia and Intensive care, Vardhman Mahavir medical college and Safdarjung hospital, Ansari nagar East, New Delhi  
Type of Sponsor  Government 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 
Ramila A Suthar  Vardhman Mahavir Medical College and Safdarjung hospital  Department of Anaesthesia and Intensive care, Ansari nagar East, New Delhi 110029
New Delhi
DELHI 
9571735769

ramilasuthar1234@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Vmmc and Sjh institutional 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  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Patients aged 18 to 65 years planned for elective surgery under general anesthesia 
 
ExclusionCriteria 
Details  Anticipated difficult airway requiring planned awake intubation
Patients requiring rapid sequence induction of anesthesia
Patients having congenital syndromes with facial abnormalities
Patients with history of burns,trauma and tumor in and around the oral cavity,neckor cervical spine 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To determine sensitivity and specificity of ultrasonographic measurement of palatoglossal space as a predictor of difficult bag mask ventilation in adults of different age groups(above 18 years)using Han score  To determine sensitivity and specificity of ultrasonographic measurement of palatoglossal space in the preoperative holding area within thirty minutes before shifting the patient to the operation theatre. Difficult bag mask ventilation is assessed after induction during attempt at mask ventilation 
 
Secondary Outcome  
Outcome  TimePoints 
To determine sensitivity & specificity of ultrasonographic measurement of palatoglossal space as a predictor of difficult laryngoscopy in adults of different age groups using Cormack Lehane Grading.  Ultrasonographic evaluation of palatoglossal space in preoperative holding area,within 30 minutes before shifting the patient to the operation theatre.
Difficult bag mask ventilation is assessed after induction, during attempt at mask ventilation.
Difficult laryngoscopy is assessed immediately after mask ventilation during attempt at laryngoscopy 
To determine sensitivity & specificity of ultrasonographic measurement of tongue thickness as a predictor of difficult bag mask ventilation using Han score & difficult laryngoscopy using cormack lehane grading in adults of different age groups  Ultrasonographic evauation of tongue thickness in preoperative holding area,within thirty minutes before shifting the patient to the operation theatre. Difficult bag mask ventilation is assessed after induction during attempt at mask ventilation.
Difficult laryngoscopy is assessed immediately after mask ventilation during attempt at laryngoscopy. 
 
Target Sample Size   Total Sample Size="113"
Sample Size from India="113" 
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)   22/01/2026 
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 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   Difficult airway management is of paramount importance in anesthesia. Mask ventilation is a noninvasive technique for airway management that can be used as a primary mode of ventilation. Several bedside physical airway assessment tests are available but they have a high interobserver variability and moderate to fair sensitivity and specificity. Ultrasonographic assessment of palatoglossal space is a novel approach for airway assessment and has been proposed as a potential predictor of difficult bag and mask ventilation. Since bag mask ventilation has been found to be difficult in elderly age groups in various studies, we decided to conduct a study to assess whether ultrasonographic assessment of palatoglossal space can predict difficult bag mask ventilation in adults of different age groups. 
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