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CTRI Number  CTRI/2026/02/103345 [Registered on: 09/02/2026] Trial Registered Prospectively
Last Modified On: 05/02/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparison of two mask holding ventilation techniques in cervical spine surgeries 
Scientific Title of Study   Effectiveness of C-E vs modified V-E two handed mask ventilation technique in patients with cervical spine injury requiring surgical fixation- A prospective randomized controlled 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  Akrity Singh 
Designation  Associate professor 
Affiliation  Indira Gandhi Institute Of medical Sciences 
Address  Department of Anaesthesiology and critical care medicine, First floor, Ward block, Indira Gandhi institute of medical sciences, Patna

Patna
BIHAR
800014
India 
Phone  9693876659  
Fax    
Email  drakrity_s@yahoo.co.in  
 
Details of Contact Person
Scientific Query
 
Name  Akrity Singh 
Designation  Associate professor 
Affiliation  Indira Gandhi Institute Of medical Sciences 
Address  Department of Anaesthesiology and critical care medicine, First floor, Ward block, Indira Gandhi institute of medical sciences, Patna


BIHAR
800014
India 
Phone  9693876659  
Fax    
Email  drakrity_s@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Akrity Singh 
Designation  Associate professor 
Affiliation  Indira Gandhi Institute Of medical Sciences 
Address  Department of Anaesthesiology and critical care medicine, First floor, Ward block, Indira Gandhi institute of medical sciences, Patna


BIHAR
800014
India 
Phone  9693876659  
Fax    
Email  drakrity_s@yahoo.co.in  
 
Source of Monetary or Material Support  
Nil 
 
Primary Sponsor  
Name  Indira Gandhi Institute of Medical sciences 
Address  Sheikhpura, Raja bazar, Patna-800014 
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 
Dr Akrity Singh  Indira gandhi institute of medical sciences  Department of Anaesthesiology and critical care medicine, Ward Block first floor
Patna
BIHAR 
9693876659

drakrity_s@yahoo.co.in 
 
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: S129||Fracture of neck, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Two handed mask ventilation technique C-E vs V-E was compared in cervical surgery patients for effectiveness for 3 minutes.  Ventilating the patients with thumb and index finger making C shape and rest three fingers making E on mandible vs two thumbs making V and rest fingers on mandible as E for mask ventilation before anaesthesia and analysing effectiveness 
Intervention  C-E vs V-E Two handed mask ventilation technique was compared in cervical surgery patients   Ventilating the patients with thumb and index finger making C shape and rest three fingers making E on mandible vs two thumbs making V and rest fingers on mandible as E for mask ventilation before anaesthesia 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  Patients of ASA grade 1,II
Patients posted for cervical spine fixation surgeries 
 
ExclusionCriteria 
Details   
 
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 
The primary objective of the study is to determine the difference in mean tidal volume between the two groups (C-E vs. V-E) after induction of general anaesthesia.  10 breaths for both C-E and V-E techniques. The mean of last five breaths will be used for the final analysis to calculate expiratory tidal volume and airway pressure . 
 
Secondary Outcome  
Outcome  TimePoints 
Secondary objectives included the difference in peak airway pressure (Paw), to determine the failure rates of mask ventilation and the difference in the percentage of cases requiring oropharyngeal airway due to failure of ventilation between the two groups  differences in airway pressure,ventilation failure rates during initial 5 minutes of mask ventilation 
 
Target Sample Size   Total Sample Size="124"
Sample Size from India="124" 
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)   16/03/2026 
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="8"
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   Patients with cervical spine injury comes with cervical collar in place and main concern is to protect the spine by manual in line stabilisation during intubation and mask ventilation without neck extension. The primary aim of this study is to determine and compare the efficiency of mask ventilation in  adult subjects by using either the C-E technique or the modified V-E technique with jaw thrust ,scheduled for cervical spine surgeries. 
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