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CTRI Number  CTRI/2019/02/017777 [Registered on: 22/02/2019] Trial Registered Prospectively
Last Modified On: 12/05/2019
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Randomized, Crossover Trial 
Public Title of Study   study for the quantitative assessment of the nasal pathway as compared to combined oro-nasal pathway in terms of expired tidal volume when patient is ventilated via face mask under general anaesthesia. 
Scientific Title of Study   To assess the contribution of nasal passage during face mask ventilation at two different airway pressures 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Fahina Perveen 
Designation  Postgraduate student 
Affiliation  Maulana Azad Medical college 
Address  Department of anaesthesiology, 3rd block, B.L.Taneja block, Maulana Azad medical college 2-Bahadur Shah Zafar Marg New Delhi- 110002
Department of anaesthesiology, 3rd block, B.L.Taneja block,Maulana Azad medical college 2-Bahadur Shah Zafar Marg New Delhi- 110002
New Delhi
DELHI
110002
India 
Phone  9650160578  
Fax    
Email  fahinaperveen@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr J S Dali 
Designation  Doctor 
Affiliation  Maulana Azad Medical College, New Delhi 
Address  DR. J. S. Dali, Department of anaesthesiology, 3rd block, B. L. Taneja block, Maulana Azad Medical College and associated hospital

New Delhi
DELHI
110002
India 
Phone  9968604212  
Fax    
Email  dr_dali@rediff.com  
 
Details of Contact Person
Public Query
 
Name  Dr J S Dali 
Designation  Doctor 
Affiliation  Maulana Azad Medical College, New Delhi 
Address  DR. J. S. Dali, Department of anaesthesiology, 3rd block, B. L. Taneja block, Maulana Azad Medical College and associated hospital

New Delhi
DELHI
110002
India 
Phone  9968604212  
Fax    
Email  dr_dali@rediff.com  
 
Source of Monetary or Material Support  
Maulana Azad Medical College, New Delhi 
 
Primary Sponsor  
Name  Maulana Azad Medical college 
Address  2-Bahadur Shah Zafar marg, New Delhi- 110002 
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 
Fahina Perveen  Maulana Azad Medical College and associated hospital  Department of anaesthesiology, Maulana Azad Medical College, 2-Bahadur Shah Zafar Marg, New Delhi, Delhi
New Delhi
DELHI 
9650160578

fahinaperveen@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Maulana Azad Medical College  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  patients who are ASA grade I/II/III admitted for elective surgery under general anaesthesia 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  comparing expired tidal volume with and without nasal occlusion during face mask ventilation  under general anaesthesia, expired tidal volume will be measured with and without nasal occclusion during face mask ventilation 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  55.00 Year(s)
Gender  Male 
Details  male patients aged 18-55 years.
patient planned for elective surgeries under general anaesthesia.
physical status ASA grade I to III 
 
ExclusionCriteria 
Details  obese patients (BMI>30 kg/m2)
patients with short neck
thyromental distance < 6.5 cm
modified mallampatti class > II
Interincisor distance < 3cm
patients with protruding/missing incisors, edentulous patients
history of snoring
bearded patients
patients with evident nasal obstruction
non fasted, emergency case
patients with history of gastroesophageal reflux disorder 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant, Investigator, Outcome Assessor and Date-entry Operator Blinded 
Primary Outcome  
Outcome  TimePoints 
Difference in tidal volume with and without nasal occlusion at two different airway pressures  1 min readings of expired tidal volume will be taken with and without nasal occlusion at 10 and 15 cm of water, with 1 min of washout between each reading 
 
Secondary Outcome  
Outcome  TimePoints 
nil  nil 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
Final Enrollment numbers achieved (Total)= "40"
Final Enrollment numbers achieved (India)="40" 
Phase of Trial   N/A 
Date of First Enrollment (India)   25/02/2019 
Date of Study Completion (India) 30/04/2019 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) 30/04/2019 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   none yet 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary   Manual face mask ventilation is an important component of airway management during general anaesthesia. Diffficult face mask ventilation is commonly encountered due to upper airway obstruction. many studies showed the importance of nasal pathway during face mask ventilation. However, there is paucity of studies regarding quantitative assessment with respect to tidal volume contribution via oral and nasal passages. The assessment of nasal passage contribution may help in judicious use of nasal mask and nasal airways to releive upper airway obstruction during mask ventilation. 
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