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CTRI Number  CTRI/2023/03/051068 [Registered on: 27/03/2023] Trial Registered Prospectively
Last Modified On: 25/03/2023
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   A STUDY TO FIND OUT IF PREMEDICATION WITH MIDAZOLAM BEFORE MASK VENTILATION FACILITATES EASE OF VENTILATION BY FACE MASK IN PATIENTS WITH SUSPECTED DIFFICULT BAG AND MASK VENTILATION:A RANDOMISED CONTROL TRIAL 
Scientific Title of Study   A STUDY TO EVALUATE THE EFFECT OF MIDAZOLAM PREMEDICATION ON MASK VENTILATION IN PATIENTS WITH ANTICIPATED DIFFICULT BAG AND MASK VENTILATION:A RANDOMISED CONTROL TRIAL 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  MRIGAKHI BORDOLOI 
Designation  POSTGRADUATE TRAINEE GAUHATI MEDICAL COLLEGE 
Affiliation  GAUHATI MEDICAL COLLEGE AND HOSPITAL 
Address  DEPT OF ANAESTHESIOLOGY GAUHATI MEDICAL COLLEGE BHANGAGARH GUWAHATI KAMRUP ASSAM PIN 781032
NEAR DOWNTOWN HOSPITAL BORMOTORIA DR ZAKIR HUSSAIN PATH BYELANE9 RUPKONWAR PATH HOUSE NO 1000
Kamrup
ASSAM
781032
India 
Phone  8752861728  
Fax    
Email  mrigakhijmc2013@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  PRANAB KALITA 
Designation  ASSISSTANT PROFESSOR GAUHATI MEDICAL COLLEGE 
Affiliation  GAUHATI MEDICAL COLLEGE AND HOSPITAL 
Address  DEPT OF ANAESTHESIOLOGY GAUHATI MEDICAL COLLEGE BHANGAGARH GUWAHATI KAMRUP PIN 781032
NEAR DOWNTOWN HOSPITAL BORMOTORIA DR ZAKIR HUSSAIN PATH BYELANE9 RUPKONWAR PATH HOUSE NO 1000
Kamrup
ASSAM
781032
India 
Phone  7002181200  
Fax    
Email  11980pran@gmail.com  
 
Details of Contact Person
Public Query
 
Name  MRIGAKHI BORDOLOI 
Designation  POSTGRADUATE TRAINEE,GAUHATI MEDICAL COLLEGE 
Affiliation  GAUHATI MEDICAL COLLEGE AND HOSPITAL 
Address  DEPT OF ANAESTHESIOLOGY,GAUHATI MEDICAL COLLEGE,BHANGAGARH,GUWAHATI,KAMRUP,PIN 781032
NEAR DOWNTOWN HOSPITAL,BORMOTORIA,DR ZAKIR HUSSAIN PATH,BYELANE9,RUPKONWAR PATH,HOUSE NO 1000
Kamrup
ASSAM
781032
India 
Phone  8752861728  
Fax    
Email  mrigakhijmc2013@gmail.com  
 
Source of Monetary or Material Support  
DEPARTMENT OF ANAESTHESIOLOGY,GAUHATI MEDICAL COLLEGE AND HOSPITAL,BHANGAGARH,GUWAHATI,ASSAM,PIN-781032 
 
Primary Sponsor  
Name  Dr Mrigakhi Bordoloi 
Address  Dept of Anaesthesiology and critical care ,Gauhati Medical College and Hospital ,Bhangagarh,Guwahati,Assam,Kamrup,Assam,pin 781032,India  
Type of Sponsor  Other [self] 
 
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 MRIGAKHI BORDOLOI  GAUHATI MEDICAL COLLEGE AND HOSPITAL  SURGERY MAJOR OT WAITING ROOM GAUHATI MEDICAL COLLEGE AND HOSPITAL,BHANGAGARH,GUWAHATI,ASSAM
Kamrup
ASSAM 
08752861728

mrigakhijmc2013@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE,GAUHATI MEDICAL COLLEGE AND HOSPITAL  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K00-K95||Diseases of the digestive system,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  midazolam  group A patients will be treated with IV midazolam PREMEDICATION @ 0.035mg/kg and anxiety and sedation levels along with responsiveness score of Modified Obsevers Assessment of alertness/sedation scale will be assessed.  
Comparator Agent  Normal Saline  Group B will be treated with normal saline and anxiety and sedation levels along with responsivess scores of Modified Observers assessment of alertness/sedation scale will be assessed. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  90.00 Year(s)
Gender  Both 
Details  1 patients undergoing elective surgery under GA
2 asa 1 and 2
3 patients in whom difficult mask ventilation anticipated
a. edentulous
b.bearded
c.BMI more than equal to 26 to less than equal to 35
d.history of snoring
 
 
ExclusionCriteria 
Details  1.Patients with previous anaesthetic record of difficult intubation
2.Previous history of cervical spine disease or cervical spine surgery
3.History of chronic usage of opiods,benzodiazepines,antipsychotics
4.Pregnancy
5.Presence of muscular weakness or Neuromuscular disorders
6.Diagnosed case of Obstructive sleep apnea
7.Patients allergic to midazolam
8.Patients planned for awake intubation
9.Patients with increased risk of aspiration of gastric contents. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Midazolam premedication facilitates ease on ventilation by facemask following induction of anaesthesia in patients with anticipated difficult bag and mask ventilation  outcome will be assessed at baseline  
 
Secondary Outcome  
Outcome  TimePoints 
To compare sedation scores between 2 groups.
To compare any other relevant findings 
Anxiety and sedation levels measured before and 3 minutes after treatment of midazolam premedication using numerical rating scale and responsiveness scores of modified observers assessment of alertness/sedation scale 
 
Target Sample Size   Total Sample Size="92"
Sample Size from India="92" 
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)   30/03/2023 
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="5"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   NONE YET 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   Premedication with midazolam is used to allay anxiety and thereby facilitate mask ventilation during induction of General Anaesthesia as anxiolytic effect of midazolam reduces basal tone in airway muscles and improve mask ventilation during anaesthetic induction.. Hence the study is conducted to evaluate the effect of midazolam premedication on mask ventilation in patients with anticipated difficult bag and mask ventilation


 
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