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CTRI Number  CTRI/2024/05/067636 [Registered on: 20/05/2024] Trial Registered Prospectively
Last Modified On: 23/04/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Single Arm Study 
Public Title of Study   Pupil size and nociception index for pain evaluation in gall bladder surgery 
Scientific Title of Study   Correlation of Pupillary diameter with Quantium Nociception Index for estimation of intraoperative pain in patients undergoing laparoscopic cholecystectomy under general anaesthesia 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Himanshu Garg 
Designation  Post Graduate Student 
Affiliation  Maulana Azad Medical College and associated Lok Nayak Hospital 
Address  Room No. 304, 3rd floor, BL Taneja Block, Department of Anaesthesiology and intensive care, Maulana Azad Medical College

Central
DELHI
110002
India 
Phone  9991254510  
Fax    
Email  himanshu.garg1997@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Kirti Nath Saxena 
Designation  Director Professor 
Affiliation  Maulana Azad Medical College and associated Lok Nayak Hospital 
Address  Room No. 304, 3rd floor, BL Taneja Block, Department of Anaesthesiology and intensive care, Maulana Azad Medical College

Central
DELHI
110002
India 
Phone  9968604215  
Fax    
Email  kirtinath@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Himanshu Garg 
Designation  Post Graduate student 
Affiliation  Maulana Azad Medical College and associated Lok Nayak Hospital 
Address  Room No. 304, 3rd floor, BL Taneja Block, Department of Anaesthesiology and intensive care, Maulana Azad Medical College

Central
DELHI
110002
India 
Phone  9991254510  
Fax    
Email  himanshu.garg1997@gmail.com  
 
Source of Monetary or Material Support  
Maulana Azad Medical College and associated Lok Nayak Hospital, Bahadurshah Zafar Marg, New Delhi India 110002 
 
Primary Sponsor  
Name  Maulana Azad Medical college and associated Lok Nayak Hospital 
Address  Maulana Azad Medical College and associated Lok Nayak Hospital, Bahadurshah 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 
Dr Himanshu Garg  Lok Nayak Hospital  Department of Anaesthesiology and intensive care, BL Taneja block, Maulana Azad Medical College and associated Lok Nayak Hospital, JLN Marg, New Delhi
Central
DELHI 
9991254510

himanshu.garg1997@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 
Patients  (1) ICD-10 Condition: K801||Calculus of gallbladder with othercholecystitis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1. 18 to 60 years of age of either sex
2. American Society of Anaesthesiologists Physical Status I and II
3. Body Mass Index less than/ equal to 30Kg/m2 
 
ExclusionCriteria 
Details  1.Pregnancy and lactation
2.Psychiatric illness and patient suffering from intellectual disability
3.History of comorbidities such as Hypertension or any cardiac disease
4.History of allergy to any drug as per protocol
5.History of use of psychoactive drugs
6.Any neurological disorders
7.Eye disorders affecting pupillary size or reaction
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Establish the correlation between pupillary diameter and quantium nociception index (qNOX) values for estimation of intraoperative pain during general anaesthesia in laparoscopic cholecystectomy  T0(Baseline) – before induction
T1 - 1 min after induction
T2 - At skin incision
T3 - During trochar insertion
- every 15 min interval following T3
-At the end of surgery
 
 
Secondary Outcome  
Outcome  TimePoints 
Correlation between pupillary diameter and hemodynamic parameters (HR, SBP, DBP, MAP) at different time intervals.  T0(Baseline) – before induction
T1 - 1 min after induction
T2 - At skin incision
T3 - During trochar insertion
-every 15 min interval following T3
-At the end of surgery
 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
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)   01/06/2024 
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   We are correlating change in pupillary diameter with quantium nociception index (qNOX) for estimation of intraoperative pain in patients posted for laparoscopic cholecystectomy in Lok Nayak Hospital, Delhi. A total of 40 patients will be enrolled for the study. Patients will be explained about the study and written informed consent will be taken. CONOX monitor electrodes will be attached to patients’ forehead to record qNOX values and pupillometer will be used to record pupillary diameters. We will be using standard general anaesthesia for induction of the patients and pupillary diameter and qNOX values will be recorded at certain time intervals during the surgery. Intraoperative analgesic administration will be guided by qNOX. At the end, numerical rating scale will be used to assess pain postoperatively.  
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