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CTRI Number  CTRI/2024/09/073912 [Registered on: 13/09/2024] Trial Registered Prospectively
Last Modified On: 27/06/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Nutraceutical 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Efficacy of aromatherapy with bitter orange essential oil as compared to distilled water to reduce pain among the upper arm fracture post-operative orthopedic patients: A double-blinded randomized controlled trial.  
Scientific Title of Study   Efficacy of aromatherapy with Citrus aurantium essential oil as compared to placebo in reducing pain level among the upper limb fracture post-operative orthopedic patients: A double-blinded randomized controlled trial.  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Chumdeno Tungoe  
Designation  M.Sc Medical Surgical Nursing student 
Affiliation  Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry-605006 
Address  M.Sc Medical Surgical Nursing, College of Nursing, Jawaharlal Institute of Postgraduate Medical Education and Research , Puducherry-605006.
Room No: 306, Nightingale House, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry-605006.
Pondicherry
PONDICHERRY
605006
India 
Phone  9863000281  
Fax    
Email  chumdenotungoe08@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr MJ Kumari 
Designation  Professor cum Principal (acting) 
Affiliation  Jawaharlal Institute of Postgraduate Medical Education and Research , Puducherry-605006. 
Address  Department of Medical Surgical Nursing, College of Nursing, Jawaharlal Institute of Postgraduate Medical Education and Research , Puducherry-605006.

Pondicherry
PONDICHERRY
605006
India 
Phone  9894595420  
Fax    
Email  kumari_mj@ymail.com  
 
Details of Contact Person
Public Query
 
Name  Dr MJ Kumari 
Designation  Professor cum Principal (acting) 
Affiliation  Jawaharlal Institute of Postgraduate Medical Education and Research , Puducherry-605006. 
Address  Department of Medical Surgical Nursing, College of Nursing, Jawaharlal Institute of Postgraduate Medical Education and Research , Puducherry-605006.

Pondicherry
PONDICHERRY
605006
India 
Phone  9894595420  
Fax    
Email  kumari_mj@ymail.com  
 
Source of Monetary or Material Support  
Intramural Fund Committee, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry-605006 
 
Primary Sponsor  
Name  Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry 
Address  Intramural Fund Committee, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry-605006 
Type of Sponsor  Research institution and hospital 
 
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 
Chumdeno Tungoe  Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry.  Room no 3040.Orthopedic Department.
Pondicherry
PONDICHERRY 
9863000281

chumdenotungoe08@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institute Ethics Committee For Human Studies, Jawaharlal Institute of postgraduate Medical Education and Research   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M849||Disorder of continuity of bone, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Citrus aurantium essential oil.  Patients in the intervention group will be given 4 drops of Citrus aurantium essential oil (in a nasal inhaler) at the 24th, 48th and 72nd hour after surgery and asked to inhale for 30 minutes. 
Comparator Agent  Distilled water.  Patients in the control group will be given 4 drops of distilled water (in a nasal inhaler) at the 24th, 48th and 72nd hour after surgery and asked to inhale for 30 minutes 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Patients who will undergo upper limb fracture orthopedic surgery.
Patients who will be fully alert after recovering from anesthesia.
Patients who will be able to self-report a normal sense of smell.
Patients who will be able to visualize VAS for pain intensity.
Patients whose VAS is less than or equal to 7 (mild to moderate)
Patients who have not received analgesic within 2 hours of aromatherapy administration.
Patients with negative allergy test.
Patients between 18 and 65 years of age.
 
 
ExclusionCriteria 
Details  Patients having postoperative complications (such as hemorrhage and hematoma)
Patients who need oxygen therapy.
Patients who have epidural analgesia (nerve block)
Patients with nasal blocks.
Patients who have a known history of allergy to any essential oils
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
To evaluate the efficacy of aromatherapy with Citrus aurantium essential oil as compared to placebo in reducing pain levels among upper limb fracture post-operative orthopedic patients.  At 24, 48 and 72 hours post surgery.  
 
Secondary Outcome  
Outcome  TimePoints 
Not Applicable  Not applicable 
 
Target Sample Size   Total Sample Size="70"
Sample Size from India="70" 
Final Enrollment numbers achieved (Total)= "74"
Final Enrollment numbers achieved (India)="74" 
Phase of Trial   N/A 
Date of First Enrollment (India)   20/09/2024 
Date of Study Completion (India) 30/01/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="6"
Days="2" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
Not yet published. 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary
Modification(s)  
This study is a double-blinded randomized trial to assess the efficacy of Citrus aurantium essential oil as compared to placebo (distilled water) in reducing pain level among the upper limb fracture post-operative orthopedic patients. Patients who met the inclusion criteria were enrolled after an allergy test using convenient sampling with randomization. The procedure was performed at 24th, 48th and 72nd hour post surgery. Initial data for every participant was collected before the beginning of the procedure: demographic data and VAS score. Both the researcher and participant were blinded in the study to avoid bias and to ensure reliability. 
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