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CTRI Number  CTRI/2025/02/079905 [Registered on: 03/02/2025] Trial Registered Prospectively
Last Modified On: 25/03/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Single Arm Study 
Public Title of Study   Using Perfusion index to monitor blood flow changes during airway procedures in patients under general anaesthesia And its comparison with noninvasive blood pressure and heart rate 
Scientific Title of Study   Perfusion index as a noninvasive parameter to measure hemodynamic response during larngoscopy in a patient posted 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  VRAJ SHAH 
Designation  Resident doctor  
Affiliation  Surat municipal institute of medical education and research  
Address  1st floor , Department of Anaesthesiology , Surat institute of medical education and research, near sahara darwaja , umarwada , surat ,gujarat, india ,395010

Surat
GUJARAT
395010
India 
Phone  8490076796  
Fax    
Email  Vraj.shah97@yahoo.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Neepa patel  
Designation  Associate professsor  
Affiliation  Surat municipal institute of medical education and research  
Address  1st floor , Department of Anaesthesiology , Surat institute of medical education and research, near sahara darwaja , umarwada , surat ,gujarat, india ,395010

Surat
GUJARAT
395010
India 
Phone  9825729055  
Fax    
Email  drnpatelmd@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Vraj shah 
Designation  Resident Doctor 
Affiliation  Surat municipal institute of medical education and research  
Address  1st floor , Department of Anaesthesiology , Surat institute of medical education and research, near sahara darwaja , umarwada , surat ,gujarat, india ,395010

Surat
GUJARAT
395010
India 
Phone  8490076796  
Fax    
Email  vraj.shah9797@gmail.com  
 
Source of Monetary or Material Support  
1st floor department of anaesthesia surat municipal institute of medical education and research near sahara darwaja, umarwada , surat , gujarat , india , 395010 near  
 
Primary Sponsor  
Name  dr vraj shah  
Address  1st floor , Department of Anaesthesiology , Surat institute of medical education and research, near sahara darwaja , umarwada , surat ,gujarat, india ,395010 
Type of Sponsor  Other [self] 
 
Details of Secondary Sponsor  
Name  Address 
Dr Neepa patel   B/504 shubham apartment , near sangam society , city light road , surat 395007  
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr vraj shah  surat municipal institute of medical education and research   1st floor-hospital building,Department of Anaesthesiology, Surat institute of medical education and research, near sahara darwaja , umarwada , surat ,gujarat, india ,395010
Surat
GUJARAT 
8490076796

vraj.shah9797@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SMIMER IEC   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Screening of hemodynamic using perfusion index in healthy volunteers/ patients ( ASA 1/2 )  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  perfusion index during intubation and extubation using conventional laryngoscope  oral intubation using laryngoscopy will be done in each patient  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  ASA I AND II
Type Of Surgery-surgical procedure requiring general anaesthesia
mallampati score 1 and 2 , upper lip bite test class 1 , hyomental distance greater than 6 cm.
CLS Grade 1 only  
 
ExclusionCriteria 
Details  patient refusal
parturient females
patients with any neuromuscular disorder
patients with any renal , hepatic disease , IHD and hypertension with/without treatment
BMI greater than 30 kg/m2
known hypersensitivity to drugs used in our study
mallampati score III/IV
difficult intubation :- impending / expected difficult intubation ( Predicted )
patient who gives H/O previous difficult intubation  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Measurement of hemodynamic response using perfusion index  baseline 0 minutes,during laryngoscopy - at the time of intubation , post intubation for 10 minutes, before reversal , during laryngoscopy- at the time of extubation ,post extubation for 10 minutes 
 
Secondary Outcome  
Outcome  TimePoints 
correlate change in hemodynamic parameters with perfusion index  baseline 0 minutes,during laryngoscopy - at the time of intubation , post intubation for 10 minutes, before reversal , during laryngoscopy- at the time of extubation ,post extubation for 10 minutes 
 
Target Sample Size   Total Sample Size="70"
Sample Size from India="70" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="70" 
Phase of Trial   N/A 
Date of First Enrollment (India)   20/02/2025 
Date of Study Completion (India) 31/07/2024 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
N/A 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary
Modification(s)  


The Perfusion Index (PI) is the ratio of the pulsatile to the non-pulsatile signal obtained from the pulse oximetry wave-form that is incorporated in several modern pulse oximeter monitors available in operating theatres.

It decreases with vasoconstriction and increases with vasodilatation, and several studies have suggested that the PI may be a sensitive estimate of the level of hemodynamic activity, as it indicates the status of the microcirculation which is densely innervated by sympathetic nerves, so our purpose is to check the findings of previous studies and to decide whether PI can be used as noninvasive parameter to measure hemodynamic response or not.
PI has been used to predict low blood pressure, identify early success indicators of central and peripheral nerve block effect assessment, evaluate systemic vascular resistance, indicate the success of sympathectomy and identify the incidence of hypotension after spinal anaesthesia 
In our study ,We will check PI as non invasive parameter for hemodynamic response with the help of changes in perfusion index during Laryngoscopy 
Recruitment of patients will start after the CTRI registration 
 
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