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CTRI Number  CTRI/2024/09/074355 [Registered on: 25/09/2024] Trial Registered Prospectively
Last Modified On: 18/12/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Single Arm Study 
Public Title of Study   To find the occurrence of water logging in patients lungs by scanning the lungs by ultrasonogram during the operation in the womb through the birth canal  
Scientific Title of Study   The incidence of Pulmonary Alveolar Interstitial Syndrome (PAIS) by Lung Ultrasonography (LUS) during operative hysteroscopy - A Prospective Observational Pilot Study 
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 Harish Balakrishnan 
Designation  Junior Resident 
Affiliation  Jawaharlal Institute of Postgraduate Medical Education and Research(JIPMER) 
Address  Department of Anaesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education and Research(JIPMER), Dhanvantari Nagar, Gorimedu, Puducherry

Pondicherry
PONDICHERRY
605006
India 
Phone  9865203302  
Fax    
Email  harish7134@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sakthirajan P 
Designation  Professor 
Affiliation  Jawaharlal Institute of Postgraduate Medical Education and Research(JIPMER) 
Address  Department of Anaesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Dhanvantari Nagar, Gorimedu, Puducherry

Pondicherry
PONDICHERRY
605006
India 
Phone  8903468132  
Fax    
Email  sakthiab8@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Harish Balakrishnan 
Designation  Junior Resident 
Affiliation  Jawaharlal Institute of Postgraduate Medical Education and Research(JIPMER) 
Address  Department of Anaesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education and Research(JIPMER), Dhanvantari Nagar, Gorimedu, Puducherry

Pondicherry
PONDICHERRY
605006
India 
Phone  9865203302  
Fax    
Email  harish7134@gmail.com  
 
Source of Monetary or Material Support  
Jawaharlal Institute of Postgraduate Medical Education and Research(JIPMER), Dhanvantari Nagar, Gorimedu, Puducherry - 605006. 
 
Primary Sponsor  
Name  Jawaharlal Institute of Postgraduate Medical Education and Research(JIPMER) 
Address  Jawaharlal Institute of Postgraduate Medical Education and Research(JIPMER), Dhanvantari Nagar, Gorimedu, 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 
Dr Harish Balakrishnan  Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER)  Department of Anaesthesiology and Critical Care, 2nd floor, Institute block, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Dhanvantari Nagar, Gorimedu, Puducherry - 605006.
Pondicherry
PONDICHERRY 
9865203302

harish7134@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Jawaharlal Institute of Postgraduate Medical Education and Research, Institutional Ethics Committee for Observational Studies  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: J810||Acute pulmonary edema,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Female 
Details  Adult female patients undergoing elective operative hysteroscopic procedures with intrauterine fluid irrigation under neuraxial or general anesthesia. 
 
ExclusionCriteria 
Details  1. Patients pre-diagnosed with lung disorders
2. Patients with chest deformities/with narrow rib spaces
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To identify the proportion of patients developing Pulmonary Alveolar Interstitial Syndrome (PAIS) by LUS in women undergoing Operative Hysteroscopy with Intrauterine Fluid Irrigation.  Intraoperative period 
 
Secondary Outcome  
Outcome  TimePoints 
To study the proportion of patients requiring intraoperative and postoperative oxygen therapy with or without positive pressure (non-invasive or invasive ventilation) with FiO2 more than 0.4 to maintain saturation more than 94 percent.  Intraoperative and postoperative period 
To determine the proportion of patients requiring diuretic therapy.  Intraoperative and postoperative period 
To compare signs of Pulmonary Alveolar Interstitial Syndrome by Lung ultrasonography with chest auscultation.  Intraoperative period  
To determine the proportion of patients in whom Lung Ultrasonography is feasible till the end of the surgery.  Intraoperative period  
 
Target Sample Size   Total Sample Size="80"
Sample Size from India="80" 
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)   10/11/2024 
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="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
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   This is a prospective, observational, non-randamized, single-centre trial which aims to investigate the incidence of Pulmonary Alveolar Interstitial Syndrome (PAIS) using Lung Ultrasonography (LUS) during operative hysteroscopy. After obtaining necessary consent, eligible patients will be enrolled. Anesthesiologists will decide the type of anesthesia, and patients will be monitored continuously during surgery. LUS will be performed at regular intervals to detect PAIS, with images analyzed for B-lines indicating pulmonary fluid. The primary outcome is the detection of proportion of patients developing PAIS during the procedure by LUS. Secondary outcomes include detection of patients requiring oxygen therapy/diuretic therapy, compare signs between LUS and chest auscultation. 
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