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CTRI Number  CTRI/2025/04/085821 [Registered on: 28/04/2025] Trial Registered Prospectively
Last Modified On: 26/04/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Single Arm Study 
Public Title of Study   Accuracy of plethysmography derived blood pressure  
Scientific Title of Study   Accuracy of plethysmography derived blood pressure -A prospective observational 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  Kushi TS 
Designation  Post graduate 
Affiliation  K S Hegde Medical Academy 
Address  Department of anaesthesia and ot technology, KS Hegde medical academy, Deralaktte mangalore

Dakshina Kannada
KARNATAKA
575018
India 
Phone  7892874910  
Fax    
Email  kushishivappa@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sripada G Mehandale 
Designation  Professor and HOD 
Affiliation  K S Hegde Medical Academy 
Address  Department of anaesthesiology and critical care, KS Hegde medical academy, Deralakatte Mangauru

Dakshina Kannada
KARNATAKA
575018
India 
Phone  9448384310  
Fax    
Email  sripadamehandale@nitte.edu.in  
 
Details of Contact Person
Public Query
 
Name  Kushi TS 
Designation  Post graduate 
Affiliation  K S Hegde Medical Academy 
Address  Department of anaesthesia and ot technology, KS Hegde medical academy, Deralaktte mangalore

Dakshina Kannada
KARNATAKA
575018
India 
Phone  7892874910  
Fax    
Email  kushishivappa@gmail.com  
 
Source of Monetary or Material Support  
K S Hegde Medical Academy, Deralakatte, Mangaluru, Karnataka 
 
Primary Sponsor  
Name  K S Hegde Medical Academy 
Address  Deralakatte, Mangaluru - 575018 
Type of Sponsor  Private 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 Sripada G Mehandale  Justice K S Hegde Charitable Hospital  Deralakatte, Mangaluru
Dakshina Kannada
KARNATAKA 
9448384310

sripadamehandale@nitte.edu.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: R098||Other specified symptoms and signsinvolving the circulatory and respiratory systems,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  95.00 Year(s)
Gender  Both 
Details  Adult Patients
Undergoing General Anaesthesia
Requiring IBP Monitoring  
 
ExclusionCriteria 
Details  Refusal To Consent
Peripheral Vascular Disease
Pre-Operative BP Beyond Normal Range
Hypothermia
Artefacts Affecting BP Monitoring 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To Find Out The Systolic Blood Pressure With The Help Of Plethysmography and Compare
Plethysmography Derived Blood pressure With systolic blood pressure Derived From Invasive
Blood Pressure 
Intra Operative Period 
 
Secondary Outcome  
Outcome  TimePoints 
Compare Plethysmography Derived Blood Pressure With Systolic Blood Pressure Derived From
Non-invasive Blood Pressure 
Intra-Operative Period 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
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)   08/05/2025 
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="0"
Months="6"
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   The initial appearance of the plethysmograph waveform can serve as an early indicator of systolic blood pressure (SBP) when a non-invasive blood pressure (NIBP) cuff is deflated after being inflated beyond the point of detectable pulsatile blood flow in the downstream limb, provided both the pulse oximeter and the NIBP cuff are applied on the same limb. This approach can be helpful for quickly estimating SBP even before it is formally displayed on the monitor. In the operating room, several factors particularly motion artifacts such as shivering, patient movement, or positional changes can affect the accuracy of the final NIBP reading. Therefore, the reappearance of the plethysmograph waveform on the pulse oximeter, when both devices are used on the same limb, can provide a rapid and practical indication of blood pressure, especially in situations requiring prompt clinical response. This study aims to assess the accuracy of measuring systolic BP by correlating it with the NIBP cuff pressure at the moment the plethysmograph waveform reappears on the pulse oximeter.  
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