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CTRI Number  CTRI/2016/12/007618 [Registered on: 23/12/2016] Trial Registered Retrospectively
Last Modified On: 15/12/2016
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   EVALUATION OF EFFECT OF BLOWING IN A PIPE CONNECTED WITH BLOOD PRESSURE MEASURING MACHINE FOR REDUCING PROPOFOL PAIN 
Scientific Title of Study   Evaluation of efficacy of valsalva manuever for attenuating propofol injection pain 
Trial Acronym  EVAPIP 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Sanjay kumar 
Designation  Assistant Professor 
Affiliation  Sanjay Gandhi Post Graduate Institute of Medical Sciences  
Address  Department of Anaesthesiology, SGPGIMS, Lucknow Type4/68 SGPGIMS Lucknow 226014 Lucknow UTTAR PRADESH 226014 India
Type4/68 SGPGIMS Lucknow UTTAR PRADESH 226014 India
Lucknow
UTTAR PRADESH
226014
India 
Phone  05222665528  
Fax  05222668017  
Email  drsanjaygupta9@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Sanjay kumar 
Designation  Assistant professor 
Affiliation  Sanjay Gandhi Post Graduate Institute of Medical Sciences  
Address  Department of Anaesthesiology, Sgpgims, Lucknow Type-4/68, Sgpgims, Lucknow-226014 India UTTAR PRADESH 226014 India
Type-4/68, SGPGIMS, Lucknow-226014 Lucknow UTTAR PRADESH 226014 India
Lucknow
UTTAR PRADESH
226014
India 
Phone  05222665528  
Fax  05222668017  
Email  drsanjaygupta9@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Sanjay kumar 
Designation  Assistant professor 
Affiliation  Sanjay Gandhi Post Graduate Institute of Medical Sciences  
Address  Department of Anaesthesiology, SGPGIMS, Lucknow Type-4/68, SGPGIMS, Lucknow-226014 UTTAR PRADESH 226014 India
Type-4/68, SGPGIMS, Lucknow-226014 Lucknow UTTAR PRADESH 226014 India
Lucknow
UTTAR PRADESH
226014
India 
Phone  05222665528  
Fax  05222668017  
Email  drsanjaygupta9@gmail.com  
 
Source of Monetary or Material Support  
Department of Anaesthesiology, Sanjay Gandhi Postgraduate Institute Of Medical Sciences Lucknow Uttar Pradesh India-226014  
 
Primary Sponsor  
Name  Sanjay Gandhi Postgraduate Institute Of Medical Sciences Lucknow Uttar Pradesh India  
Address  Department of Anaesthesiology Lucknow UTTAR PRADESH 226014 India  
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 Sanjay Kumar  Operation theatre complex, First floor,Department of Anaesthesiology SGPGIMS  Department of Anaesthesiology SGPGIMS, Lucknow-226014 Lucknow UTTAR PRADESH
Lucknow
UTTAR PRADESH 
8765974045
0522-2668017
drsanjaygupta9@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
IEC  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  healthy or mild functional limitation ,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Group I ( Control)   Acted as control and did not perform valsalva nor blew through a open tube.  
Intervention  Group II(Valsalva)   Group II(Valsalva) Patients were asked to blow into a rubber tubing connected to sphygmomanometer and raise the mercury column up to 30 mmHg for a period of at least 20 sec.just after finishing valsalva patients will be injected propofol  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  ASA I patients scheduled for surgery under general anaesthesia with propofol as an induction agent 
 
ExclusionCriteria 
Details  Patient refusal
Patients with communication problem
Cardiorespiratory disease
Chronic pain disorder, on preoperative analgesic medication,
History of egg allergy, soyabean oil
Inability to perform valsalva
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
To evaluate the analgesic efficacy of valsalva procedure in attenuating the propofol pain at induction of general anaesthesia  6 months 
 
Secondary Outcome  
Outcome  TimePoints 
nil  N/A 
 
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)   30/09/2015 
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 Applicable 
Recruitment Status of Trial (India)  Closed to Recruitment of Participants 
Publication Details   no 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   Aims and objectives:

Primary objective: To evaluate the efficacy of valsalva procedure in attenuating propofol injection pain at induction of general anaesthesia.

Methodology: Patients will be randomized with the help of a computer-generated table of random numbers into 2 groups of 40 each. Group I (Control): acted as control and did not perform valsalva; Group II (Valsalva): patients blowing into a rubber tubing connected to sphygmomanometer and raise the mercury column up to 30 mmHg for a period of at least 20 sec. Just after the intervention, all the patients will be receiving one-fourth of the total calculated dose of propofol over 5s and 15 s later till 1 minute and before the patients lost consciousness. One nursing staff who will be kept unaware of the study, will assess VAS and withdrawal response score.
Exclusion: Patients with communication problem, cardiorespiratory disease, chronic pain disorder, on preoperative analgesic medication, history of propofol allergy, history of drug abuse and inability to perform valsalva
Risks associated with the procedure are none as in ASA 1 patients; however, valsalva procedure has been reported to attenuate pain in animal studies and more so in humans for minimizing venous cannulation pain in adults and paediatric patients. We therefore wish to evaluate its efficacy in reducing the propofol injection pain. 
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