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CTRI Number  CTRI/2025/09/095450 [Registered on: 29/09/2025] Trial Registered Prospectively
Last Modified On: 26/09/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   Comparison of three different methods- nebulisation with Dexmedetomidine, Inj Dexamethasone intravenously and intra-cuff Lignocaine, for the prevention of sore throat in the postoperative period for patients undergoing surgeries under general anaesthesia. 
Scientific Title of Study   Comparison of Nebulized Dexmedetomidine, Intravenous Dexamethasone and Intra-cuff Lignocaine for Prevention of Postoperative Sore Throat: A 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  Pranati Yerramilli 
Designation  Postgraduate 
Affiliation  SRM Medical College Hospital and Research Center 
Address  Department of Anaesthesiology, SRM Medical College Hospital and Research Center, Potheri, Kattankulathur

Kancheepuram
TAMIL NADU
603203
India 
Phone  9176370850  
Fax    
Email  pranatiyerramilli@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Venkatraman R 
Designation  Professor 
Affiliation  SRM Medical College Hospital and Research Center 
Address  Department of Anaesthesiolgy, SRM Medical Hospital and Research Center, Potheri, Kattankulathur

Kancheepuram
TAMIL NADU
603203
India 
Phone  9894581455  
Fax    
Email  drvenkat94@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Venkatraman R 
Designation  Professor 
Affiliation  SRM Medical College Hospital and Research Center 
Address  Department of Anaesthesiolgy, SRM Medical Hospital and Research Center, Potheri, Kattankulathur

Kancheepuram
TAMIL NADU
603203
India 
Phone  9894581455  
Fax    
Email  drvenkat94@gmail.com  
 
Source of Monetary or Material Support  
Department of Anaesthesiology, Potheri, Kattankulathur, Kancheepuram, 603203 
 
Primary Sponsor  
Name  SRM Medical College 
Address  Department of Anaesthesiology, SRM Medical College Hospital and Research Center, Potheri, Kattankulathur, Kancheepuram, 603203 
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 
Pranati Yerramilli  SRM Medical College Hospital   Room no 209, B block, second floor, Department of Anaesthesiology, SRM Medical College Hopital and Research Center, Potheri, Kattankulathur, Kancheepuram, 603203
Kancheepuram
TAMIL NADU 
9176370850

pranatiyerramilli@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SRM Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Intra cuff Lignocaine  Cuff of endotracheal tube will be inflated with lignocaine 
Comparator Agent  Intravenous Dexamethasone  Dexamethasone 8mg IV will be given 30 min after intubation. 
Intervention  Nebulization with Dexmedetomidine  Nebulization with dexmedetomidine given 15 min before induction of anaesthesia. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  ASA PS 1 and 2
Patients undergoing elective surgeries under general anaesthesia with endotracheal intubation
Duration of surgery more than one hour
Normal BMI 
 
ExclusionCriteria 
Details  Patients with history of respiratory diseases or Diabestes
History of smoking in last one week
Allergy to local anaesthetic agent
Surgeries in prone position
Patient refusal 
 
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 
Incidence and severity of post operative sore throat  Assessed at 2, 6, 12 and 24 hours in the postoperative period 
 
Secondary Outcome  
Outcome  TimePoints 
Incidence of postoperative nausea and vomiting  Upto 12 hours in postoperative period 
Intraoperative blood Pressure and Heart rate monitoring  Monitored at 15 minute intervals intraoperatively 
 
Target Sample Size   Total Sample Size="105"
Sample Size from India="105" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="0" 
Phase of Trial   N/A 
Date of First Enrollment (India)   07/10/2025 
Date of Study Completion (India) 03/11/2025 
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 Applicable 
Recruitment Status of Trial (India)  Completed 
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   After obtaining institutional ethical and CTRI approval, and  obtaining patient consent, patients undergoing elective surgeries under general anaesthesia will be divided into 3 groups by computer generated random numbers and sealed envelope method. General anaesthesia is standardized, all patients will receive T Alprazolam 0.25mg as premedication on night prior to surgery. Intraoperatively all monitors will be attached, patients will be induced with Inj Fentanyl 2mcg/kg, Inj Propofol 2mg/kg, Inj Vecuronium 0.1mg/kg and intubated with appropriate size endotracheal tube. Intraoperative pain management with Inj Paracetamol 1g and additional doses of Inj Fentanyl.

Group N- Nebulized Dexmedetomidine
- These patients will receive nebulization with dexmedetomidine 50mcg along with 1.5ml of saline 15 min before induction
- Distilled water will be injected into the cuff of the ETT to obtain minimal occlusive volume
- 2ml saline will be given IV 30 min after intubation

Group D- Intravenous Dexamethasone
- These patients will receive nebulization with 2ml saline 15 min before induction
- Distilled water will be injected into the cuff of the ETT to obtain minimal occlusive volume
-Inj Dexamethasone 8mg IV will be given 30 min after intubation

Group T- Intra-cuff Lignocaine
-These patients will receive nebulization with 2ml saline 15 min before induction
- The cuff of the ETT will be inflated with 2 percent Lignocaine to obtain minimal occlusive volume and intra-cuff pressure will be maintained between 20-30 cm of water
-2ml saline will be given IV 30 min after intubation

A second anaesthetist will monitor the patient throughout the procedure and assess the outcomes.

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