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CTRI Number  CTRI/2025/02/080198 [Registered on: 10/02/2025] Trial Registered Prospectively
Last Modified On: 10/02/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   COMPARISON OF TWO DRUGS NEBULIZATION IN REDUCING HEART RATE AND BLOOD PRESSURE RESPONSE TO PNEUMOPERITONIUM DURING SHORT DURATION GYNEACOLOGICAL LAPAROSCOPIC SURGERIES 
Scientific Title of Study   COMPARISON OF LIGNOCAINE VS DEXMEDETOMIDINE NEBULIZATION IN ATTENUATING PRESSOR RESPONSE TO PNEUMOPERITONIUM DURING SHORT DURATION GYNEACOLOGICAL LAPAROSCOPIC SURGERIES -A DOUBLE BLIND RANDOMIZED COMPARATIVE STUDY 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr SAINATH T 
Designation  MD student 
Affiliation  Mahatma Gandhi medical College and research institute 
Address  Department of Anesthesiology, Mahatma Gandhi Medical College and Research Institute, SBV Pondicherry Campus, Pillayarkuppam, Puducherry Pondicherry,India

Pondicherry
PONDICHERRY
607402
India 
Phone  8500047800  
Fax    
Email  sainathsuniverse@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr GAYATRI MISHRA 
Designation  Professor and guide 
Affiliation  Mahatma Gandhi medical College and research institute 
Address  Department of Anesthesiology, Mahatma Gandhi Medical College and Research Institute, SBV Pondicherry Campus, Pillayarkuppam, Puducherry Pondicherry India

Pondicherry
PONDICHERRY
607402
India 
Phone  9894354068  
Fax    
Email  drgayatrimishra@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr GAYATRI MISHRA 
Designation  Professor and guide 
Affiliation  Mahatma Gandhi medical College and research institute 
Address  Department of Anesthesiology, Mahatma Gandhi Medical College and Research Institute, SBV Pondicherry Campus, Pillayarkuppam, Puducherry Pondicherry India

Pondicherry
PONDICHERRY
607402
India 
Phone  9894354068  
Fax    
Email  drgayatrimishra@gmail.com  
 
Source of Monetary or Material Support  
Mahatma Gandhi Medical College and Research Institute, SBV Pondicherry campus, Pillaiyarkuppam, Puducherry- 607402, India 
 
Primary Sponsor  
Name  Dr SAINATH T 
Address  Mahatma Gandhi Medical College and Research Institute, SBV Pondicherry campus, Pillaiyarkuppam, Puducherry- 607402, India 
Type of Sponsor  Other [SELF] 
 
Details of Secondary Sponsor  
Name  Address 
Dr GAYATRI MISHRA   Mahatma Gandhi Medical College and Research Institute, SBV Pondicherry campus, Pillaiyarkuppam, Puducherry- 607402, India 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Sainath T  Mahatma Gandhi medical college and research institute  Department of Anesthesiology, A Block, second floor
Pondicherry
PONDICHERRY 
8500047800

sainathsuniverse@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Human Ethics Committee of Mahatma Gandhi Medical College and Research Institute, Puducherry  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: 4||Measurement and Monitoring,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NEBULIZATION 4% LIGNOCAINE  Patient will be started on 1.5mg/kg body weight of 4% Lignocaine nebulization diluted in 0.9% NaCl solution to make total volume of 5ml for 20mins, for a duration of 15 months from IHEC approval  
Comparator Agent  NEBULIZATION DEXMEDITOMEDINE  Patient will be started on neb Dexmedetomidine at a dose of 1mcg/kg body weight diluted in 0.9% NaCl solution making total volume of 5ml for 20 mins, for a duration of 15 months from IHEC approval 
Intervention  NEBULIZATION WITH 4% LIGNOCAINE OR DEXMEDITOMEDINE   Patient will be started on nebulization of either mentioned drugs for over 20 mins after noting baseline hemodynamic, for a duration of 15 months from IHEC approval  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Female 
Details  1. American society of anesthesiologists patient status (ASA PA) 1 and 2
2. Surgery duration less than 3 hours  
 
ExclusionCriteria 
Details  1. emergency cases
2. patients with decreased autonomic control such as uncontrolled diabetic patients
3. Anosmia, allergic rhinitis
4. patients with preoperative hypotension, bradycardia, dysrhythmia, severe cardiac diseases, complete heart block
5. patient with sinus bradycardia with HR lessthan 50/min, patient taking beta blockers, hepatic or renal dysfunction, obese patients with (BMI more than 30kg/sq meter)
6. patients with history of sleep apnea
7. Known allergy to either of the study drug will be excluded from the study.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
To measure and compare the mean arterial pressure variation due to pneumoperitoneum between the two study groups.  15 months 
 
Secondary Outcome  
Outcome  TimePoints 
1.To measure and compare the heart rate, blood presure variation due to pneumoperitoneum between the two study groups
2. To compare the intra operative opioid requirement in the two study groups.
3. To measure and compare recovery time in the two study groups.

4.To compare the post operative pain scores using VNRS score in the two groups. 
15 months 
 
Target Sample Size   Total Sample Size="66"
Sample Size from India="66" 
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   Phase 2 
Date of First Enrollment (India)   26/02/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  26/02/2025 
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)   Not Applicable 
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   This is randomised double blinded trail comparing pressor response attenuation efficiency of nebulization 4% lignocaine and nebulization dexmeditomedine in patients undergoing short duration laparoscopic surgery in 66 patients who are ASA 1 and ASA 2 physical status for the duration of 15 months. This study will be conducted in Mahatma Gandhi medical College and research institute, pondicherry, India. Primary outcome - to measure and compare mean arterial pressure variations due to pneumoperitonium between two study groups. Secondary outcome - To measure and compare intra op heart rate, blood pressure, opioid requirement and post operative pain score variations between two study groups. 
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