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CTRI Number  CTRI/2025/07/092099 [Registered on: 31/07/2025] Trial Registered Prospectively
Last Modified On: 30/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Understanding how pulse monitor readings relate to pain after gallbladder surgery 
Scientific Title of Study   Correlation of the surgical pleth index with the postoperative pain in laparoscopic cholecystectomy an 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  Prajna Acharya 
Designation  Postgraduate student 
Affiliation  Manipal College Of Health Professions 
Address  Anaesthesia and operation theatre technology Programme 4th floor Manipal College of health professions Manipal Academy of Higher Education Manipal

Udupi
KARNATAKA
576104
India 
Phone  9606251417  
Fax    
Email  prajna.mchpmpl2024@learner.manipal.edu  
 
Details of Contact Person
Scientific Query
 
Name  Dr Meghna Rao 
Designation  Assistant Professor and Guide 
Affiliation  Kasturba Medical College and Hospital 
Address  Department of Anaesthesiology, Kasturba Medical College Hospital, Manipal

Udupi
KARNATAKA
576104
India 
Phone  8123506425  
Fax    
Email  meghna.rao@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Prajna Acharya 
Designation  Postgraduate student 
Affiliation  Manipal College Of Health Professions 
Address  Anaesthesia and operation theatre technology Programme 4th floor Manipal College of health professions Manipal Academy of Higher Education Manipal

Udupi
KARNATAKA
576104
India 
Phone  9606251417  
Fax    
Email  prajna.mchpmpl2024@learner.manipal.edu  
 
Source of Monetary or Material Support  
Kasturba Hospital, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India, PIN 576104 
 
Primary Sponsor  
Name  Prajna Acharya 
Address  Anaesthesia and Operation Theatre Technology Programme, 4th floor , Manipal College of Health Professions, Manipal Academy of Higher Education, Msnipal, Udupi district, Karnataka, India , PIN 576104 
Type of Sponsor  Other [Self] 
 
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 Meghna Rao  Kasturba Hospital   Operation Theatre Complex 1st floor Kasturba Hospital Manipal Karnataka India
Udupi
KARNATAKA 
8123506425

meghna.rao@manipal.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College and Kasturba Hospital Institutional Ethics Committee- 2 (Student Research)  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 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  Participants undergoing elective laparoscopic cholecystectomy under General Anaesthesia
ASA Physical Status 1 and 2
 
 
ExclusionCriteria 
Details  Participants with hypertension and antihypertensive medications especially beta blockers
Participants with long standing Diabetes Mellitus
Chronic smokers
Participants with significant dysrhythmias
Participants who receive neuraxial blockade before the surgery
Participants with implanted pacemaker
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To assess correlation of intraoperative SPI values with Postoperative pain scores in patients undergoing elective Laparoscopic Cholecystectomy under General Anaesthesia  Preoperative period, Intraoperative period and postoperative period 
 
Secondary Outcome  
Outcome  TimePoints 
Investigate the influence of patient’s demographic factors such as Age, Duration of surgery, comorbidities & intraoperative analgesic intervention on predictive capability of SPI on postoperative pain  On the day of surgery in Preoperative period, Intraoperative period & pain score in postoperative period once patients achieve RASS score of 0 or -1 at 5 minutes 15 minutes, 1 hour & 4 hours 
 
Target Sample Size   Total Sample Size="87"
Sample Size from India="87" 
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)   11/08/2025 
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="8"
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  

This prospective cross-sectional observational study titled Correlation of the Surgical Pleth Index with Postoperative Pain in Laparoscopic Cholecystectomy aims to examine the relationship between intraoperative Surgical Pleth Index (SPI) values recorded at six specific timepoints during elective laparoscopic cholecystectomy under general anesthesia and postoperative pain intensity. The primary objective is to assess whether intraoperative SPI levels correlate with postoperative pain scores. Secondary objectives include evaluating how demographic factors (age), duration of surgery, comorbidities, and intraoperative analgesic use influence this correlation. There is a notable gap in the literature, as no prior studies have assessed SPI at multiple intraoperative intervals in this surgical context. The findings could inform perioperative pain assessment and individualized analgesic strategies in a routinely performed surgical procedure

 
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