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CTRI Number  CTRI/2025/08/092868 [Registered on: 12/08/2025] Trial Registered Prospectively
Last Modified On: 12/08/2025
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   A study to find out if using noise-cancelling headphones during hip replacement surgery helps reduce pain after surgery 
Scientific Title of Study   Effect of noise cancellation headphones during total hip arthroplasty under spinal anaesthesia on postoperative pain; a randomized trial controlled 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  Arun Prasannan 
Designation  Post Graduate Student  
Affiliation  Maulana Azad Medical College  
Address  Room Number 415, BL Taneja Block, 4th Floor, Unit 3, Department of Anesthesiology, Maulana Azad Medical College

Central
DELHI
110002
India 
Phone  8590501366  
Fax    
Email  arun.prasannan1997@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr. Anju Romina Bhalotra 
Designation  Director Professor  
Affiliation  Maulana Azad Medical College  
Address  Room Number 415, BL Taneja Block, 4th Floor, Unit 3, Department of Anesthesiology, Maulana Azad Medical College

Central
DELHI
110002
India 
Phone  9968604219  
Fax    
Email  drakgk@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Arun Prasannan 
Designation  Post Graduate Student  
Affiliation  Maulana Azad Medical College  
Address  Room Number 415, BL Taneja Block, 4th Floor, Unit 3, Department of Anesthesiology, Maulana Azad Medical College

Central
DELHI
110002
India 
Phone  8590501366  
Fax    
Email  arun.prasannan1997@gmail.com  
 
Source of Monetary or Material Support  
Maulana Azad Medical College, 2, Bahadur Shah Zafar Marg, near Delhi Gate, Balmiki Basti, New Delhi, Delhi, 110002 
 
Primary Sponsor  
Name  Maulana Azad Medical College  
Address  JLN Marg, New Delhi, 110002 
Type of Sponsor  Government 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 Arun Prasannan   Lok Nayak Hospital  Room Number 415, Unit 3, Department of Anesthesiology, BL Taneja Block, 4th Floor
Central
DELHI 
8590501366

arun.prasannan1997@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Maulana Azad Medical College and Associated Hospitals, New Delhi  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  No headphones (standard care)  Spinal anaesthesia without headphones. 
Intervention  Noise cancellation headphones   Spinal anaesthesia + noise-cancelling headphones till end of surgery 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Patients aged 18 to 65 years with American Society of Anaesthesiologists (ASA) physical status I to III. 
 
ExclusionCriteria 
Details  Patients with hearing impairment or use of hearing aids; chronic pain syndromes or regular opioid analgesic use in the last three months; neurological disorders including dementia, Parkinson’s disease, or stroke; psychiatric illness such as major depression, schizophrenia, or severe anxiety; contraindications to spinal anaesthesia such as coagulopathy, infection at injection site, or spinal deformities; BMI greater than 35 kg/m²; uncontrolled cardiovascular disease such as severe hypertension, recent myocardial infarction, or heart failure. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Difference between mean of highest pain scores in the first 24 hours after surgery, measured using a 11-point numeric rating scale (NRS)in both groups.  First 24 hours after surgery. 
 
Secondary Outcome  
Outcome  TimePoints 
Mean post operative pain scores using NRS at 4, 8, 12, and 24 hours after surgery.  4, 8, 12, and 24 hours after surgery. 
Mean time to requirement of first postoperative analgesic.  Within first 24 hours after surgery. 
Mean analgesic consumption over first 24 hrs postoperatively.  First 24 hours after surgery. 
Mean duration of sensory blockade and motor blockade of spinal anaesthesia.  From administration of spinal anaesthesia until complete recovery of sensory and motor function. 
Mean quality of Recovery -15 (QoR- 15) scores at 24 hours.  24 hours after surgery. 
Mean intraoperative Bispectral Index Scores (BIS).  During intraoperative period. 
 
Target Sample Size   Total Sample Size="70"
Sample Size from India="70" 
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)   01/09/2025 
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="1"
Months="0"
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   Single-blind, randomized controlled pilot study of 70 adults undergoing elective total hip arthroplasty under spinal anaesthesia to assess the effect of noise-cancellation headphones on postoperative pain. Primary outcome: highest NRS pain score in first 24 h. Secondary outcomes: pain scores at set intervals, time to first analgesic, total analgesic use, sensory/motor block duration, QoR-15 at 24 h, and intraoperative sedation. 
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