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CTRI Number  CTRI/2025/07/091903 [Registered on: 28/07/2025] Trial Registered Prospectively
Last Modified On: 28/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Effects of binaural beat music and active noise cancellation on anxiety in laproscopic cholecystectomy in patients under GA 
Scientific Title of Study   To assess the effects of binaural beat music and active noise cancellation on anxiety and intraoperative anaesthetic requirements in patients undergoing laproscopic cholecystectomy under general anaesthesia. 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Nipunika Agrawal 
Designation  Postgraduate resident  
Affiliation  Himalayan Institute Of Medical Sciences  
Address  Department of Anaesthesia Himalayan institute of medical sciences Dehradun

Dehradun
UTTARANCHAL
248140
India 
Phone  6394147763  
Fax    
Email  Nipunika7@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Divya Gupta 
Designation  Professor  
Affiliation  Himalayan Institute of Medical Sciences  
Address  Department of Anaesthesia Himalayan institute of medical sciences Dehradun

Dehradun
UTTARANCHAL
248140
India 
Phone  9456570288  
Fax    
Email  Divyagupta@srhu.edu.in  
 
Details of Contact Person
Public Query
 
Name  Dr. Divya Gupta 
Designation  Professor 
Affiliation  Himalayan Institute of Medical Sciences  
Address  Department of Anaesthesia Himalayan institute of medical sciences Dehradun

Dehradun
UTTARANCHAL
248140
India 
Phone  9456570288  
Fax    
Email  Divyagupta@srhu.edu.in  
 
Source of Monetary or Material Support  
Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Jolly grant, Dehradun  
 
Primary Sponsor  
Name  Swami Rama Himalayan University  
Address  Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Jolly Grant, Dehradun, 248140 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
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 Divya Gupta  Himalayan institute of medical sciences   1st floor department of Anaesthesiology, main building, Himalayan institute of medical sciences, Swami Rama Himalayan university Dehradun UTTARAKHAND
Dehradun
UTTARANCHAL 
9456570288

Divyagupta@srhu.edu.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Board, SRHU, jolly grant , Dehradun  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K800||Calculus of gallbladder with acutecholecystitis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Active noise cancellation   Headphones attached with active noise cancellation only with general anesthesia 
Comparator Agent  Music with noise cancellation   Headphones attached with Active noise cancellation with binaural beat music with general anesthesia  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Either sex, patients in age group of 18 to 60 years, ASA grade 1 or 2, undergoing elective laproscopic cholecystectomy requiring general anaesthesia with LMA insertion, duration of surgery to be less than 120 minutes.  
 
ExclusionCriteria 
Details  ASA grade 3 or 4, patients less than 18 and more than 60 years, history of any psychiatric illness, patients with active URTI, MPG grade 3 or 4, anticipated difficult airway, obesity with BMI more than 30, patients with any ear deformity, infection, vertigo, tinnitus, hearing loss,
Patients with significant cardiovascular and respiratory diseases and renal diseases
Patients with GERD, pregnancy , cervical spine pathology
Patient giving negative consent for research 
 
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 study and compare effects of music and noise cancellation on intra operative anaesthetic drug requirements and post operative analgesic needs.   1- immediately after attachment of headphones after induction.
2-immediately before creation of pneumoperitoneum
3- throughout pneumoperitoneum
4-immediately before extubation
5- after extubation.
6- first call for need of analgesics 
 
Secondary Outcome  
Outcome  TimePoints 
To assess the effects of music on anxiety relief  State trait anxiety inventory-6 score calculation both preoperatively and post operatively  
 
Target Sample Size   Total Sample Size="90"
Sample Size from India="90" 
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 4 
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="7"
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   Preoperative anxiety is a common concern among surgical patients and can lead to increase anaesthetic requirements, delayed recovery and heightened peri operative complications. The topic investigates the effect of binaural beat music and active noise cancellation on anxiety levels and anaesthetic requirements in patients undergoing laproscopic cholecystectomy under general anaesthesia. The aim is to determine whether these non pharmacological interventions can reduce postoperative anxiety and lower  intraoperative anaesthetic consumption, potentially improving patient outcomes and enhancing perioperative care.

Aim and objective- 
1- to compare the effects of music with noise cancellation v/s active noise cancellation on intra operative anaesthetic drug requirements as well as post operative analgesic requirements on patients undergoing laproscopic cholecystectomy under general anaesthesia.
2-  to assess the effects of music with noise cancellation and active noise cancellation on the anxiety relief in each group of patients undergoing laparoscopic cholecystectomy under general anesthesia. 
 
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