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CTRI Number  CTRI/2025/11/097461 [Registered on: 14/11/2025] Trial Registered Prospectively
Last Modified On: 13/11/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   Comparison of hemodynamic profile between intravenous anaesthesia and intravenous plus gas anesthetic agents anaesthesia in patients with ear nose throat surgeries 
Scientific Title of Study   Comparison of hemodynamic profile betweenTarget control infusion(tci)- totalintravenous anaesthesia(tiva) and balanced inhalational anaesthesia in otorhinolaryngology surgeries 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
Nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Vrinda Mariam Lukose 
Designation  Junior Resident 
Affiliation  Shimoga Institute Of Medical Sciences 
Address  Shimoga Institute Of Medical Sciences Department of Anaesthesiology Sagar Road Mission Compound Shivamogga Karnataka

Shimoga
KARNATAKA
577201
India 
Phone  9744295790  
Fax    
Email  vrindamariamlukose@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Kumara A B 
Designation  Associate Professor 
Affiliation  Shimoga Institute Of Medical Sciences 
Address  Department Of Anaesthesiology Shimoga Institute Of Medical Sciences Shivamogga

Shimoga
KARNATAKA
577201
India 
Phone  8861958933  
Fax    
Email  kumarab_bmc@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Dr Kumara A B 
Designation  Associate Professor 
Affiliation  Shimoga Institute Of Medical Sciences 
Address  Department Of Anaesthesiology Shimoga Institute Of Medical Sciences Shivamogga

Shimoga
KARNATAKA
577201
India 
Phone  8861958933  
Fax    
Email  kumarab_bmc@yahoo.co.in  
 
Source of Monetary or Material Support  
Shimoga Institute Of Medical Sciences Shivamogga Karnataka 
 
Primary Sponsor  
Name  Shimoga Institute Of Medical Science 
Address  Shimoga Institute Of Medical Science Sagar Road Mission Compound Shivamogga Karnataka India 577201 
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 Vrinda Mariam Lukose  McGann District Teaching Hospital  Department Of Anaesthesiology Major OT Complex Room No 334 McGann District Teaching Hospital Shivamogga
Shimoga
KARNATAKA 
9744295790

vrindamariamlukose@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee(IEC) SIMS  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H60-H95||Diseases of the ear and mastoid process, (2) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  ARCOMED pumps   Induction with fentanyl Propofol Vecuronium followed by maintenance with Remifentanil Propofol via ARCOMED pumps for target controlled infusion total intravenous anaesthesia  
Comparator Agent  Conventional balanced inhalational anaesthesia  Induction with Fentanyl(2microgram/kg IV) Propofol(1.5 to 2mg/kg IV) Vecuronium(0.1mg/kg IV) followed by maintenance with Sevoflurane(1 to 2% for maintaining MAC 0.9) for 120 minutes  
Comparator Agent  Target Control Infusion Total Intravenous Anaesthesia   Induction with Fentanyl(2microgram/kg IV) Propofol(1.5 to 2mg/kg IV) Vecuronium(0.1mg/kg IV) followed by maintenance with Remifentanil(0.05 to 0.2 microgram/kg/min) Propofol(1.5 to 2mg/kg) via Target Controlled Infusion for 120 minutes 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patients undergoing otorhinolaryngology surgeries that require general anaesthesia with target control infusion total intravenous anaesthesia and balanced anaesthesia
American Society of Anesthesiologist physical status 1 and 2  
 
ExclusionCriteria 
Details  Patients with known case of hypertension renal or hepatic disease
Patients with BMI more than 35
Patients on drugs that influence intraoperative hemodynamic stress response
Patients who are allergic to any drugs  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Patients heart rate,systolic blood pressure,diastolic blood pressure,mean arterial blood pressure and end tidal carbon dioxide at the time of induction,during the maintenance phase at 5,10,15,20,25,30 and 45 minutes initially followed by every 30 minutes till 2 hours.Hemodynamic variables will be recorded immediately after extubation and 5 minutes after extubation   T(0)-at intubation
T(1) at 5 minutes
T(2)-at 10 minutes
T(3)-at 15 minutes
T(4)-at 20 minutes
T(5)-at 25 minutes
T(6) -at 30 minutes
T(7)-at 45 minutes
T(8)-at 60 minutes
T(9)-at 90 minutes
T(10)-at 120 minutes
T(E)-immediately after extubation
T(E 5)-5 minutes after extubation  
 
Secondary Outcome  
Outcome  TimePoints 
Postoperative visual analogue score at 1 and 2 hours   T(1) -at 1 hour
T(2)-at 2 hours 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
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)   01/12/2025 
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   Comparison of hemodynamic parameters and perioperative outcomes between two anaesthesia techniques Remifentanil Propofol based  target control infusion total intravenous anaesthesia and Fentanyl Sevoflurane balanced inhalational anaesthesia in otorhinolaryngology surgeries 
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