| CTRI Number |
CTRI/2025/12/098472 [Registered on: 04/12/2025] Trial Registered Prospectively |
| Last Modified On: |
02/12/2025 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Surgical/Anesthesia |
| Study Design |
Randomized, Parallel Group, Active Controlled Trial |
|
Public Title of Study
|
A study to find out whether a guided breathing technique during anaesthesia can lower the risk of lung problems after surgery in teenagers |
|
Scientific Title of Study
|
Comparison of Spirometry-Guided Tidal Volume and Conventional Ventilation on Postoperative Respiratory Complications in Adolescents Undergoing General Anaesthesia: A Randomized Controlled Trail |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Devalla Deva Datta |
| Designation |
Junior Resident - Academic |
| Affiliation |
AIIMS BIBINAGAR |
| Address |
Dept. of Anaesthesiology, All Institute of Medical Sciences, Bibinagar
Hyderabad Metropolitan Region
Hyderabad TELANGANA 508126 India |
| Phone |
8639753939 |
| Fax |
|
| Email |
devadattadevalla@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
CH Rama Krishna Prasad |
| Designation |
Associate Professor |
| Affiliation |
AIIMS BIBINAGAR |
| Address |
Dept. of Anaesthesiology, All Institute of Medical Sciences, Bibinagar
Hyderabad Metropolitan Region
Hyderabad TELANGANA 508126 India |
| Phone |
9885718133 |
| Fax |
|
| Email |
ramakrishna.chikkala19@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
CH Rama Krishna Prasad |
| Designation |
Associate Professor |
| Affiliation |
AIIMS BIBINAGAR |
| Address |
Dept. of Anaesthesiology, All Institute of Medical Sciences, Bibinagar
Hyderabad Metropolitan Region
Hyderabad TELANGANA 508126 India |
| Phone |
9885718133 |
| Fax |
|
| Email |
ramakrishna.chikkala19@gmail.com |
|
|
Source of Monetary or Material Support
|
| All India Institute of Medical Sciences, Bibinagar |
|
|
Primary Sponsor
|
| Name |
All India Institute of Medical Sciences, Bibinagar |
| Address |
All India Institute of Medical Sciences, Bibinagar, Hyderabad Metropolitan Region, Telangana |
| Type of Sponsor |
Government medical college |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Devalla Deva Datta |
All India Institute of Medical Sciences, Bibinagar |
Room number G35 and G36, Operation Theater Complex, Department of Anaesthesiology, All India Institute of Medical Sciences, Bibinagar, Hyderabad Metropolitan Region Hyderabad TELANGANA |
8639753939
devadattadevalla@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institutional Ethics Committee(AIIMS BBN_IEC |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: O||Medical and Surgical, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
Conventional Ventilation |
Standard fixed Tidal Volume of 8-10ml/kg Body Weight. Routine ventilation as per institutional protocol |
| Intervention |
Spirometry-Guided Tidal Volume Ventilation |
Use Spirometry values for Tidal Volume. Routine ventilation as per institutional protocol |
|
|
Inclusion Criteria
|
| Age From |
10.00 Year(s) |
| Age To |
19.00 Year(s) |
| Gender |
Both |
| Details |
ASA 1 and 2 patients coming for GA lasting at least for 1 hour |
|
| ExclusionCriteria |
| Details |
patients undergoing emergency surgeries, ASA grade more than 3, CDC growth charts BMI less than 5th percentile and more than 85th percentile, patients with any history of previous lung surgery, persistent hemodynamic instability, history of chronic/acute disease, patient with any neuromuscular disease |
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
|
Blinding/Masking
|
Open Label |
|
Primary Outcome
|
| Outcome |
TimePoints |
| Incidence and degree of atelectasis |
Incidence and degree of atelectasis |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| Post-anaesthesia recovery |
Modified Aldrete score will be recorded at 1 hour and 6 hours in the PACU |
| Postoperative respiratory complications |
Defined and classified according to European Perioperative Clinical Outcome (EPCO) criteria, including: respiratory infection, respiratory failure, pleural effusion, atelectasis, bronchospasm, and aspiration pneumonitis. Assessments will be carried out at immediate postoperative period, 24 hours, 48 hours, and 72 hours |
|
|
Target Sample Size
|
Total Sample Size="102" Sample Size from India="102"
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)
|
13/12/2025 |
| 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
|
This randomized controlled study investigates whether using spirometry-guided tidal volume can offer superior perioperative lung protection compared with conventional weight-based tidal volume ventilation in adolescents undergoing general anaesthesia. By individualizing ventilation based on each patient’s spirometric capacity, the study aims to reduce intraoperative atelectasis, improve lung aeration as assessed by Lung Ultrasound Score, and ultimately lower the incidence of postoperative respiratory complications, potentially establishing a more physiologically precise approach to adolescent perioperative ventilation. |