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CTRI Number  CTRI/2026/02/104523 [Registered on: 23/02/2026] Trial Registered Prospectively
Last Modified On: 23/02/2026
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 evaluate changes in perfusion index in response to painful stimuli in patients undergoing gall bladder removal surgery under general anaesthesia 
Scientific Title of Study   A study to evaluate Perfusion index(PI) as a tool to assess analgesia during laparoscopic 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  Shubhada Bhagat  
Designation  Associate Professor  
Affiliation  Pt. B.D Sharma PGIMS Rohtak  
Address  Department of Anaesthesia,PGIMS Rohtak

Rohtak
HARYANA
124001
India 
Phone  9540927325  
Fax    
Email  shubhadabhagat56@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Ritu 
Designation  Post Graduate student  
Affiliation  Pt. B.D Sharma PGIMS Rohtak  
Address  Department of Anaesthesia,PGIMS Rohtak

Rohtak
HARYANA
124001
India 
Phone  8684881338  
Fax    
Email  Khatriritu2296@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Shubhada Bhagat  
Designation  Associate Professor  
Affiliation  Pt. B.D Sharma PGIMS Rohtak  
Address  Department of Anaesthesia,PGIMS Rohtak

Rohtak
HARYANA
124001
India 
Phone  9540927325  
Fax    
Email  shubhadabhagat56@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Dr Shubhada Bhagat  
Address  Department of anaesthesiology and critical care,Pt. B.D Sharma PGIMS Rohtak 
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 Shubhada Bhagat  Pt. B.D Sharma,PGIMS,Rohtak  Department of anaesthesia,PGIMS,Rohtak
Rohtak
HARYANA 
9540927325

shubhadabhagat56@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Biomedical Research Ethics Committee, PGIMS ROHTAK   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  Standard anaesthesia protocol along with 0.5 µg/kg of intravenous fentanyl will be given after 2nd port insertion in patients undergoing laparoscopic cholecystectomy.  Standard anaesthesia protocol will be given. In addition,0.5 µg/kg intravenous fentanyl will be given after 2nd port insertion. Changes in PI after painful stimuli at various time points will be noted. In addition to the above, changes in PI after additional analgesic administration after 2nd port insertion will be noted. 
Comparator Agent  Standard anaesthesia protocol without additional fentanyl will be administered to patients undergoing laparoscopic cholecystectomy.   Standard anaesthesia protocol will be given. No additional fentanyl will be given after 2nd port insertion. Changes in PI after painful stimuli at various time points will be noted. Changes in PI without additional fentanyl after 2nd port insertion will be noted. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  ASA I&II 
 
ExclusionCriteria 
Details  Chronic pain disorder
Neurological diseases, Peripheral vascular diseases, Hypertension ,Diabetes mellitus,Cardiovascular diseases, Psychiatric diseases, Refusal to consent  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To determine whether a statistically significant variation occur in perfusion index in response to painful stimuli and in response to analgesic administration in laparoscopic cholecystectomy under general anaesthesia.  P0: BaselineP1: Pre-inductionP2: Before intubationP3: After intubationP4: First port insertionP5: PneumoperitoneumP6: Second port insertion (fentanyl given in Group F)P7: Third port insertionP8: Fourth port insertionP9: 5 min after fourth portP10: 10 min after fourth portP11: 15 min after fourth portP12: 30 min after fourth port 
 
Secondary Outcome  
Outcome  TimePoints 
To determine if statistically significant changes in perfusion index occur with changes in HR and MAP  P0: BaselineP1: Pre-inductionP2: Before intubationP3: After intubationP4: First port insertionP5: PneumoperitoneumP6: Second port insertion (fentanyl given in Group F)P7: Third port insertionP8: Fourth port insertionP9: 5 min after fourth portP10: 10 min after fourth portP11: 15 min after fourth portP12: 30 min after fourth port. 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
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)   06/03/2026 
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="6"
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 prospective randomized controlled trial aims to evaluate changes in perfusion index (PI) as a tool to assess analgesia during laparoscopic cholecystectomy under GA. 40 patients belonging to ASA I and ASA II will be included in the study. Patients will be randomly allocated into 2 groups of 20 patients each. Group F will receive 0.5 mcg/kg of fentanyl after 2nd port insertion.  Group C (n=20) will receive anaesthesia as per standard protocol.  Primary outcome of the study is to determine whether a statistically significant variation occurs in perfusion index in response to painful stimuli and in response to analgesic administration in laparoscopic cholecystectomy under general anaesthesia.  Secondary outcome of this study is to determine if statistically significant changes in PI occurs with changes in HR and MAP. 
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