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CTRI Number  CTRI/2025/08/093693 [Registered on: 26/08/2025] Trial Registered Prospectively
Last Modified On: 22/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Other 
Public Title of Study   A study in adult women undergoing laparoscopic hysterectomy to compare the effects of intravenous fentanyl and intravenous nalbuphine on blood pressure, pain relief, and side effects during and after surgery. 
Scientific Title of Study   A single- centre, prospective, observational, two arm study to compare effects of intravenous fentanyl with intravenous nalbuphine for laparoscopic hysterectomy in terms of intraoperative hemodynamics, postoperative analgesia and postoperative side-effects. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Shilpa Tiwaskar 
Designation  Consultant Anaesthesiologist  
Affiliation  Bhaktivedanta Hospital and Research Institute 
Address  OPD No. 1, D Wing, Department of Anesthesia, Second Floor, Bhaktivedanta SwamiMarg, Sector 6, Srishti Complex, Mira Road East, Thane, Maharashtra, India 401107.

Thane
MAHARASHTRA
401107
India 
Phone  9820067137  
Fax    
Email  drtiwaskar@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Shilpa Tiwaskar 
Designation  Consultant Anaesthesiologist  
Affiliation  Bhaktivedanta Hospital and Research Institute 
Address  OPD No. 1, D Wing, Department of Anesthesia, Second Floor, Bhaktivedanta SwamiMarg, Sector 6, Srishti Complex, Mira Road East, Thane, Maharashtra, India 401107.

Thane
MAHARASHTRA
401107
India 
Phone  9820067137  
Fax    
Email  drtiwaskar@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Shilpa Tiwaskar 
Designation  Consultant Anaesthesiologist  
Affiliation  Bhaktivedanta Hospital and Research Institute 
Address  OPD No. 1, D Wing, Department of Anesthesia, Second Floor, Bhaktivedanta SwamiMarg, Sector 6, Srishti Complex, Mira Road East, Thane, Maharashtra, India 401107.

Thane
MAHARASHTRA
401107
India 
Phone  9820067137  
Fax    
Email  drtiwaskar@gmail.com  
 
Source of Monetary or Material Support  
Bhaktivedanta Hospital and Research Institute, Bhaktivedanta Swami Marg, Sector 6, Sector 2, SrishtiComplex, Mira Road East, Thane, Maharashtra, India 401107. 
 
Primary Sponsor  
Name  Bhaktivedanta Hospital and Research Institute 
Address  Bhaktivedanta Swami Marg, Sector 6, Sector 2, Srishti Complex, Mira Road East,Thane, Maharashtra, India 401107. 
Type of Sponsor  Research institution and hospital 
 
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 Poornima Raut  Bhaktivedanta Hospital and Research Institute  OPD No. 1, D Wing, Department of Anesthesia, Second Floor, Bhaktivedanta Swami Marg, Sector 6, Srishti Complex,Mira Road East, Thane, Maharashtra, India 401107
Thane
MAHARASHTRA 
9833525816

poornimaraut08@yahoo.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Bhaktivedanta Hospital Ethics Committee for Biomedical and Health Research   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  Nil  Nil 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Female 
Details  All ASA-I and ASA-II, female patients getting operated for laparoscopic hysterectomy and consenting to be part of study will be included. 
 
ExclusionCriteria 
Details  1. Grade ASA III and above patients
2. Patients not giving consent
3. Patients undergoing laparoscopic hysterectomy as a part of cytoreduction will be excluded from study.

 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To compare intraoperative hemodynamics, postoperative analgesia, and postoperative side effects (postoperative nausea and vomiting and respiratory distress) between patients receiving intravenous fentanyl and intravenous nalbuphine during laparoscopic hysterectomy."  Intraoperative hemodynamics, postoperative analgesia, and postoperative 15 minutes, 30 minutes, 45 minutes, 01 hour, 01 hour 15 minutes, 1 hour 30 minutes, 1 hour 45 minutes and 02 hours and 30 minutes post-oprative. side effects post-oprative nausea vomiting for 30 minutes, 1 hour, 2 hours and 03 hours. 
 
Secondary Outcome  
Outcome  TimePoints 
1. Comparison between Intra-operative Dose Requirement of Inj.Fentanyl and Inj.Nalbuphine to maintain stable Hemodynamics.
2. Comparison between patients on Inj.Fentanyl and Inj.Nalbuphine for Post-operative Rescue Analgesia Required.
 
Intraoperative hemodynamics, postoperative analgesia, and postoperative 15 minutes, 30 minutes, 45 minutes, 01 hour, 01 hour 15 minutes, 1 hour 30 minutes, 1 hour 45 minutes and 02 hours and 30 minutes post-oprative. side effects post-oprative nausea vomiting for 30 minutes, 1 hour, 2 hours and 03 hours. 
 
Target Sample Size   Total Sample Size="62"
Sample Size from India="62" 
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)   02/09/2025 
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="3"
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 is a single-centre, prospective, observational, two-arm, open-label study comparing intravenous fentanyl and intravenous nalbuphine in patients undergoing elective laparoscopic hysterectomy under general anaesthesia. A total of 62 ASA I–II female patients will be enrolled and allocated to receive either fentanyl or nalbuphine prior to induction. The study will evaluate intraoperative hemodynamic stability, postoperative analgesic efficacy, and the incidence of postoperative side effects, specifically nausea, vomiting, and respiratory distress. The findings aim to determine whether nalbuphine provides a safer and more effective alternative to fentanyl for perioperative analgesia in laparoscopic hysterectomy. 
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