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CTRI Number  CTRI/2025/10/095935 [Registered on: 13/10/2025] Trial Registered Prospectively
Last Modified On: 11/10/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Prospective observational study 
Study Design  Other 
Public Title of Study   Comparing eye pupil size and pain scale for checking pain after spinal anaesthesia 
Scientific Title of Study   Comparative evaluation of visual analogue scale and pupillary diameter for postoperative pain assessment following spinal anaesthesia a prospective observational study 
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 Aravindh S 
Designation  Post Graduate Resident  
Affiliation  Sri Venkateshwaraa Medical College Hospital and Research Centre 
Address  Department of Anaesthesiology,Main OT complex,13-A, Pondy-Villupuram main road, Sri venkateshwaraa medical college hospital and research centre, Ariyur
13-A, Pondy-Villupuram main road, Sri venkateshwaraa medical college hospital and research centre, Ariyur
Pondicherry
PONDICHERRY
605102
India 
Phone  8056052549  
Fax    
Email  dr.aravindh97@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr.R.Krishnaprabu 
Designation  Head of the department 
Affiliation  Sri Venkateshwaraa Medical College Hospital and Research Centre 
Address  Department of Anaesthesiology,Main OT complex,13-A, Pondy-Villupuram main road, Sri venkateshwaraa medical college hospital and research centre, Ariyur
13-A, Pondy-Villupuram main road, Sri venkateshwaraa medical college hospital and research centre, Ariyur
Pondicherry
PONDICHERRY
605102
India 
Phone  9943770977  
Fax    
Email  drkrishnaprabu@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Aravindh S 
Designation  Post Graduate Resident  
Affiliation  Sri Venkateshwaraa Medical College Hospital and Research Centre 
Address  Department of Anaesthesiology,Main OT complex,13-A, Pondy-Villupuram main road, Sri venkateshwaraa medical college hospital and research centre, Ariyur
13-A, Pondy-Villupuram main road, Sri venkateshwaraa medical college hospital and research centre, Ariyur
Pondicherry
PONDICHERRY
605102
India 
Phone  8056052549  
Fax    
Email  dr.aravindh97@gmail.com  
 
Source of Monetary or Material Support  
Department of Anaesthesiology,Main OT complex,13-A, Pondy-Villupuram main road, Sri venkateshwaraa medical college hospital and research centre, Ariyur 
 
Primary Sponsor  
Name  Dr Aravindh S 
Address  Department of Anaesthesiology,Main OT complex,13-A, Pondy-Villupuram main road, Sri venkateshwaraa medical college hospital and research centre, Ariyur 
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 Aravindh S  sri Venkateshwara Medical College Hospital and research centre  Department of Anaesthesiology,Main OT complex,13-A, Pondy-Villupuram main road, Sri venkateshwaraa medical college hospital and research centre, Ariyur 13-A, Pondy-Villupuram main road, Sri venkateshwaraa medical college hospital and research centre, Ariyur
Pondicherry
PONDICHERRY 
8056052549

dr.aravindh97@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethics Committee ( Human Studies)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M00-M99||Diseases of the musculoskeletal system and connective tissue,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Patients aged between 18 and 65 years of either sex.
Patients scheduled to undergo lower abdominal surgical procedures under Spinal anaesthesia.
 
 
ExclusionCriteria 
Details  1. Patients receiving general anaesthesia /epidural analgesia.
2. Patients with ocular conditions affecting the iris, cornea, or retina.
3. Patients with psychiatric disorders or an inability to understand or use the Visual Analogue Scale (VAS) for pain assessment.
4. Patients who received Drugs that can alter pupillary diameter like
Anticholinergic agents: Atropine, Glycopyrrolate, Scopolamine
Sympathomimetic agents: Epinephrine, phenylephrine, ephedrine.
5. Pregnant patients
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Correlation between pupillary diameter and Visual Analogue Scale (VAS) scores for postoperative pain assessment at 4, 6, 8, 12, and 24 hours after spinal anaesthesia  Assessed at 4 hours, 6 hours, 8 hours, 12 hours , and 24 hours after spinal anaesthesia 
 
Secondary Outcome  
Outcome  TimePoints 
Association of haemodynamic parameters (heart rate, blood pressure) with changes in pupillary diameter and VAS scores at the same postoperative time points.  At 4, 6, 8, 12, and 24 hours after spinal anaesthesia 
 
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   N/A 
Date of First Enrollment (India)   22/10/2025 
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 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   This study aims to compare visual analogue scale with pupillary diameter for assessment of postoperative pain in patients undergoing lower abdominal surgeries under spinal anaesthesia It is a prospective observational study conducted on 90 patients Pain scores using visual analogue scale and pupillary diameter using handheld infrared pupillometer will be recorded at 4 6 8 12 and 24 hours after surgery along with haemodynamic parameters The correlation between pupillary diameter and visual analogue scale will be evaluated to determine if pupillometry can serve as an objective tool for pain assessment 
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