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CTRI Number  CTRI/2025/10/095983 [Registered on: 13/10/2025] Trial Registered Prospectively
Last Modified On: 12/10/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Prospective crossover study 
Study Design  Other 
Public Title of Study   Effect of head-down position on brain activity in patients undergoing surgery under general anaesthesia. 
Scientific Title of Study   Effect of trendelenburg position on bispectral index in patients undergoing surgery under general anaesthesia - a prospective crossover 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 Harshitha bhargav N 
Designation  MD anaesthesiology and pain relief 
Affiliation  Kidwai memorial institute of oncology. 
Address  No.2363 , 2nd A main road , 2nd cross , vivekanandanagar , Bangarpet , Kolar didtrict.
No.750,Booravalli,7th Cross HBCS, Kempegowda BSK 3rd Stage Kathriguppe
Kolar
KARNATAKA
563114
India 
Phone  9972017658  
Fax    
Email  harshithabhargavhbn@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Arathi B H 
Designation  Professor of Anaesthesiology 
Affiliation  Kidwai memorial institute of oncology. 
Address  Dr. M H Marigowda road ,Lakkasandra ,Hombegowda Nagar, Bengaluru,Karnataka.

Bangalore
KARNATAKA
560029
India 
Phone  9845285207  
Fax    
Email  arathibh@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Arathi B H 
Designation  Professor of Anaesthesiology 
Affiliation  Kidwai memorial institute of oncology. 
Address  Dr. M H Marigowda road ,Lakkasandra ,Hombegowda Nagar, Bengaluru,Karnataka.

Bangalore
KARNATAKA
560029
India 
Phone  9845285207  
Fax    
Email  arathibh@gmail.com  
 
Source of Monetary or Material Support  
KIDWAI MEMORIAL INSTITUTE OF ONCOLOGY BANGALORE  
 
Primary Sponsor  
Name  DR HARSHITHA BHARGAV N 
Address  No.2363,2nd A MAIN ,2ND CROSS,VIVEKANANDANAGAR , BANGARPET,KOLAR,KARNATAKA,563114 
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 HARSHITHA BHARGAV N  KIDWAI MEMORIAL INSTITUTE OF ONCOLOGY BANGLORE  DEPARTMENT OF ANESTHESIOLOGY AND PAIN RELIEF OT BLOCK KIDWAI MEMORIAL INSTITUTE OF ONCOLOGY DR M H MARIGOWDA ROAD BANGALORE 560029
Bangalore
KARNATAKA 
9972017658

harshithabhargavhbn@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
MEDICAL ETHICS COMMITTEE,KIDWAI MEMORIAL INSTITUTE OF ONCOLOGY  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C00-D49||Neoplasms,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  0.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1.Patient belonging to ASA grade 1-2
2.Patient consenting to the procedure 
 
ExclusionCriteria 
Details  1.Patients with a history of neurological disease , a previous history of head injury , glaucoma and patients with uncontrolled hypertension.
2. Patients with history or allergy or contraindication to any anaesthetic drug .
3.Patients not consenting to the procedure. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To study the effect of Trendelenburg position on bispectral index in patients undergoing surgery under general anaesthesia.   5 minutes.  
 
Secondary Outcome  
Outcome  TimePoints 
To study the effect of Trendelenburg position on Systolic blood pressure, diastolic blood pressure, Mean arterial pressure, heart rate.   5 minutes.  
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
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)   27/10/2025 
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="2"
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 prospective cross-over study aims to compare BIS values in supine and Trendelenburg positions. After achieving adequate anesthetic depth for surgery, BIS values will be recorded in the supine position at 0, 1, 2, 3, 4, and 5 minutes, followed by similar recordings in the Trendelenburg position. The primary objective is to evaluate changes in BIS between the two positions and assess the effect of Trendelenburg position on BIS before surgical stimulus, while the secondary objective is to study the effect of Trendelenburg position  on systolic blood pressure ,diastolic blood pressure, mean arterial pressure , and heart rate .

 
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