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CTRI Number  CTRI/2026/02/103383 [Registered on: 09/02/2026] Trial Registered Prospectively
Last Modified On: 09/05/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Two techniques of pain relief to reduce shoulder tip pain after gall bladder surgery. 
Scientific Title of Study   Comparison of Pulmonary recruitment manoeuvre and ultrasound-guided intermediate cervical plexus block in attenuating post-laparoscopic shoulder tip pain under general anaesthesia 
Trial Acronym  Comparison of Pulmonary Recruitment manoeuvre and ultrasound guided Intermediate cervical plexus block in attenuating post operative shoulder tip pain under General Anaesthesia  
Secondary IDs if Any  
Secondary ID  Identifier 
U1111-1333-8594  UTN 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Neha Jaiswal  
Designation  Junior resident  
Affiliation  Teerthankar mahaveer medical College moradabad uttar Pradesh  
Address  Room No 204 Dept of Anesthesia teerthankar mahaveer medical College and Research centre N.H 24 Delhi road Moradabad-244001 Uttar Pradesh

Moradabad
UTTAR PRADESH
244001
India 
Phone  8319139802  
Fax    
Email  nehajjj769@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DrMukesh kumar Prasad  
Designation  HOD and professor 
Affiliation  Teerthankar mahaveer medical College  
Address  Room no 204 Dept of Anaesthesia teerthankar mahaveer medical College and Research centre

Moradabad
UTTAR PRADESH
24401
India 
Phone  919837624543  
Fax    
Email  mukeshkumar2002@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DrMukesh kumar Prasad  
Designation  HOD and professor 
Affiliation  Teerthankar mahaveer medical College  
Address  Room no 204 Dept of Anaesthesia teerthankar mahaveer medical College and Research centre

Moradabad
UTTAR PRADESH
24401
India 
Phone  919837624543  
Fax    
Email  mukeshkumar2002@gmail.com  
 
Source of Monetary or Material Support  
Nil 
 
Primary Sponsor  
Name  Teerthankar mahaveer medical College  
Address  Room no. 1, Surgery Operation Theatre, Department of Anaesthesia, Teerthankar Mahaveer Medical College, Moradabad – 244001, Uttar Pradesh, India 
Type of Sponsor  Private medical college 
 
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 Mukesh Kumar Prasad   Teerthankar mahaveer medical College   Room no 204 Teerthankar mahaveer medical College NH 24 Delhi Moradabad Highway Moradabad Uttar Pradesh Teerthankar mahaveer medical College moradabad uttar Pradesh
Moradabad
UTTAR PRADESH 
9837624543

mukeshprasad2002@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE TEERTHANKAR MAHAVEER UNIVERSITY MORADABAD  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 
Comparator Agent  Pulmonary recruitment maneuvers  After surgery before extubation, pulmonary recruitment maneuvers given with 5 manual inflation to the maximum pressure of 40cm of H20 at Fio2 100% for 1 minute and monitored till 24 hours. 
Intervention  Ultrasound-guided intermediate cervical plexus block   An intermediate cervical plexus block given with 0.2% ropivacaine 10ml after surgery and monitored till 24 hours. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Patient giving written and informed consent.
Patient scheduled for elective laparoscopic cholecystectomy
Adults 18-65 years
American Society of Anesthesiologists physical status (ASA) grade I-II 
 
ExclusionCriteria 
Details  chronic shoulder or epigastric pain.
previous lung or shoulder surgery.
previous Pneumothorax
BMI more than 30
pregnency 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
To compare duration of analgesia in both groups.
To compare numeric rating score
For pain in both groups in post operative period. 
Data will be recorded at baseline, at the end of surgery after 15min, 30min, 60min, 2 hrs, 6hrs, 12 hrs and 24 hrs 
 
Secondary Outcome  
Outcome  TimePoints 
To compare hemodynamic changes in both groups.
To compare time taken to achieve modified aldrete score 9-10. 
Data will be recorded at the baseline, at the end of surgery immediately after & than 2min, 3min, 4min, 5min, 10min, 15min,20min, 1hour, 2 hour, 3hour, 6hour, 12 hour, 18 hour & 24 hours. 
 
Target Sample Size   Total Sample Size="70"
Sample Size from India="70" 
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)   01/04/2026 
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)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
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   After surgery before extubation divided into 2 equal groups Group A received pulmonary recruitment menovers and Group B received ultrasound guided intermediate cervical plexus block given with 10 ml 0.2 percent ropivacaine NRS aldrete discharge score and hemodynamic parameters will be recorded after procedure total rescue analgesia and complications will be noted 
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