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CTRI Number  CTRI/2020/03/024340 [Registered on: 30/03/2020] Trial Registered Prospectively
Last Modified On: 10/10/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study
Modification(s)  
Medical Device
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparison between effect of BIS and MAC monitoring on recovery profile of patients undergoing general anaesthesia 
Scientific Title of Study   Comparison between effect of bispectral index and minimum alveolar anaesthetic concentration monitoring on recovery profile in patients undergoing general anesthesia 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Aparna Abhijit Bagle Girwalkar 
Designation  Professor 
Affiliation  Dr D Y Patil Medical College,Pimpri, Pune 
Address  Dept of anaesthesia Dr D Y Patil Medical college Pimpri,Pune

Pune
MAHARASHTRA
411018
India 
Phone  9834430811  
Fax    
Email  aparna.bagle@dpu.edu.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Aparna Abhijit Bagle Girwalkar 
Designation  Professor 
Affiliation  Dr D Y Patil Medical College,Pimpri, Pune 
Address  Dept of anaesthesia Dr D Y Patil Medical college Pimpri,Pune

Pune
MAHARASHTRA
411018
India 
Phone  9834430811  
Fax    
Email  aparna.bagle@dpu.edu.in  
 
Details of Contact Person
Public Query

Modification(s)  
Name  Dr Aparna Abhijit Bagle Girwalkar 
Designation  Professor 
Affiliation  Dr D Y Patil Medical College,Pimpri, Pune 
Address  Dept of anaesthesia Dr D Y Patil Medical college Pimpri,Pune

Pune
MAHARASHTRA
411018
India 
Phone  9834430811  
Fax    
Email  aparna.bagle@dpu.edu.in  
 
Source of Monetary or Material Support  
Dr D Y Patil Medical College,Pimpri,Pune 
 
Primary Sponsor  
Name  Dr Aparna Abhijit Bagle Girwalkar 
Address  Dept of anaesthesia Dr D Y Patil Medical College.Pimpri,Pune 
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 Aparna Abhijit Bagle Girwalkar  Dept of anaesthesia  Dr D Y Patil,Medical College,Pimpri,Pune
Pune
MAHARASHTRA 
9834430811

aparna.bagle@dpu.edu.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethics committee-Dr.D.Y.Patil Vidypeeth  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  effect of BIS Monitoring on recovery profile in patients undergoing general anaesthesia  BIS value will be maintained between 40 to 60 from 15 min after induction of anesthesia till the end of surgery,then recovery profile will be recorded in terms of Time to eye opening,time to extubation and any recall after sugery 
Intervention  Comparison between effect of bispectral index and minimum alveolar anaesthetic concentration monitoring on recovery profile in patients undergoing general anesthesia  bis and mac monitoring in respective groups 
Comparator Agent  effect of MAC Monitoring on recovery profile in patients undergoing general anaesthesia   MAC value will be maintained between 0.7 to 1.3 from 15 min after induction of anesthesia till the end of surgery,then recovery profile will be recorded in terms of Time to eye opening,time to extubation and any recall after sugery 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  patients with physical status asa 1 and 2 posted for surgeries under general anaesthesia 
 
ExclusionCriteria 
Details  patietns with pyschiatric illness, clinically significant cardiovascular, respiratory, hepatic,neurological,long term drug therapy or alcohol abuse 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
to compare the effect of BIS or MAC monitoring on recovery profile of patients unergoing general anaesthesia  1.5 years 
 
Secondary Outcome  
Outcome  TimePoints 
any perioperative complications or recall of intra operative events  1.5 years 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
Final Enrollment numbers achieved (Total)= "62"
Final Enrollment numbers achieved (India)="62" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/04/2020 
Date of Study Completion (India) 31/10/2022 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
Bagle A, Hasnain S, Suryawanshi C. Comparison between the effect of bispectral index and minimum alveolar concentration monitoring on recovery after general anesthesia: a prospective, randomized, clinical study. Bali J Anaesthesiol 2023;7:224-9  
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary
Modification(s)  
 This study was conducted to investigate the effect of bispectral index (BIS) monitoring compared to the minimum alveolar anesthetic concentration (MAC) monitoring on recovery of patients undergoing isofluranebased general anesthesia. Materials and Methods: A total of 62 patients were randomly allocated to group B (BIS-guided) and group M (MAC-guided). Along with clinical hemodynamic monitoring for titration of isoflurane in group B, BIS was monitored and maintained between 40 and 60, whereas in group M, MAC was maintained between 0.7 and 1.3. The recovery profile was studied in terms of time to eye-opening, time to extubation, and time to achieve the modified Aldrete score ≥9 in both groups. Patients were followed up for any postoperative side effects and awareness during general anesthesia. Results: Group B and group M were comparable with respect to age, gender, duration of surgery, duration of anesthesia, and type of surgery. Median time to eye-opening was 4min in group B and 5min in group M (P < 0.001). The time to extubation was 8min in group B, compared to 11min in group M (P < 0.001). Furthermore, the time needed to achieve the modified Aldrete’s score of ≥9 was also shorter in group B (P < 0.001). No patients reported awareness during anesthesia. 
Conclusion: The use of BIS monitoring hastens the extubation and recovery in patients undergoing general anesthesia
 
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