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CTRI Number  CTRI/2020/09/027511 [Registered on: 01/09/2020] Trial Registered Prospectively
Last Modified On: 30/08/2020
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   It is a study to see changes in Perfusion Index while giving general anaesthesia to children undergoing elective surgery and to compare the results with Bispectral Index 
Scientific Title of Study   Correlation of Perfusion Index with Bispectral Index for depth of anaesthesia in children undergoing elective surgery 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Prashant Kumar 
Designation  Professor 
Affiliation  Pt. B.D. Sharma PGIMS 
Address  Department of Anaesthesiology and Critical Care, Pt. B.D. Sharma PGIMS, Rohtak

Rohtak
HARYANA
124001
India 
Phone  9416336901  
Fax    
Email  pk.pgims@yahoo.com  
 
Details of Contact Person
Scientific Query
 
Name  Pooja Upmanyoo 
Designation  post graduate trainee  
Affiliation  Pt. B.D. Sharma PGIMS 
Address  Department of Anaesthesiology and Critical Care, Pt. B.D. Sharma PGIMS, Rohtak

Rohtak
HARYANA
124001
India 
Phone  8348407514  
Fax    
Email  pooja.upmanyoo@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Pooja Upmanyoo 
Designation  post graduate trainee  
Affiliation  Pt. B.D. Sharma PGIMS 
Address  Department of Anaesthesiology and Critical Care, Pt. B.D. Sharma PGIMS, Rohtak


HARYANA
124001
India 
Phone  8348407514  
Fax    
Email  pooja.upmanyoo@gmail.com  
 
Source of Monetary or Material Support  
Pt.B.D. Sharma, PGIMS, Rohtak 
 
Primary Sponsor  
Name  Department of Anaesthesiology and Critical Care 
Address  Pt.B.D. Sharma, PGIMS, Rohtak 
Type of Sponsor  Government 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 
Pooja Upmanyoo  Pt. B. D. Sharma PGIMS  Department of Anaesthesiology and Critical Care, first floor, MS Office building, PGIMS
Rohtak
HARYANA 
8348407514

pooja.upmanyoo@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Biomedical Research Ethics Committee  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 
 
Inclusion Criteria  
Age From  2.00 Year(s)
Age To  12.00 Year(s)
Gender  Both 
Details  Paediatric patients belonging to American Society of Anaesthesiologists(ASA) physical status I or II scheduled for elective surgery requiring general anaesthesia in supine position will be enrolled in this study 
 
ExclusionCriteria 
Details  Patients having peripheral circulatory disorder, dyshemoglobinemia(methemoglobinemia, sickle cell anaemia, thalassemia, anaemia), neurological disorders, receiving treatment with antiepileptic medications or stimulants, pre-existing lung or cardiac disease, airway abnormalities, artificial nails, dark pigmentation over fingers or patients having contraindication to the planned anaesthesia technique will be excluded from the study 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Decrease in anaesthetic requirement with correlation to Perfusion Index  baseline, 2 minutes after induction, at airway manipulation, at 5 and 10 minutes following induction of general anaesthesia, at cessation , at eye opening 
 
Secondary Outcome  
Outcome  TimePoints 
Correlation of Perfusion Index with Bispectral Index  at baseline, 2 minutes after induction, on airway manipulation, 5 minutes, 10 minutes after induction, cessation of anaesthetic, eye opening 
 
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)   01/09/2020 
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="0"
Months="8"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   nil 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   Perfusion Index is the ratio of pulsatile blood flow signal as percentage of non pulsatile blood flow signal. It is a non invasive, reliable and indirect representation of the peripheral perfusion and circulatory status. During general anaesthesia, peripheral vasodialation is a well known side effect and it induces changes in the amplitude of the pulse plethysmograph waveform which can be recorded using Masimo Radical-7 SET monitor as Perfusion Index and it can be compared with Bispectral Index which has been established as a method of measurement of depth of anaesthesia  for induction, maintainence as well as recovery phase. We hypothesized that the Perfusion Index would increase with the induction of general anaesthesia and decrease with emergence in children. Using PI in comparison to BIS may help in developing a useful tool for intraoperative anaesthesia monitoring and the assessment of anaesthetic depth. Although there are limited studies in literature comparing PI and BIS, so we have planned to conduct this study to compare trends of PI in correlation to BIS for depth of anaesthesia and to see changes in PI with time during general anaesthesia. The study is a prospective and observational study with a total of 50 , ASA I or II paediatric patients aged between 2-12 years of either sex scheduled for elective surgery requiring general anaesthesia in supine position. 
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