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CTRI Number  CTRI/2023/04/051929 [Registered on: 24/04/2023] Trial Registered Prospectively
Last Modified On: 21/04/2023
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   To compare the effect of extubation on wound pain in supine position and 30 degree head end elevated position  
Scientific Title of Study   Comparative evaluation of the effect of extubation on wound pain in supine position and semi fowler position 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Navkirat Singh 
Designation  PG junior resident Anaesthesiology 
Affiliation  Guru Gobind Singh Medical College and Hospital , Faridkot 
Address  Department of anaesthesiology, GGSMCH, Faridkot.

Faridkot
PUNJAB
151203
India 
Phone  9815376028  
Fax    
Email  navkiratsandhu199@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Kewal Krishan Gupta 
Designation  Associate professor, Department of Anaesthesiology 
Affiliation  Guru Gobind Singh Medical College and Hospital, Faridkot. 
Address  Department of anaesthesiology, GGS Medical College and Hospital, Faridkot.

Faridkot
PUNJAB
151203
India 
Phone  9781812052  
Fax    
Email  doc_krishan31@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Kewal Krishan Gupta 
Designation  Associate professor, Department of Anaesthesiology 
Affiliation  Guru Gobind Singh Medical College and Hospital, Faridkot. 
Address  Department of anaesthesiology, GGS Medical College and Hospital, Faridkot.

Faridkot
PUNJAB
151203
India 
Phone  9781812052  
Fax    
Email  doc_krishan31@yahoo.co.in  
 
Source of Monetary or Material Support  
Department of Anaesthesiology, GGSMCH, Faridkot 
 
Primary Sponsor  
Name  Dr Kewal Krishan Gupta 
Address  Department of Anaesthesiology, GGSMCH, Faridkot. 
Type of Sponsor  Other [Other [self]] 
 
Details of Secondary Sponsor  
Name  Address 
Dr Amandeep Singh   Department of Surgery, GGSMCH, Faridkot 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
NAVKIRAT SINGH  GGS medical college and Hospital   Department of Anaessthesiology, GGS Medical College and Hospital Faridkot, Punjab
Faridkot
PUNJAB 
9815376028

navkiratsandhu199@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethics committee of GGS medical college abd hospital Faridkot  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: 4||Measurement and Monitoring,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Endotracheal extubation in Semifowler position   To evaluate the effect of extubation in Semifowler position on surgical pain 
Comparator Agent  Routine endotracheal extubation in supine position   To evaluate effect of endotracheal extubation in supine position on surgical pain 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Patients with ASA grade I and II
Patients age between 18-65 years of either gender giving valid informed and written consent
Patients undergoing abdominal surgeries under general anaesthesia 
 
ExclusionCriteria 
Details  Patients with
Difficult airways
Obesity BMI more than 35
Symptomatic reflux disease 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Surgical pain intensity using VAS  At 5 minutes, 15 minutes, 30 minutes, and 60 minutes after extubation time 
 
Secondary Outcome  
Outcome  TimePoints 
Heart Rate, Blood pressure, Arterial Saturation  Baseline, 5 minutes, 15 minutes, 30 minutes and 60 minutes postoperatively 
 
Target Sample Size   Total Sample Size="150"
Sample Size from India="150" 
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   Phase 4 
Date of First Enrollment (India)   10/05/2023 
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)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   NA 
Individual Participant Data (IPD) Sharing Statement

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

Response - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form

  3. Who will be able to view these files?
    Response - Researchers who provide a methodologically sound proposal.

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [navkiratsandhu199@gmail.com].

  6. For how long will this data be available start date provided 02-12-2024 and end date provided 02-12-2029?
    Response (Others) -  5 years till study is completed

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary   Extubation has been linked with various complications like coughing , bucking, laryngospasm and haemodynamic instability. Coughing and bucking during extubation raises intra-abdominal pressure and aggravates patient discomfort
and can cause increased wound pain in patients undergoing abdominal surgeries. To avoid these complications various positions for extubation has been tried , one such position is Semi Fowler position in which head end of the bed is elevated by 30 degrees, this position may help to lessen the intensity of a surgical wound and abdominal pain by reducing abdominal muscle tension.Therefore we hypothesized that the extubation in semi fowler position might be associated with decreased incidence of wound pain after abdominal surgeries as compared to the patients extubated in supine position.
 
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