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CTRI Number  CTRI/2023/06/053564 [Registered on: 05/06/2023] Trial Registered Prospectively
Last Modified On: 17/09/2023
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Effect of intravenous lignocaine in preventing post operative sorethroat, an intervention study 
Scientific Title of Study   EFFICACY AND SAFETY OF PERI-OPERATIVE INTRAVENOUS LIGNOCAINE IN PREVENTING THE POST OPERATIVE SORE THROAT – A PLACEBO CONTROLLED STUDY 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  MANIMARAN P 
Designation  RESIDENT ANAESTHESIA  
Affiliation  COMMAND HOSPITAL AIRFORCE BANGALORE  
Address  DEPARTMENT OF ANAESTHESIOLOGY AND CRITICAL CARE , OPERATION THEATRE COMPLEX 2ND FLOOR , OT OFFICE, AGARAM POST, CAMBRIDGE LAYOUT , BANGALORE

Bangalore
KARNATAKA
560047
India 
Phone  903968784  
Fax    
Email  dr.manimaran@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  S K MISHRA 
Designation  PROFESSOR 
Affiliation  COMMAND HOSPITAL AIRFORCE BANGALORE  
Address  DEPARTMENT OF ANAESTHESIOLOGY AND CRITICAL CARE , OPERATION THEATRE COMPLEX 2ND FLOOR , OT OFFICE, AGARAM POST, CAMBRIDGE LAYOUT , BANGALORE

Bangalore
KARNATAKA
560007
India 
Phone  7829024442  
Fax    
Email  mdsatish08@yahoo.in  
 
Details of Contact Person
Public Query
 
Name  MANIMARAN P 
Designation  RESIDENT ANAESTHESIA  
Affiliation  COMMAND HOSPITAL AIRFORCE BANGALORE  
Address  DEPARTMENT OF ANAESTHESIOLOGY AND CRITICAL CARE , OPERATION THEATRE COMPLEX 2ND FLOOR , OT OFFICE, AGARAM POST, CAMBRIDGE LAYOUT , BANGALORE

Bangalore
KARNATAKA
560007
India 
Phone  903968784  
Fax    
Email  dr.manimaran@gmail.com  
 
Source of Monetary or Material Support  
COMMAND HOSPITAL AIRFORCE DEPARTMENT OF ANAESTHESIOLOGY AND CRITICAL CARE , OPERATION THEATRE COMPLEX 2ND FLOOR , OT OFFICE, AGARAM POST, CAMBRIDGE LAYOUT , BANGALORE 560007 
 
Primary Sponsor  
Name  COMMAND HOSPITAL AIRFORCE BANGALORE 
Address  COMMAND HOSPITAL AIRFORCE BANGALORE DEPARTMENT OF ANAESTHESIOLOGY AND CRITICAL CARE , OPERATION THEATRE COMPLEX 2ND FLOOR , OT OFFICE, AGARAM POST, CAMBRIDGE LAYOUT , BANGALORE 560007 
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 
MAJOR MANIMARAN P   COMMAND HOSPITAL AIRFORCE BANGALORE   COMMAND HOSPITAL AIRFORCE BANGALORE DEPARTMENT OF ANAESTHESIOLOGY AND CRITICAL CARE , OPERATION THEATRE COMPLEX 2ND FLOOR , OT OFFICE, AGARAM POST, CAMBRIDGE LAYOUT , BANGALORE 560007
Bangalore
KARNATAKA 
9003968784

dr.manimaran@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
COMMAND HOSPITAL AIRFORCE BANGALORE   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, (2) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Lignocaine   1.5mg/ Kg intravenous dose will be given 90 seconds before intubation only once during the entire study 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  - Patients of either gender, aged between 18 to 65 years, posted for surgeries requiring GA.
- Patients belonged to ASA 1 and 2 will be included
- Patients willing to participate in the study by obtaining the written informed consent
 
 
ExclusionCriteria 
Details  - Patients with abnormal coagulation profile or on anticoagulation therapy, severe anaemia, hypovolemia, shock, septicaemia and history of seizure disorder.
- Allergy to the study drug.
- Emergency surgeries
- Smoker , prior history of sore throat
- Patients who are on treatment with inhaled steroids for any condition
 
 
Method of Generating Random Sequence   Random Number Table 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
- Analysing the incidence of Post operative sore throat between lignocaine versus normal saline group.
- Assessing the safety of peri operative intravenous lignocaine in preventing the incidence of sore throat.
- Incidence of dysphagia and cough between lignocaine versus normal saline group
 
specific time at which the outcome will be assessed/estimated i.e.IMMEDIATELY, 6 HR , 12 HR AND 24 HR 
 
Secondary Outcome  
Outcome  TimePoints 
Analysing the efficacy of peri operative intravenous lignocaine in preventing the incidence of sore throat  estimated immediately, 6hours , 12 hours and 24 hours  
 
Target Sample Size   Total Sample Size="288"
Sample Size from India="288" 
Final Enrollment numbers achieved (Total)= "168"
Final Enrollment numbers achieved (India)="168" 
Phase of Trial   N/A 
Date of First Enrollment (India)   10/06/2023 
Date of Study Completion (India) 15/09/2023 
Date of First Enrollment (Global)  10/06/2023 
Date of Study Completion (Global) 15/09/2023 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
Recruitment Status of Trial (India)  Completed 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary
Modification(s)  
Sore throat after tracheal intubation has been one of the most common postoperative discomforts causing dissatisfaction among the patients. Incidence of post operative sore throat (POST) varies from 30% to 70%.1
                         Reason behind this is the irritation and inflammation of the airway caused by pressure exerted on the tracheal wall by the endotracheal tube (ETT) inserted during intubation,2 trauma/erosion during intubation and mucosal dehydration.3 Whilst medical staff may concentrate on avoiding problems during surgery, patients will only be aware of postoperative complications whether its minor or the major. Such complications might affect their satisfaction with treatment. Diameter and the pressure of cuff may also influence the prevalence and severity of postoperative sore throat.4
                   Many non-pharmacological such as laryngeal mask usage had been tried but when the ETT is the only choice in the patients, pharmacological measures to alleviate the incidence and severity of POST with variable success will be taken into consideration.4,5 Many research articles have been mentioned about the prophylactic use of lidocaine, dexamethasone and steroids or the combination of these drugs has been used for this purpose.6,7 Whereas the studies to analyse the efficacy of peri operative intravenous lignocaine are very less. Hence, we would like to conduct a prospective observational study in this regard.

 
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