Actively Recruiting

Phase Not Applicable
Age: 18Years - 65Years
All Genders
ID03812718

Anaesthesia Requirements for Ventilation With Endotracheal Tube Versus ProSeal Laryngeal Mask Airway During Automated Feedback-Loop Controlled Total Intravenous Anaesthesia in Patients Undergoing Laparoscopic Cholecystectomy

Led by Sir Ganga Ram Hospital · Updated on 2026-04-27

160

Participants Needed

1

Research Sites

4 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are studying the anesthesia requirements for controlled ventilation during laparoscopic cholecystectomy by comparing two airway devices: the endotracheal tube (ETT) and the ProSeal laryngeal mask airway (PLMA). The study aims to determine if there is a difference in the amount of propofol needed to maintain anesthesia using these devices. This is a randomized controlled trial using an automated delivery system to measure anesthesia depth and drug usage. Participants will receive anesthesia induced with fentanyl and propofol, with muscle relaxation assisted by atracurium. The anesthetic dosing will be adjusted automatically by a closed-loop anesthesia delivery system (CLADS) guided by bispectral index (BIS) monitoring targeting a BIS value of 50. Ventilation will be maintained either through a standard polyvinyl chloride ETT sized by gender or a PLMA sized by body weight. Both devices are used during the surgery to maintain controlled ventilation. During the study, participants will be monitored continuously for anesthesia depth using BIS, propofol consumption will be recorded from induction until 4 hours intraoperatively, and intraoperative heart rate and blood pressure will be tracked. Researchers will assess secondary outcomes including consistency of anesthesia depth, early recovery, postoperative sedation, and incidence of sore throat up to 24 hours after anesthesia. The total participation period covers the surgery and immediate postoperative recovery monitoring.

CONDITIONS

Brief Title

Comparison of Anaesthesia Requirement for Ventilation With Endotracheal Tube Versus Proseal Laryngeal Mask Airway

Who Can Participate

Age: 18Years - 65Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • ASA physical status I or II
  • Scheduled for elective laparoscopic cholecystectomy
  • Age between 18 and 65 years
Not Eligible

You will not qualify if you...

  • Anticipated difficult airway
  • Body mass index over 30 kg/m2
  • Uncompensated cardiovascular disease such as uncontrolled hypertension, atrio-ventricular block, sinus bradycardia, congenital heart disease, reduced left ventricular compliance, or diastolic dysfunction
  • Hepato-renal insufficiency
  • Uncontrolled endocrine diseases like diabetes mellitus or hypothyroidism
  • Known allergy or hypersensitivity to propofol
  • History of drug dependence, substance abuse, or psychiatric illness
  • Need for postoperative ventilation
  • Refusal to provide informed consent

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Implementation

Duration - Up to 4 hours during surgery

Participants undergo anesthesia induction followed by insertion of either an endotracheal tube (ETT) or ProSeal laryngeal mask airway (PLMA) for controlled ventilation during laparoscopic surgery. Anesthesia is maintained with propofol controlled by a closed-loop system guided by bispectral index (BIS) monitoring to maintain a consistent depth of anesthesia.

1 visit (in-person) on surgery day

Post-operative Follow-up

Duration - Up to 24 hours post-anesthesia

Participants are monitored for early recovery from anesthesia, post-operative sedation, and incidence of postoperative sore throat up to 24 hours after anesthesia ends.

1 to 2 visits (in-person) during the first 24 hours after surgery

Trial Site Locations

Total: 1 location

1

Sir Ganga Ram Hospital

New Delhi, National Capital Territory of Delhi, India, 110060

Actively Recruiting

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Research Team

N

Nitin Sethi, DNB

A

Amitabh Dutta, MD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

OTHER

Number of Arms

2

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