Inflammatory Response Clinical Trial
Official title:
Effect of Preoperative Music on "Sterile Inflammation" Induced by Laparoscopic Surgery-A Randomized Study
Verified date | December 2019 |
Source | Sir Ganga Ram Hospital |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Surgery induced sterile inflammation leaves behind a biomolecular footprint measurable by various pro-inflammatory markers e.g. IL-6, CD(Cluster of differentiation)19B, HsCRP(High-sensitivity CRP) etc. Music is a non-pharmacological means in attenuating this inflammatory pathway thereby improving Health related quality of life measurable by improved postoperative convalescence. Correct timing of music application is a lacuna in the knowledge. This research aims at evaluating the effect of preoperative music on sterile inflammation induced by index Laparoscopic Surgery (Laparoscopic Cholecystectomy) and its proposed beneficial effects on patient reported outcomes. A total of 50 patients divided into 2 groups (test and control) will be evaluated in this triple blind randomized controlled study aiming at evaluating the biomolecular signatures of sterile inflammatory response and its correlation with improved postoperative convalescence. All the patients will be followed up for a period of 1 month postoperatively to assess for overall improvement in health related quality of life. Collected data will be analysed using updated SPSS software and a p value of less than 0.05 will be taken as statistically significant in support of the measured indices.
Status | Completed |
Enrollment | 50 |
Est. completion date | December 1, 2019 |
Est. primary completion date | November 30, 2019 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: 1. Age more than 18 years. 2. Should be able to understand and sign an informed consent. 3. Consent for surgery, anaesthesia and the use of standardized music before surgery. (Appendix I) 4. Fitness for General Anesthesia (GA) 5. Ability to maintain & communicate a PRO diary. 6. Ability to communicate via telephone or email or SMS or WhatsApp. Exclusion Criteria: 1. Fitfor GA but higher than ASA Grade I. 2. Uncontrolled coagulopathy 3. Suspicion of carcinoma gallbladder on USG 4. Any suspicion of common bile duct (CBD) stones or pancreatitis. 5. Patient using chronic anti-inflammatory drug. 6. Concomitant common bile duct (CBD) stone or any CBD intervention/pancreatitis in the preceding 6 weeks. 7. Patient on immunosuppressive / cytotoxic/ steroid therapy. 8. Documented or known sensitivity to any drug to be used in the study protocol. 9. Pregnant or lactating ladies. 10. Any concomitant surgery |
Country | Name | City | State |
---|---|---|---|
India | Prof. Brij Bushan Agarwal | Delhi |
Lead Sponsor | Collaborator |
---|---|
Sir Ganga Ram Hospital |
India,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Postoperative Pain (POP) | Visual Analogue Scale (VAS) will be used to measure the pain on a numeric scale of 0-100 at 6 Hours, Day 1, Day 3, Day 10 and Week 3 postoperatively respectively with a total of 5 readings. Higher values on the VAS will represent a worse outcome. Minimum value on VAS = 0 Maximum value on VAS= 100 |
3 weeks | |
Primary | Postoperative Nausea Vomiting (PONV) | Visual Analogue Scale (VAS) will be used to measure the PONV on a numeric scale of 0-100 at 6 Hours, Day 1, Day 3, Day 10 and Week 3 postoperatively respectively with a total of 5 readings. Higher values on the VAS will represent a worse outcome. Minimum value on VAS = 0 Maximum value on VAS= 100 |
3 weeks | |
Primary | Postoperative Fatigue (POF) | Visual Analogue Scale (VAS) will be used to measure the pain on a numeric scale of 0-100 at 6 Hours, Day 1, Day 3, Day 10 and Week 3 postoperatively respectively with a total of 5 readings. Higher values on the VAS will represent a worse outcome. Minimum value on VAS = 0 Maximum value on VAS= 100 |
3 weeks | |
Primary | Gastrointestinal Quality of Life Index (GIQoL) | Gastrointestinal Quality Of Life Index (GIQoL) 30 Days Min=0 (Best) Max=144 (Worst) GIQoL will be assessed on 30th postoperative day and any difference in the measurement will be assessed for analysis in between the two study arms. | 1 month | |
Secondary | Liver function test (LFT) | Tests will be done for 4 times (Preoperatively, Intraoperatively, 6 hours postoperatively, 24 hours postoperatively) | upto 24 hours after surgical intervention | |
Secondary | Serum amylase | Tests will be done for 4 times (Preoperatively, Intraoperatively, 6 hours postoperatively, 24 hours postoperatively) The difference in the values will be assessed as follows for all the testes: Preop-Intraop, Intraop-6H, 6H-24H |
upto 24 hours after surgical intervention | |
Secondary | Serum lipase | Tests will be done for 4 times (Preoperatively, Intraoperatively, 6 hours postoperatively, 24 hours postoperatively) The difference in the values will be assessed as follows for all the testes: Preop-Intraop, Intraop-6H, 6H-24H |
upto 24 hours after surgical intervention | |
Secondary | Interlukin-6 (IL-6) | Tests will be done for 4 times (Preoperatively, Intraoperatively, 6 hours postoperatively, 24 hours postoperatively) The difference in the values will be assessed as follows for all the testes: Preop-Intraop, Intraop-6H, 6H-24H |
upto 24 hours after surgical intervention | |
Secondary | Tumor Necrosis Factor-alpha (TNF -alpha ) | Tests will be done for 4 times (Preoperatively, Intraoperatively, 6 hours postoperatively, 24 hours postoperatively) The difference in the values will be assessed as follows for all the testes: Preop-Intraop, Intraop-6H, 6H-24H |
upto 24 hours after surgical intervention | |
Secondary | HsCRP | Tests will be done for 4 times (Preoperatively, Intraoperatively, 6 hours postoperatively, 24 hours postoperatively) The difference in the values will be assessed as follows for all the testes: Preop-Intraop, Intraop-6H, 6H-24H |
upto 24 hours after surgical intervention | |
Secondary | Serum Procalcitonin | Tests will be done for 4 times (Preoperatively, Intraoperatively, 6 hours postoperatively, 24 hours postoperatively) The difference in the values will be assessed as follows for all the testes: Preop-Intraop, Intraop-6H, 6H-24H |
upto 24 hours after surgical intervention | |
Secondary | EEG | Recording of EEg will be done at 3 separate occasions. Preoperatively, Intraoperatively and 24 hours postoperatively. EEG will be interpreted by a an independent evaluator for any changes who will be unaware of the timing of record of the EEG. The changes in the brain wave form will be seen and recorded for evaluation. | upto 24 hours after surgical intervention | |
Secondary | LDH | Tests will be done for 4 times (Preoperatively, Intraoperatively, 6 hours postoperatively, 24 hours postoperatively) The difference in the values will be assessed as follows for all the testes: Preop-Intraop, Intraop-6H, 6H-24H |
upto 24 hours after surgical intervention | |
Secondary | Uric Acid | Tests will be done for 4 times (Preoperatively, Intraoperatively, 6 hours postoperatively, 24 hours postoperatively) The difference in the values will be assessed as follows for all the testes: Preop-Intraop, Intraop-6H, 6H-24H |
upto 24 hours after surgical intervention |
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