Home » Trials » SLCTR/2025/039


Impact of Isoflurane and Desflurane on Recovery Time and Postoperative Nausea in Patients Undergoing Laparoscopic Cholecystectomy

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SLCTR Registration Number

SLCTR/2025/039


Date of Registration

02 Oct 2025

The date of last modification

Oct 02, 2025



Application Summary


Scientific Title of Trial

Impact of Isoflurane and Desflurane on Recovery Time and Postoperative Nausea in Patients Undergoing Laparoscopic Cholecystectomy


Public Title of Trial

What is the effect of isoflurane compared to desflurane on recovery time and post operative nausea in patients undergoing laparoscopic cholecystectomy?


Disease or Health Condition(s) Studied

Postoperative nausea and vomiting, Laparascopic cholecystectomy


Scientific Acronym

None


Public Acronym

None


Brief title

Isoflurane vs. Desflurane: Effects on Recovery and Nausea After Laparoscopic Cholecystectomy


Universal Trial Number

U1111-1317-9971


Any other number(s) assigned to the trial and issuing authority

IRB Approval 13/Trg/83/2024


Trial Details


What is the research question being addressed?

What is the effect of isoflurane compared to desflurane on recovery time and postoperative nausea in patients undergoing laparoscopic cholecystectomy?


Type of study

Interventional


Study design

Allocation

Randomized controlled trial


Masking

Single blinded : Participants


Control

Standard therapy/practice


Assignment

Parallel


Purpose

Other


Study Phase

Phase 2-3


Intervention(s) planned

Study setting: Combined Military Hospital Multan

Method of randomization into study arms: Simple randomization Unit of randomization: Individual Patient

Method of sequence generation: Computer-generated randomization

A total of 110 patients aged 18 years and above undergoing planned laparoscopic cholecystectomy will randomized into two equal groups of 55 patients each.

Intervention: Isoflurane, Dose: 1.2–1.5 MAC (Minimum Alveolar Concentration) Route: inhalational, used for anesthesia maintenance, given for the duration of the intraoperative period, as continuous maintenance until surgery completion).

Control: Desflurane Dose: 1.3–1.5 Minimum Alveolar Concentration (MAC) Route: inhalational, used for anesthesia maintenance, given for the duration of

the intraoperative period, as continuous maintenance until surgery completion).

Induction protocol for both groups: vi. Midazolam 0.02 mg/kg IV (premedication) vii. Propofol 2 mg/kg IV (induction) viii. Fentanyl 2 µg/kg IV (analgesia) ix. Rocuronium 0.6 mg/kg IV (muscle relaxation and intubation) x. Standard monitoring during and after procedure Participants will be blinded to the intervention status


Inclusion criteria

  1. Age >18 years.
  2. Males and females
  3. Undergoing planned laparoscopic cholecystectomy.
  4. ASA (American Society of Anesthesiologists) status I or II. ASA-I : completely healthy individual with no history of smoking or no prior alcohol use. ASA-II: patient with a mild systemic disease but without a major functional limitation (severe renal or hepatic dysfunction).

Exclusion criteria

  1. BMI >35 kg/m²
  2. Chronic use of antiemetic
  3. Diagnosed severe hepatic or renal dysfunction
  4. History of hypersensitivity to inhalational anesthetics


Primary outcome(s)

1.

Postoperative recovery time The Modified Aldrete Scoring system will be used. A score of ?9 will be used as a reference to discharge the patient from the Post-anesthesia Care Unit, and the time from discontinuation of anesthetic agent to discharge will be measured

[

Till time of discharge

]
2.

Incidence of postoperative nausea and vomiting within the first 24 hours postoperatively.

[

Incidence of the episode of vomiting and nausea will be recorded during the early (0-6 hours) and late phase (6-24 hours).

]

Secondary outcome(s)

1.

None

[]

Target number/sample size

110 (55 in each arm)


Countries of recruitment

Pakistan


Anticipated start date

2025-10-06


Anticipated end date

2026-03-20


Date of first enrollment


Date of study completion


Recruitment status

Pending


Funding source

Investigator funded


Regulatory approvals

Not applicable



State of Ethics Review Approval


Status

Approved


Date of Approval

2024-04-04


Approval number

13/Trg/83/2024


Details of Ethics Review Committee

Name: Institutional Review Board & Ethical Committee CMH Multan Institute of Medical Sciences
Institutional Address:Ghaus ul Azam Road? near Naseem Hayat Rd, Pia Colony, Multan, Punjab, Pakistan
Telephone:(061) 9201703
Email: administration@cims.pk

Contact & Sponsor Information


Contact person for Scientific Queries/Principal Investigator

Inshal Jawed
General Physician
Mission Rd, New Labour Colony Nanakwara, Karachi, Karachi City, Sindh, Pakistan

+92 341 2636484

inshaljwd@gmail.com

Contact Person for Public Queries

Inshal Jawed
General Physician
Mission Rd, New Labour Colony Nanakwara, Karachi, Karachi City, Sindh, Pakistan

+92 341 2636484

inshaljwd@gmail.com


Primary study sponsor/organization

Inshal Jawed
General Physician
Mission Rd, New Labour Colony Nanakwara, Karachi, Karachi City, Sindh, Pakistan
+92 341 2636484

inshaljwd@gmail.com

Secondary study sponsor (If any)

None





Trial Completion details


Do the investigators plan to share identified individual clinical trial participant-level data (IPD)?

No


IPD sharing plan description


Study protocol available

No


Protocol version and date

Not Available


Protocol URL

Not Available


Results summary available

No


Date of posting results


Date of study completion


Final sample size


Date of first publication


Link to results


Brief summary of results