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CTRI Number  CTRI/2024/06/069232 [Registered on: 19/06/2024] Trial Registered Prospectively
Last Modified On: 12/08/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   To compare the pain relieving efficacy postoperatively of preoperative infiltration of only Ropivacaine vs Ropivacaine plus dexmedetomidine injected in peritonsillar pillars in patients undergoing tonsillectomy. 
Scientific Title of Study   Comparison of preoperative peritonsillar infiltration of Ropivacaine vs Ropivacaine plus Dexmedetomidine on postoperative analgesia following tonsillectomy  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
nil  ClinicalTrials.gov 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Amala Kale 
Designation  JUNIOR RESIDENT 
Affiliation  Dr. D.Y Patil Medical College, Hospital and Research Centre, Pimpri, Pune Research Centre  
Address  Department of anesthesia,5th floor,High tech building,Dr.D.Y Patil Medical College, Hospital and Research Centre,Sant Tukaram Nagar Pimpri,Pune MAHARASHTRA 411018 India

Pune
MAHARASHTRA
415110
India 
Phone  7745086838  
Fax    
Email  amalakale9198@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Aparna Bagle  
Designation  Professor Department of Anesthesia  
Affiliation  Dr. D.Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune  
Address  Department of anesthesia, 5th floor, High tech building,Dr.D.Y Patil Medical College Hospital and Research Centre, Sant Tukaram Nagar, Pimpri, Pune MAHARASHTRA 411018 India

Pune
MAHARASHTRA
415110
India 
Phone  9834430811  
Fax    
Email  draparnabagle@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Aparna Bagle  
Designation  Professor Department of Anesthesia  
Affiliation  Dr.D.Y Patil Medical College ,Hospital and Research Centre, Pimpri, Pune  
Address  Department of anesthesia, 5th floor, High tech building,Dr.D.Y Patil Medical College, Hospital and Research Centre, Sant Tukaram Nagar, Pimpri, Pune MAHARASHTRA 411018

Pune
MAHARASHTRA
415110
India 
Phone  9834430811  
Fax    
Email  draparnabagle@gmail.com  
 
Source of Monetary or Material Support  
Central pharmacy,5th floor, High tech building,Dr.D.Y Patil Medical College, Hospital and Research Centre, Sant Tukaram Nagar, Pimpri , Pune , Maharashtra , India, Pincode 411018 
 
Primary Sponsor  
Name  Amala Kale 
Address  Department of Anesthesia, 5th floor,High tech building,Dr.D.Y Patil Medical College, Hospital and Research Centre, Sant Tukaram Nagar, Pimpri, Pune  
Type of Sponsor  Other [[Self]] 
 
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 
DrAmala Kale   Dr.D.Y Patil Medical College and Research Centre   Department of anesthesia, 5th floor, High tech building,Dr.D.Y Patil Medical College, Hospital and Research Centre , Sant Tukaram Nagar, Pimpri, Pune
Pune
MAHARASHTRA 
7745086838

amalakale9198@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Sub-Committee   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: R590||Localized enlarged lymph nodes,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Dexmedetomidine  Ropivacaine 0.5% 6 cc plus Dexmedetomidine 1 mcg/kg infiltration in anterior and posterior pillars preoperatively and assessment of postoperative analgesia for 24 hours  
Intervention  Ropivacaine   Ropivacaine 0.5% 6 cc in anterior and posterior tonsillar pillars infiltration preoperatively and assessment of postoperative analgesia for 24 hours 
 
Inclusion Criteria  
Age From  5.00 Year(s)
Age To  18.00 Year(s)
Gender  Both 
Details  1)ASA grade 1 and 2 fit patients
2)Ages between 5 and 18 years f either gender
3) Patients posted for elective tonsillectomy under GA
4) Availability of informed consent  
 
ExclusionCriteria 
Details  1)Patients with bleeding and coagulation disorders, hepatic and renal diseases, airway problems, patients with cognitive and developmental problems, patients with neurological and physiological disorders.
2) Patients with known hypersensitivity to the used local anaesthetic.
3) Patients who refused to participate in this study.
4)Signs of acute pharyngeal infection
5)Peritonsillar abscess
6)Use of regular anaesthetic medication
7) Patients below 5 years and above 18 years of age
8)ASA grade 3 and above 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant, Investigator, Outcome Assessor and Date-entry Operator Blinded 
Primary Outcome  
Outcome  TimePoints 
To compare postoperative analgesia after infiltration of Ropivacaine vs Ropivacaine plus Dexmedetomidine preoperatively in anterior and posterior tonsillar pillars  After infiltration of the drug,both groups will be compared for analgesic efficacy immediately postoperatively at 1 hr,2 hr,4 hr,8 hr,12 hr,24 hr. 
 
Secondary Outcome  
Outcome  TimePoints 
To compare the analgesic efficacy of preoperative pillar infiltration of Dexmedetomidine in addition to Ropivacaine in tonsillectomy patients  To compare the time for first rescue analgesia, analgesic requirement in 24 hours,side effects like sedation,PONV, time of start of oral intake 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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)   01/07/2024 
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)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   This is a prospective randomised double blind comparative study to compare preoperative infiltration of Ropivacaine vs Ropivacaine plus dexmedetomidine on postoperative analgesia following tonsillectomy in sample size of 60 patients in the age group 5-18yrs with ASA 1 and 2 fitness.
Parameters compared are pain scores postoperatively,time of rescue analgesia, side-effects like nausea, vomiting 
 
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