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CTRI Number  CTRI/2024/08/072579 [Registered on: 16/08/2024] Trial Registered Prospectively
Last Modified On: 13/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Efficacy of upper limb block using Local Anaesthetic for orthopedic surgery  
Scientific Title of Study   To evaluate efficacy of hyaluronidase as an adjuvant to bupivacaine on the quality of brachial plexus block via sonar guided supraclavicular approach: A prospective randomized comparative study in department of Anesthesia ,sms medical college, jaipur . 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Sonali Beniwal 
Designation  Professor 
Affiliation  SMS medical college 
Address  Department of Anesthesiology, Second Floor, Dhanwantari Building, SMS medical college, Jaipur

Jaipur
RAJASTHAN
302004
India 
Phone  9214540552  
Fax    
Email  drsonalisms@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sonali Beniwal 
Designation  Professor 
Affiliation  Sms medical college 
Address  Department of Anaesthesiology, Second Floor, Dhanwantari Building, SMS Medical College, Jaipur Jaipur RAJASTHAN 302004 India RAJASTHAN 302004 India

Jaipur
RAJASTHAN
302004
India 
Phone  9214540552  
Fax    
Email  drsonalisms@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Rinki meena 
Designation  Junior resident  
Affiliation  SMS medical college jaipur 
Address  Department of Anaesthesiology, Second Floor, Dhanwantari Building, SMS Medical College, Jaipur Jaipur RAJASTHAN 302004 India Jaipur RAJASTHAN

Jaipur
RAJASTHAN
302004
India 
Phone  9057311863  
Fax    
Email  Rinkibadjatiya@gmail.com  
 
Source of Monetary or Material Support  
Department of Anaesthesiology, Second Floor, Dhanwantari Building, SMS Medical College, Jaipur Jaipur RAJASTHAN 302004 India RAJASTHAN 302004 India 
 
Primary Sponsor  
Name  SMS Medical College and attached Hospitals jaipur 
Address  Department of Anaesthesiology, Second Floor, Dhanwantari Building, SMS Medical College, Jaipur Jaipur RAJASTHAN 302004 India RAJASTHAN 302004 India 
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 
Rinki meena  SMS Medical College and attached Hospitals, Jaipur  Second Floor, Dhanvantri Building, Orthopedic operation theater, SMS medical college and hospital,Jaipur
Jaipur
RAJASTHAN 
9057311863

Rinkibadjatiya@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Office of the ethics committee,SMS Medical college and attached hospitals,Jaipur   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M859||Disorder of bone density and structure, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Brachial plexus block by supraclavicular approach.  Patient will receive 25 ml of 0.5% plain Bupivacaine by single injection technique. Total volume 25 ml.  
Comparator Agent  Brachial plexus block by supraclavicular approach.  Patients will receive 15 ml of 0.5% plain Bupivacaine + 0.9% (5 ml) sterile normal saline containing 500 IU(100 IU/ml) Hyaluronidase by single injection technique.Total volume of 20 ml.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  Undergoing elective upper limb surgeries. Patients willing to participate with written informed concent Patient of either sex
All Adults
American Society of Anesthesiologists(ASA) grade 1 and 2
Body weight between 40-70 kg.
 
 
ExclusionCriteria 
Details  Case with sepsis, bacteremia or skin infection of local site History of severe hypovolemia, anemia and compromised
Renal ,cardiac and respiratory system
Patient allergic to drugs used for study. Failure of supraclavicular block cases in which general Anesthesia will be required.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Mean of Onset of sensory block (minutes)
Mean of Onset of motor block (minutes) Mean Duration of motor block (minutes) Proportion of Rate of success of block Mean Duration of analgesia (minutes) Mean Hemodynamic parameters Proportion of cases having Complication( if any)
 
Baseline,
2 min
5 min
10 min
15 min
30 min
 
 
Secondary Outcome  
Outcome  TimePoints 
Mean of Onset of sensory block (minutes)
Mean of Onset of motor block (minutes) Mean Duration of motor block (minutes) Proportion of Rate of success of block Mean Duration of analgesia (minutes) Mean Hemodynamic parameters Proportion of cases having Complication( if any)
 
Baseline
2 min
5min
10min
15min
30min 
 
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 2/ Phase 3 
Date of First Enrollment (India)   30/08/2024 
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="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details
Modification(s)  
N/A 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary
Modification(s)  
Then 60 Patients will  be  randomly  allocated into two equal groups each of 30 patients: in group I, patients received 25 ml plain bupivacaine 0.5%  by single-injection technique while in group II, patients received 15 ml volume [15 ml 0.5% bupivacaine  plus 5 ml 0.9% normal saline containing 500 IU (100 IU/ml) hyaluronidase  total of 20 ml by single-injection technique.  Hyaluronidase will be  prepared by diluting the vial of hyaluronidase (1500 IU) in 15 ml normal saline 0.9%. and its 5 ml volume is mixed with bupivacaine in group II  The local anesthetic solution will be prepared by an anesthesiologist .  Monitoring of all parameters will be done by an  anesthesiologist .  Time of onset of sensory and motor blocks, success rate of block will be noted  along with duration of motor block , the total duration of  analgesia and side effects if any.

 
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