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CTRI Number  CTRI/2024/05/068106 [Registered on: 30/05/2024] Trial Registered Prospectively
Last Modified On: 30/05/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Measuring the change in brain pressure in children by ultrasound eye examination after giving different volumes of anaesthesia drug in caudal block 
Scientific Title of Study   Effect of different local anaesthetic volumes in caudal blocks on intracranial pressure measured indirectly via optic nerve sheath diameter in paediatric patients. 
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 Mamta jain 
Designation  Associate Professor 
Affiliation  Pt.B.D.Sharma PGIMS Rohtak 
Address  Department of anaesthesiology and critical care, Pt.B.D.Sharma PGIMS Rohtak

Rohtak
HARYANA
124001
India 
Phone  9958437432  
Fax    
Email  mamtajainsingh@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Mamta jain 
Designation  Associate Professor 
Affiliation  Pt.B.D.Sharma PGIMS Rohtak 
Address  Department of anaesthesiology and critical care, Pt.B.D.Sharma PGIMS Rohtak

Rohtak
HARYANA
124001
India 
Phone  9958437432  
Fax    
Email  mamtajainsingh@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DrDeepali 
Designation  Junior resident 
Affiliation  Pt.B.D.Sharma PGIMS Rohtak 
Address  Department of anaesthesiology and critical care, Pt.B.D.Sharma PGIMS Rohtak

Rohtak
HARYANA
124001
India 
Phone  9053379969  
Fax    
Email  drdeepali2410@gmail.com  
 
Source of Monetary or Material Support  
Department of anaesthesiology and critical care,Pt BD Sharma PGIMS Rohtak ,Haryana 124001 India  
 
Primary Sponsor  
Name  Pt.B.D.Sharma University of Health and Sciences PGIMS Rohtak Haryana 
Address  Pt.B.D.Sharma University of Health and Sciences PGIMS Rohtak Haryana 
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 
Dr Mamta jain  Pt.B.D Sharma PGIMS Rohtak  Department of anaesthesiology and critical care, Pt.B.D Sharma PGIMS Rohtak
Rohtak
HARYANA 
9958437432

mamtajainsingh@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Biomedical research ethics committee Pt B D Sharma PGIMS/UHS, Rohtak  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Low volume group 0.75 ml/kg of Local anaesthetics drug   In low volume group 1.5mg/kg of bupivacaine will be diluted in NS to make final volume to 0.75 ml/kg and given in caudal space after correct identification of needle placement at the rate of 0.5ml/second.  
Comparator Agent  high volume group 1.25ml/kg of local anaesthetic drug used in caudal block  In high volume group 1.5mg/kg of bupivacaine will be diluted in NS to make final volume to 1.25 ml/kg and given in caudal space after correct identification of needle placement at the rate of 0.5ml/second 
 
Inclusion Criteria  
Age From  1.00 Year(s)
Age To  4.00 Year(s)
Gender  Both 
Details  Sixty patients of either sex ,aged 1to4 years of ASA 1or2 scheduled for elective urogenital , inguinal and anorectal surgeries. 
 
ExclusionCriteria 
Details  Patients with refusal to consent,local site infection,coagulopathy,anatomical malformation,allergic to LA,increase in ICP,ophthalmic disease,weight more than 16 kg,short duration surgeries (less than 30 minutes),patent anterior fontanelle 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
To meausre the change in ONSD on using two different volumes of LA in caudal block  Before and immediately after administration of caudal block,5,10,20,and 30 minutes after caudal block 
 
Secondary Outcome  
Outcome  TimePoints 
By using two different volumes of LA we measure time taken for maximum increase in ONSD after caudal block administration  Before and immediately after administration of caudal block,5,10,20,and 30 minutes after caudal block 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "60"
Final Enrollment numbers achieved (India)="60" 
Phase of Trial   N/A 
Date of First Enrollment (India)   14/06/2024 
Date of Study Completion (India) 15/09/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
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   The present prospective study will be conducted in the department of anaesthesia and critical care ,PGIMS, Rohtak.Written informed consent will be taken from patients included.The study is to investigate the effect of two different volumes (0.75ml/kg and 1.25ml/kg) of local anaesthetic in caudal block on intracranial pressure measured indirectly using ONSD by ultrasonography in paediatric patients. 
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