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CTRI Number  CTRI/2024/07/069891 [Registered on: 04/07/2024] Trial Registered Prospectively
Last Modified On: 03/07/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Preventive 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Out of iv Ketamine and iv Tramadol which one is better for prevention of shivering in patients undergoing caesarean section under spinal anaesthesia. 
Scientific Title of Study   Comparative study to evaluate efficacy of intravenous Ketamine and Tramadol for prevention of shivering in patients undergoing caesarean section under spinal anaesthesia 
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 Sudha Puhal 
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  9812570553  
Fax    
Email  sudhapuhal@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Harsha Bhatia 
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  9354260473  
Fax    
Email  harshabhatia281@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Harsha Bhatia 
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  9354260473  
Fax    
Email  harshabhatia281@gmail.com  
 
Source of Monetary or Material Support  
Department of Anaesthesiology and Critical Care, Modular OT Complex, 3rd floor , PGIMS Rohtak , Haryana 124001 India 
 
Primary Sponsor  
Name  Pt B D Sharma University of Health Sciences PGIMSRohtakHaryana 
Address  Pt.B.D.Sharma University of health Sciences PGIMS,Rohtak,Haryana 124001 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 
Dr Harsha Bhatia  Pt.B.D.Sharma,PGIMS  Department of Anaesthesiology and Critical Care
Rohtak
HARYANA 
9354260473

harshabhatia281@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 Rohtak  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O00-O9A||Pregnancy, childbirth and the puerperium,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Ketamine  0.25 mg/kg ketamine in 10 ml normal saline,intravenous route,over 10 minutes after delivery of baby. 0.5 mg/kg ketamine in 10 ml normal saline, intravenous route,over 10 minutes after delivery of baby 
Intervention  Tramadol  0.5 mg/kg in 10 ml normal saline,intravenous route,over 10 minutes after delivery of baby 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Female 
Details  120 Healthy pregnant women aged 18-40 years, American Society of Anesthesiologists (ASA) physical status II, with fullterm singleton pregnany requiring caesarean section under spinal anaesthesia. 
 
ExclusionCriteria 
Details  Patients Refuse to give consent,Any contraindications and hypersensitivity to the study drugs,History of cardiovascular diseases, hypertension, Pregnancy Induced hypertension (PIH),Eclampsia, Antepartum hemorrhage, intake of antipsychotic medications,Patients who will develop shivering prior to administration of study drugs,Failure of spinal anaesthesia and patients requiring general anaesthesia or sedation or any other major intraoperative complications.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Prevention of shivering  Intraoperatively every 5 minutes and post operatively every 10 minutes 
 
Secondary Outcome  
Outcome  TimePoints 
To prevent perioperative complications if any like nausea,vomiting,sedation,hypotension,bradycardia  Intraoperatively every 5 minutes and postoperatively every 10 minutes 
 
Target Sample Size   Total Sample Size="120"
Sample Size from India="120" 
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   N/A 
Date of First Enrollment (India)   15/07/2024 
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="3"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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   A prospective , Randomized and double blinded study will be conducted in healthy pregnant women,of 18 - 40 years of age without any comorbid conditions requiring caesarean section under spinal anaesthesia. Patient with refusal to consent, Patients with history of hypersensitivity to study drugs ,history of cardiovascular diseases, hypertension , pregnancy induced hypertension(PIH),Eclampsia, Antepartum Hemorrhage, intake of any antipsychotic medications. Patients who will develop shivering prior to study drugs. Failure of spinal anaesthesia and patient requiring general anaesthesia or sedation or and any other major intraoperative complications .will be excluded from study. Patient will be randomly allocated into one of the three groups ,according to computer generated list Group (K1)will receive 0.25mg/kg Ketamine, Group (K2) will receive 0.5mg/kg Ketamine, Group (T) will receive 0.5 mg/kg Tramadol. Patients will be prepared and given spinal anaesthesia and after delivery of baby the study drugs will be given. Patients heart rate ,blood pressure, oxygen saturation ,temperature, sedation score and shivering grading will be recorded, every 5 minutes intraoperatively and every 10 minutes postoperatively over an hour .Data will be analysed using appropriate statistical methods. 
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