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CTRI Number  CTRI/2025/09/094548 [Registered on: 10/09/2025] Trial Registered Prospectively
Last Modified On: 27/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Prospective observational 
Study Design  Non-randomized, Active Controlled Trial 
Public Title of Study   Spinal anaesthesia and its effects on optic nerve sheath diameter in orthopaedic surgery  
Scientific Title of Study   The effects of spinal Anaesthesia and Tourniquet application on Ultrasound measured Optic Nerve Sheath Diameter in patients undergoing orthopaedic lower limb surgeries under subarachnoid block a prospective observational study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Chhaya Singour  
Designation  Junior Resident  
Affiliation  DRPGMC Tanda Himachal Pradesh 
Address  Deptt. of Anaesthesia Dr.RPGMC Kangra at Tanda Himachal Pradesh

Kangra
HIMACHAL PRADESH
176001
India 
Phone  7000165169  
Fax    
Email  aiimsingour@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DrShelly Rana  
Designation  Professor  
Affiliation  Dr.Rajendra Prasad Medical College Tanda Kangra 
Address  Operation theatre complex 2nd floor, Department of Anaesthesia,Dr.Rajendra Prasad Government Medical College Tanda ,Kangra,Himachal Pradesh

Kangra
HIMACHAL PRADESH
176001
India 
Phone  9418113786  
Fax    
Email  shelkbj@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr Nanish Sharma 
Designation  Assistant Professor  
Affiliation  Dr. Rajendra Prasad Medical College  
Address  Operation theatre complex , 3rd floor ,Dr. Rajendra Prasad Medical College Tanda ,Kangra ,Himachal Pradesh

Kangra
HIMACHAL PRADESH
176001
India 
Phone  8727049007  
Fax    
Email  nanish.sharma26@gmail.com  
 
Source of Monetary or Material Support  
Medical Superintendent office room no.203 first floor (Block A) DRPGMC tTanda Kangra Himachal Pradesh India pincode-176001  
 
Primary Sponsor  
Name  Dr Chhaya Singour 
Address  Department of Anesthesia DRPGMC Tanda kangra Himachal Pradesh India 176001 
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 
DrChhaya Singour  Dr.Rajendra Prasad Government Medical College Tanda Kangra Himachal Pradesh   Operation theatre 3 rd floor, Department of Anesthesia DRPGMC Tanda Himachal Pradesh
Kangra
HIMACHAL PRADESH 
700165169

aiimsingour@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
DRPGMC KANGRA at Tanda  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 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patients between the age group 18- 60 years. ASA class I-ll .BMI 18.5-29.9kg/m2.Mallampati class I or II 
 
ExclusionCriteria 
Details  Mallampati class III or IV ,ASA IIII or IV or emergency status.if the patient is not willing to give consent for subarachnoid block.having contraindications for subarachnoid block i.e coagulopathy,infection.coexisting injuries.orbital trauma ,eye pathology  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Comparison of ONSD amongst tourniquet inflation and deflation from the baseline values.  10th minute after tourniquet inflation;30th minute after torniquet inflation and after five minutes of torniquet deflation  
 
Secondary Outcome  
Outcome  TimePoints 
Comparison of optic nerve sheath diameter after spinal anaesthesia & torniquet inflation & deflation from the baseline value.

 
before spinal anaesthesia, after spinal anaesthesia with adequate motor blockade,10th minute after tourniquet inflation,30th minute after torniquet inflation,and after five minutes of torniquet deflation. 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
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)   10/09/2025 
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)   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   USG guided ONSD will be measured at five time intervals,before spinal anaesthesia,after spinal anaesthesia,at the 10th minute after tourniquet inflation,30th minute aftert tourniquet inflation and at and 5 minutes after the tourniquet deflation. 
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