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CTRI Number  CTRI/2024/12/078281 [Registered on: 18/12/2024] Trial Registered Prospectively
Last Modified On: 06/05/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Prospective observational 
Study Design  Single Arm Study 
Public Title of Study   Prediction of success of caudal block 
Scientific Title of Study   Surgical pleth index to predict the success of caudal block in paediatric patients under general 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  Ruchita Harchandani 
Designation  Junior resident 
Affiliation  KMC Manipal 
Address  Department of Anaesthesia KMC Manipal Manipal , Udupi

Udupi
KARNATAKA
576104
India 
Phone  8005784341  
Fax    
Email  ruchitaharchandani@gmail.com  
 
Details of Contact Person
Scientific Query

Modification(s)  
Name  Dr Anitha Nileshwar 
Designation  Professor 
Affiliation  KMC Manipal 
Address  Department of anaesthesia,KMC Manipal, Near tiger circle

Udupi
KARNATAKA
576104
India 
Phone  9880842121  
Fax    
Email  anitha.rshenoy@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Dr Anitha Nileshwar 
Designation  Professor 
Affiliation  KMC Manipal 
Address  Department of anaesthesia,KMC Manipal, Near tiger circle

Udupi
KARNATAKA
576104
India 
Phone  9880842121  
Fax    
Email  anithashenoy@gmail.com  
 
Source of Monetary or Material Support  
KMC Manipal Udupi, Karnataka, India 576104 
 
Primary Sponsor  
Name  Ruchita Harchandani 
Address  Department of anaesthesia KMC Manipal Udupi Karnataka India 576104 
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 
Dr Ruchita Harchandani   Kasturba Hospital, Manipal  Department of Anaesthesia Udupi - Hebri Rd, Madhav Nagar, Manipal, Karnataka 576104
Udupi
KARNATAKA 
8005784341

ruchitaharchandani@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
KMC and KH Institutional ethics committee   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: Z408||Encounter for other prophylactic surgery,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  1.00 Year(s)
Age To  6.00 Year(s)
Gender  Both 
Details  1.American Society of Anesthesiologists (ASA) Physical Status Classification I and II patients
2.Age between 1-6 years undergoing elective infra umbilical surgery under general anaesthesia with supraglottic airway device and caudal analgesia
 
 
ExclusionCriteria 
Details  1.Patients with pre-existing liver disorder
2.Patients with pre-existing renal disorder
3.Patients with pre-existing decompensated cardiac disorder
4.Patients with developmental delay
5.Patients with known organic brain disease
6.Patients with cerebral palsy
7.Patients with mental retardation
8.Patients with contraindications to caudal analgesia
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To determine the reliability of SPI in predicting the success of caudal block in
anaesthetized children  
heart rate, Blood pressure,SPI will be monitored throughout the procedure and recorded at the time of skin incision
and an interval of 5 minutes after the time of incision till the beginning of skin closure 
 
Secondary Outcome  
Outcome  TimePoints 
To determine the accuracy with which the anaesthesiologist will be able to diagnose the
success of caudal block intraoperatively 
Intaoperative assessment throughout the surgery, 30 mins after surgery 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
Final Enrollment numbers achieved (Total)= "62"
Final Enrollment numbers achieved (India)="62" 
Phase of Trial   N/A 
Date of First Enrollment (India)   31/12/2024 
Date of Study Completion (India) 05/05/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) 05/05/2025 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
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    Determining the success of caudal block under general anaesthesia could be difficult. A reliable assessment of the success of caudal block is critical to optimize analgesia in these patients. Conventionally success of caudal block under general anaesthesia is assessed through haemodynamic response to incision which could be unreliable.  
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