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CTRI Number  CTRI/2024/06/069388 [Registered on: 24/06/2024] Trial Registered Prospectively
Last Modified On: 23/06/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Other 
Public Title of Study   Can spine length and waist size predict the spread of intrathecal Bupivacaine in C-sections 
Scientific Title of Study   Can vertebral column length and abdominal girth predict the spread of intrathecal hyperbaric Bupivacaine in LSCS 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  Neethu Kanakaraj 
Designation  Junior resident 
Affiliation  KS Hegde Medical Academy 
Address  Department of anaesthesiology PO- Nityananda Nagar Deralakatte Mangaluru
Department of anaesthesiology KS Hegde Medical Academy PO- Nityananda Nagar Deralakatte Mangaluru Karnataka- 575018
Dakshina Kannada
KARNATAKA
575018
India 
Phone  9645160180  
Fax    
Email  neethukanakaraj56@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Ananda Bangera 
Designation  Professor 
Affiliation  KS Hegde Medical Academy 
Address  Dept.Of.Anaesthesiology KS Hegde Medical Academy PO-Nityananda Nagar Deralakatte Mangaluru Karnataka- 575018

Dakshina Kannada
KARNATAKA
575018
India 
Phone  9845278880  
Fax    
Email  anandabangera@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Neethu Kanakaraj 
Designation  Junior resident 
Affiliation  KS Hegde Medical Academy 
Address  Dept.Of.Anaesthesiology KS Hegde Medical Academy PO-Nityananda Nagar Deralakatte Mangaluru Karnataka- 575018

Dakshina Kannada
KARNATAKA
575018
India 
Phone  9845278880  
Fax    
Email  neethukanakaraj56@gmail.com  
 
Source of Monetary or Material Support  
Dept.Of.Anaesthesiology and critical care PO-Nityananda Nagar Deralakatte, Mangaluru, 575018 KS Hegde Medical Academy 
 
Primary Sponsor  
Name  Neethu Kanakaraj 
Address  Sarang, PO-Koroth Road, Azhiyur Kozhikode, Kerala, 673309 
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 Neethu Kanakaraj  KS Hegde Medical Academyl  Department of anaesthesiology PO-Nityananda Nagar Deralakatte, Mangaluru, 575018
Dakshina Kannada
KARNATAKA 
9645160180

neethukanakaraj56@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
NITTE KS Hegde Medical Academy Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Healthy pregnant women undergoing LSCS 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Female 
Details  Term pregnant women of age group 18Yrs-40Yrs undergoing LSCS 
 
ExclusionCriteria 
Details  Significant medical morbidity including PIH
History of allergy to Bupivacaine
Failed spinal block
Obvious spinal deformities 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
TO study the correlation between vertebral column length and abdominal girth in spread of intrathecal hyperbaric Bupivacaine in spinal anaesthesia for LSCS  From 3 minutes after administration of spinal anaesthetic till the end of surgery 
 
Secondary Outcome  
Outcome  TimePoints 
To study the effect of vertebral column length and abdominal girth on haemodynamic parameters such as mean arterial blood pressure, heart rate, oxygen saturation  From 3 minutes after administration of spinal anaesthetic till the end of surgery 
 
Target Sample Size   Total Sample Size="152"
Sample Size from India="152" 
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)   10/07/2024 
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="0"
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   This prospective observational study will be conducted among pregnant women aged 18 to 40 years undergoing both elective and emergency caesarean section. The primary objective of this study is to determine whether there is any correlation between vertebral column length and abdominal girth in the spread of 0.5% [H] Bupivacaine. The secondary objective is to assess the impact of these factors on haemodynamic parameters including mean arterial blood pressure, heart rate and oxygen saturation. Vertebral column length will be measured from C7 to S1 vertebrae both in sitting and left lateral position. Abdominal girth will be measured at the level of umbilicus at the end of expiration. Sensory block level. determined by loss of cold sensation and haemodynamic parameters will be monitored at specified intervals till the end of surgery. The maximum sensory block level achieved and the time taken for the same will also be recorded. Given its observational nature, this study poses no risk to the parturients as no additional drug administration or interventions are carried out. The findings of this study will contribute in determining precise dosage requirements for spinal anaesthesia in pregnant women. Thus it potentially reduces the complications associated with this procedure such as high spinal anaesthesia. 
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