| CTRI Number |
CTRI/2024/07/070390 [Registered on: 10/07/2024] Trial Registered Prospectively |
| Last Modified On: |
19/12/2024 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Surgical/Anesthesia |
| Study Design |
Randomized, Parallel Group, Active Controlled Trial |
|
Public Title of Study
|
Comparison of 0.5% Levo-bupivacaine and 0.5% Ropivacaine in combined sciatic and femoral nerve block using ultrasound guidance in below knee orthopaedic surgery. |
|
Scientific Title of Study
|
Comparative study of 0.5% Levo-bupivacaine versus 0.5% Ropivacaine in combined sciatic and femoral nerve block in below knee orthopedic surgery under ultrasound guidance. |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Modification(s)
|
| Name |
Dr Prity Rani Tirkey |
| Designation |
Academic Junior Resident |
| Affiliation |
Rajendra institute of medical science, Ranchi |
| Address |
Department of Anesthesiology, RIMS hospital campus, Bariatu, Ranchi
Ranchi JHARKHAND 834009 India |
| Phone |
9955305612 |
| Fax |
|
| Email |
mariaprity26@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr. Saurabh Suman |
| Designation |
Assistant professor |
| Affiliation |
Rajendra institute of medical science, Ranchi |
| Address |
Department of Anesthesiology, Rajendra institute of medical science, Ranchi
Ranchi JHARKHAND 834009 India |
| Phone |
7079893536 |
| Fax |
|
| Email |
Saurabh31.7.dmch@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Dr. Saurabh Suman |
| Designation |
Assistant professor |
| Affiliation |
Rajendra institute of medical science, Ranchi |
| Address |
Department of Anesthesiology, Rajendra institute of medical science, Ranchi
Ranchi JHARKHAND 834009 India |
| Phone |
7079893536 |
| Fax |
|
| Email |
Saurabh31.7.dmch@gmail.com |
|
|
Source of Monetary or Material Support
|
| Rajendra institute of medical science, Ranchi, Jharkhand,pin-834009 , India |
|
|
Primary Sponsor
|
| Name |
Rajendra institute of medical science |
| Address |
Bariatu, Ranchi , Jharkhand,pin- 834009, India |
| Type of Sponsor |
Government medical college |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Prity Rani Tirkey |
Rajendra institute of medical science, Ranchi |
Department of orthopaedic (Orthopaedic OT) and department of Anesthesiology Ranchi JHARKHAND |
9955305612
mariaprity26@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institutional Ethical Committee , Rajendra institute of medical science, Ranchi |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: S829||Unspecified fracture of lower leg, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
0.5% Levo-bupivacaine |
Under ultrasound guidance single dose of 12ml of 0.5% Levo-bupivacaine will be injected near sciatic nerve and single dose of 8ml of 0.5% Levo-bupivacaine will be injected near femoral nerve and patient will be observed till 12 hour after surgery. |
| Comparator Agent |
0.5% Ropivacaine |
Under ultrasound guidance single dose of 12ml of 0.5% Ropivacaine will be injected near sciatic nerve and single dose of 8ml of 0.5% Ropivacaine will be injected near femoral nerve and patient will be observed till 12 hour after surgery |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
60.00 Year(s) |
| Gender |
Both |
| Details |
ASA grade 1 and 2, no known neurological deficit, surgery - orthopaedic surgery below knee |
|
| ExclusionCriteria |
| Details |
ASA grade 3 and 4, patient with neurological disorders, history of allergy to study drug |
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
|
Blinding/Masking
|
Participant and Investigator Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
| To evaluate the efficacy of 0.5% Levo-bupivacaine versus 0.5% Ropivacaine in combined sciatic and femoral nerve block under ultrasound guidance in patients undergoing below knee orthopaedic surgery |
After induction
End of surgery
12 hour postoperative |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| To study hemodynamic changes of 0.5% Levo-bupivacaine and 0.5% Ropivacaine |
After induction
End of surgery |
|
|
Target Sample Size
|
Total Sample Size="46" Sample Size from India="46"
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
|
Phase 4 |
|
Date of First Enrollment (India)
|
20/07/2024 |
| 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="5" 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
|
Regional anaesthesia are increasingly the preferred and best option for wide range of lower limb surgeries.It is said to provide surgical anaesthesia with better cardio- respiratory stability and to cause least interferance with the vital physiological function of the body. Levo-bupivacaine has strongly emerged as a safer alternative for regional anaesthesia and is less cardiotoxic. Ropivacaine is documented to have comparable levels and duration of analgesia, lesser cardiotoxicity for the same duration of analgesia in comparison to Bupivacaine. The purpose of the present study is to evaluate the efficacy of 0.5% Levo-bupivacaine and 0.5% Ropivacaine in combined sciatic and femoral nerve block for below knee orthopaedic surgery, by studying the onset and duration of sensory and motor blockade and the hemodynamic changes. |