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CTRI Number  CTRI/2024/10/075619 [Registered on: 22/10/2024] Trial Registered Prospectively
Last Modified On: 21/10/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Other 
Public Title of Study   Comparision of procedural sedation for ERCP using propofol with ketamine versus dexmedetomidine with ketamine based infusion using BIS guided. 
Scientific Title of Study   BIS guided comparision of procedural sedation for endoscopic retrograde cholangiopancreatography (ERCP)using propofol with ketamine versus dexmedetomidine with ketamine based infusion. 
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 rohit pareek 
Designation  resident 
Affiliation  mahatma gandhi medical college and hospital 
Address  2nd floor main OT complex department of anesthesia at mahatma gandhi medical college and hospital riico industrial area sitapura jaipur rajasthan 302022 india

Jaipur
RAJASTHAN
302022
India 
Phone  9462848382  
Fax    
Email  dr.rohit41@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sudhir sachdeva  
Designation  Professor  
Affiliation  Mahatma gandhi medical college and hospital  
Address  2nd floor department of anesthesia HOD office mahatma gandhi medical college and hospital riico industrial area sitapura jaipur rajasthan 302022 india
2nd floor department of anesthesia HOD office medical gandhi medical college and hospital riico industrial area sitapura jaipur rajasthan 302022 india
Jaipur
RAJASTHAN
302022
India 
Phone  9314882845  
Fax    
Email  ssmgumst@gmail.com  
 
Details of Contact Person
Public Query
 
Name  drgaurav goyal 
Designation  professor 
Affiliation  mahatma gandhi medical college and hospital 
Address  2nd floor srcc building OT 3 mahatma gandhi medical college and hospital riico industrial area sitapura jaipur rajasthan 302022 india

Jaipur
RAJASTHAN
302022
India 
Phone  9982190343  
Fax    
Email  drgauravgoyal@gmail.com  
 
Source of Monetary or Material Support  
mahatma gandhi medical college and hospital, jaipur rajasthan  
 
Primary Sponsor  
Name  mahatma gandhi medical college and hospital 
Address  mahatma gandhi medical college and hospital riico industrial area sitapura jaipur rajasthan 302022 india 
Type of Sponsor  Private 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 ROHIT PAREEK  Mahatma gandhi medical college and hospital  RIICO INDUSTRIAL AREA SITAPURA TONK ROAD JAIPUR
Jaipur
RAJASTHAN 
9462848382

dr.rohit41@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
DR RAJENDRA KUMAR SUREKHA  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K87||Disorders of gallbladder, biliarytract and pancreas in diseases classified elsewhere,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  BIS  APPLY BI SPECTRAL INDEX TO MONITOR THE DEPTH OF ANAESTHESIA 
Comparator Agent  Dexmedetomidine with Ketamine  AFTER APPLYING BIS TO THE PATIENT AND INDUCE PATIENT WITH DEXMEDETOMIDINE AND KETAMINE AND MONITOR DEPTH OF ANAESTHESIA. 
Comparator Agent  PROPOFOL AND KETAMINE  AFTER APPLYING BIS TO THE PATIENT AND INDUCE PATIENT WITH PROPOFOL AND KETAMINE AND MONITOR DEPTH OF ANAESTHESIA. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1.ASA grade 1 and 11
2.Age between 18years to 65 years scheduled for ERCP 3.All genders 
 
ExclusionCriteria 
Details  1. Patient with preexisting cardiac disease(congestive heart failure,coronary heart disese)
2.Severe renal dysfunction
3.Pregnancy
4.Lactating females
5.Patient with known allergy to drugs
6.Hypertension
7.Increased intracranial tension 
 
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 compare two regimens based on depth of anesthesia using bi spectral index(BIS).  To compare two regimens based on depth of anesthesia using bi spectral index(BIS). 
 
Secondary Outcome  
Outcome  TimePoints 
To assess the quality of anesthesia in terms of hemodynamic stability, pain relief and surgeon’s satisfaction between groups.

To study recovery profile as per ERAS protocol between groups. 
Assessing hemodynamic stability, pain relief and surgeon’s satisfaction between groups and study recovery as per ERAS protocol.  
 
Target Sample Size   Total Sample Size="90"
Sample Size from India="90" 
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)   01/11/2024 
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="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  
The study compares the efficacy and safety of two sedation protocols guided by Bispectral Index (BIS) monitoring for endoscopic retrograde cholangiopancreatography (ERCP): propofol with ketamine versus dexmedetomidine with ketamine infusion. Both protocols aim to optimize sedation depth while minimizing adverse events. By analyzing factors such as sedation efficacy, procedural success rates, patient satisfaction, recovery times, hemodynamic stability, respiratory parameters, and cost-effectiveness, the study seeks to identify the optimal sedation strategy for ERCP. The findings will inform clinical practice and enhance patient outcomes in ERCP procedures.
A prospective, hospital based, randomised control trial study including a sample size of 90 patients in a time period between April 2023 to October 2024.

Data will be collected by using self design questionnaire and observational findings during procedure.

Entire data would be entered into a Microsoft office software and appropriate stastical test will be applied and results will be calculated.
 
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