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CTRI Number  CTRI/2024/03/064103 [Registered on: 13/03/2024] Trial Registered Prospectively
Last Modified On: 09/03/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A study which aims to reduce vomiting and feeling of vomiting in patients after operation of gallbladder by laparoscopic approach, one group of patients will have dexamethasone by intravenous route and the other group by giving the drug inside the abdomen during operation. 
Scientific Title of Study   Comparison of effect of intraperitoneal versus intravenous dexamethasone on postoperative nausea, and vomiting after laparoscopic cholecystectomy: A prospective, randomised, double blinded 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  Dr Bijoy Kumar Bandyopadhyay 
Designation  Professor 
Affiliation  Midnapore Medical College & Hospital 
Address  Department of Anaesthesiology, Midnapore Medical College, Vidyasagar Road, Midnapore Town, Paschim Medinipur, Pin- 721101

Medinipur
WEST BENGAL
721101
India 
Phone  9332132242  
Fax    
Email  bjoybnrjee@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Arun Kumar Mandi 
Designation  Assistant Professor 
Affiliation  Midnapore Medical College & Hospital 
Address  Department of Anaesthesiology, Midnapore Medical College, Vidyasagar Road, Midnapore Town, Paschim Medinipur, Pin- 721101

Medinipur
WEST BENGAL
721101
India 
Phone  8697633923  
Fax    
Email  mandiarunkr87@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Mizanul Haque 
Designation  Post graduate trainee 
Affiliation  Midnapore Medical College & Hospital 
Address  Department of Anaesthesiology, Midnapore Medical College, Vidyasagar Road, Midnapore Town, Paschim Medinipur, Pin- 721101

Medinipur
WEST BENGAL
721101
India 
Phone  9831179812  
Fax    
Email  drmizanhaque@gmail.com  
 
Source of Monetary or Material Support  
Govt. medical college post graduate thesis fund, Office of the Principal, Midnapore Medical College & Hospital, Midnapore, Dist: Paschim Midnapore, West Bengal. PIN 721101. 
 
Primary Sponsor  
Name  Principal, Midnapore Medical College & Hospital 
Address  Office of the Principal, Midnapore Medical College & Hospital 
Type of Sponsor  Government 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 Mizanul Haque  Midnapore Medical College & Hospital.  Laparoscopic Surgery OT, Surgery OT complex, post-anesthesia care unit, Post operative ward, Vidyasagar Road, Midnapore,Paschim Medinipur. Pin721101
Medinipur
WEST BENGAL 
9831179812

drmizanhaque@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Midnapore Medical College & Hospital  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 
Intervention  Intraperitoneal Dexamethasone  Intraperitoneal group will receive 8 mg of Intra Peritoneal dexamethasone once and 2 ml of IntraVenous normal saline once as the placebo  
Comparator Agent  Intravenous Dexamethasone  Intravenous group will receive 8 mg of IV dexamethasone once and 2 ml of IntraPeritoneal normal saline as the placebo once after last clamp insertion and before laparoscopic trocar withdrawal 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Female 
Details  1. ASA grade I & II.
2. Female patients.
3. Patients undergoing laparoscopic Cholecystectomy.
4. Patients giving valid consents
 
 
ExclusionCriteria 
Details  1. Patients with severe cardio-respiratory disease
2. Patients with hepatic & renal disease
3. Patients with neurologic disorder
4. Patients with endocrine disorder
5. Patients who will not give valid consent.
6. Patients with psychiatric problem
7. Patients with H/O dexamethasone allergy.
8. Patients with pregnancy
 
 
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 
Incidence and severity of post operative nausea and vomiting  2, 4, 8, 12, and 24 hours after laparoscopy.  
 
Secondary Outcome  
Outcome  TimePoints 
1. To compare the requirement of rescue antiemetic between the two groups.
2. To compare the requirement of rescue analgesic between the two groups during the first 24hour
3. To compare the hemodynamic changes between the two groups in intra operative and post operative period during the first 24hour.
4.To study the side effects if any attributable to drugs
 
2, 4, 8, 12, and 24 hours after surgery 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
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 1/ Phase 2 
Date of First Enrollment (India)   12/04/2024 
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 Yet Recruiting 
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 - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report
    Response -  Analytic Code

  3. Who will be able to view these files?
    Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.

  4. For what types of analyses will this data be available?
    Response - Any purpose.

  5. By what mechanism will data be made available?
    Response (Others) -  ANY

  6. For how long will this data be available start date provided 01-08-2024 and end date provided 01-01-2030?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - nil
Brief Summary  

SUMMARY:

Proposed topic of research : COMPARISON OF EFFECT OF INTRAPERITONEAL VERSUS INTRAVENOUS DEXAMETHASONE ON POSTOPERATIVE NAUSEA, AND VOMITING AFTER LAPAROSCOPIC CHOLECYSTECTOMY: A PROSPECTIVE, RANDOMISED, DOUBLE BLINDED STUDY.

 

Objective of research:

Comparison of efficacy of Intraperitoneal Dexamethasone with Intravenous Dexamethasone in preventing Post operative nausea & vomiting.

 

Background of research:

Despite all of the benefits provided by laparoscopic cholecystectomy, the Post operative nausea & vomiting is the common & distressful side effect of laparoscopic surgeries. It can negatively affect patient dissatisfaction; readmission & prolonged hospital stay and  increased medical costs. Multimodal approaches are being considered for prophylaxis of post operative nausea & vomiting. Intravenous Dexamethasone reduces post operative nausea & vomiting after laparoscopic surgeries. In this study we aim to find out if Intraperitoneal Dexamethasone would work better than Intravenous  Dexamethasone to reduce post operative nausea & vomiting following laparoscopic cholecystectomy in adult female patients.        

 

Methodology:

It is a hospital based prospective, randomized, double blinded, study on adult female patients undergoing laparoscopic cholecystectomy under general anaesthesia in surgery OT of Midnapore Medical College and Hospital. A total of  100 patients will be selected randomly in two groups where one group will Receive prophylactic dexamethasone 8mg IV, the second group will receive Dexamethasone 8mg IP.  Anaesthetic and surgical management will be standardized in each group. The required parameters will be monitored in the intraoperative and postoperative period up to 24 hours postoperative period  .                                                                                                                                                                                                                                                                   

Expected outcome of proposed study:

We are expecting that incidence & severity of PONV will significantly decrease in the group intraperitoneal Dexamethasone group following laparoscopic cholecystectomy.

 
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