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CTRI Number  CTRI/2024/07/070960 [Registered on: 22/07/2024] Trial Registered Prospectively
Last Modified On: 20/07/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Subcutaneous infiltration of local anesthetic for postoperative pain following breast surgery 
Scientific Title of Study   Portal blocks for postoperative pain relief in patients undergoing breast surgery-A Case Control 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  NamrathaM 
Designation  PG student 
Affiliation  Jawaharlal Nehru Medical College 
Address  Department of Anaesthesiology,JNMC,Nehru Nagar,Belagavi 590010

Belgaum
KARNATAKA
590010
India 
Phone  8971747075  
Fax    
Email  dr.namratha336@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  NamrathaM 
Designation  PG student 
Affiliation  Jawaharlal Nehru Medical College 
Address  Department of Anaesthesiology,JNMC,Nehru Nagar,Belagavi 590010

Belgaum
KARNATAKA
590010
India 
Phone  8971747075  
Fax    
Email  dr.namratha336@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Ravi Kerur 
Designation  Assistant Professor 
Affiliation  Jawaharlal Nehru Medical College 
Address  Department of Anaesthesiology,JNMC,Nehru Nagar,Belagavi 590010

Belgaum
KARNATAKA
590010
India 
Phone  8310127767  
Fax    
Email  ravikerur@gmail.com  
 
Source of Monetary or Material Support  
KAHERs Jawaharlal Nehru Medical College,Nehru Nagar,Belagavi,Karnataka-590010 
 
Primary Sponsor  
Name  Namratha.M 
Address  Jawaharlal Nehru Medical College,Belagavi-10 
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 
DrNamrathaM  KLEs Dr.Prabhakar Kore Hospital and Medical Research Center  Department of Anesthesia, Jawaharlal Nehru Medical College ,Nehru Nagar.Belagavi,Karnataka-590010
Belgaum
KARNATAKA 
8971747075

dr.namratha336@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
JNMC Instituitional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  , , (1) ICD-10 Condition: C509||Malignant neoplasm of breast of unspecified site,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  PORTAL BLOCKS FOR POSTOPERATIVE PAIN RELIEF IN PATIENTS UNDERGOING BREAST SURGERY  Injection Paracetamol 1g I.V infusion every 8th hourly and Injection Tramadol 50mg I.V 12th hourly  
Intervention  PORTAL BLOCKS FOR POSTOPERATIVE PAIN RELIEF IN PATIENTS UNDERGOING BREAST SURGERY   Subcutaneous injection of mixture of 8ml Injection 0.125% Bupivacaine + 1ml Triamcinolone 40mg + 1ml Injection Clonidine 30mcg. 3ml of this mixture is administered in mid-sternal area at the level 4th rib and 3ml in the mid- axillary line of the operated side at the level of 7th rib once the NRS Score is more than or equal to 7  
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  70.00 Year(s)
Gender  Female 
Details  1)ASA Grade 1,2
2)Age between 30-70 years
3)Female patients undergoing breast surgery 
 
ExclusionCriteria 
Details  1)Patient Refusal
2) ASA III and above
3) Patient with Coagulation disorders or on anticoagulant and antiplatelet drugs
4) Infection at the site of injection
5) Known allergy to the any of study drugs 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Double Blind Double Dummy 
Primary Outcome  
Outcome  TimePoints 
To evaluate efficacy of portal blocks for post-operative pain management in woman undergoing Breast surgery   20minutes after block, followed by every 2 hourly upto 48 hours 
 
Secondary Outcome  
Outcome  TimePoints 
To Evaluate patient satisfaction & effects on hemodynamic parameters   starting from 20 minutes after the block, followed by every 2 hours for 48hours post surgery 
 
Target Sample Size   Total Sample Size="56"
Sample Size from India="56" 
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)   01/08/2024 
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="0"
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    

 After obtaining institutional ethical committee clearance, this case control study is carried out in 60 female patients (American Society of Anesthesiology [ASA] physical status 1,2) undergoing breast surgery during the period of January 2024 to June 2024.

Patients are allocated into two groups as Group A and Group P using computer generated software.

a)     

Group P-Subcutaneous infiltration of mixture of 8ml Injection 0.25% Bupivacaine + 1ml Triamcinolone 40mg + 1ml Injection Clonidine 30mcg. 3ml of this mixture is administered in mid-sternal area at the level 4th rib and 3ml in the mid- axillary line of the operated side at the level of 7th rib once the NRS Score is more than or equal to 7.

b)    Group A-Paracetamol 1g I.V infusion every 8th hourly and Injection Tramadol 50mg 12th hourly

An independent observer collects the data. NRS score will be documented postoperatively every hourly for first six hours then every 4th hourly till 48 hrs.  All patients will be monitored for pain using NRS score and hemodynamics with pulse rate and blood pressure.

If NRS Score >= 7 despite portal block, rescue analgesia is provided with Injection Paracetamol 1g I.V Infusion and Injection Tramadol 50mg I.V


 
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