| CTRI Number |
CTRI/2024/03/064709 [Registered on: 22/03/2024] Trial Registered Prospectively |
| Last Modified On: |
21/03/2024 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Drug |
| Study Design |
Randomized, Parallel Group, Active Controlled Trial |
|
Public Title of Study
|
To compare different doses of dexmedetomidine combined with ropivacaine to assess postoperative analgesia using ultrasound guided supraclavicular brachial plexus block in upper limb surgeries |
|
Scientific Title of Study
|
A Randomized comparative study to Compare different doses of Dexmedetomidine combined with Ropivacaine to assess post-operative analgesia using ultrasound-guided Supraclavicular Brachial Plexus Block in Upper Limb Surgeries- in Department of Anaesthesia at SMS Hospital, Jaipur |
| 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 Poonam Kalra |
| Designation |
SENIOR PROFESSOR |
| Affiliation |
SMS medical college jaipur |
| Address |
Department of Anaesthesia sawai man singh medical college, jaipur, rajasthan
Jaipur RAJASTHAN 302004 India |
| Phone |
9413416787 |
| Fax |
|
| Email |
poonamkalra24@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Neha Tewatia |
| Designation |
JUNIOR RESIDENT |
| Affiliation |
SMS medical college jaipur |
| Address |
Departtment of Anaesthesia SMS medical college, Dhanwantri block, JLN Marg jaipur, rajasthan
Jaipur RAJASTHAN 302004 India |
| Phone |
8053075272 |
| Fax |
|
| Email |
Nehatewatia94@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Dr Poonam Kalra |
| Designation |
SENIOR PROFESSOR |
| Affiliation |
SMS medical college jaipur |
| Address |
Departtment of Anaesthesia SMS medical college, Dhanwantri block, JLN Marg jaipur, rajasthan
Jaipur RAJASTHAN 302004 India |
| Phone |
9413416787 |
| Fax |
|
| Email |
poonamkalra24@gmail.com |
|
|
Source of Monetary or Material Support
|
| Department of anaesthesia sawai man singh medical college jaipur |
|
|
Primary Sponsor
|
| Name |
Department of anaesthesia sawai man singh medical college jaipur |
| Address |
Department of anaesthesia sawai man singh medical college jaipur rajasthan 302004 |
| 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 Poonam Kalra |
Sawai man singh medical colllege jaipur rajasthan |
Departtment of Anaesthesia Dhanwantri block SMS medical college JLN Marg jaipur rajasthan rajasthan Jaipur RAJASTHAN |
9413416787
poonamkalra24@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| OFFICE OF ETHICS COMMITTEE SMS MEDICAL COLLEGE JAIPUR |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: V00-Y99||External causes of morbidity, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
50mcg dexmedetomidine |
Dexmedetomidine 50mcg combined with ropivacaine to assess the duration of analgesia using ultrasound guided supraclavicular brachial plexus block in upper limb surgery |
| Intervention |
ultasound guided supraclavicular brachial plexus block in elective upper limb surgery |
dexmedetomidine 25mcg combined with ropivacaine to assess postoperative duration of analgesia using ultrasound guided supraclavicular brachial plexus block in upper limb surgery |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
60.00 Year(s) |
| Gender |
Both |
| Details |
1.Patient posted for upper limb surgeries
2. Either sex
3. Age-between 18 and 60 years
4. American Society ofAnesthesiologists Physical Status (ASA‑PS) Classes I and II
5.Bodyweight: 40-70 kg
6.Patients who will give informed written consent |
|
| ExclusionCriteria |
| Details |
1.Patient should not be a part of other study.
2.Nonco-operative patient.
3.Patients having severe systemic illness and bleeding disorders,
4.Pregnant women
5.Patients allergic to study drugs
6.Patients havingpre-existing sensory and motor deficit
7.Local site infection or deformity if any at the injection site |
|
|
Method of Generating Random Sequence
|
Random Number Table |
|
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
|
Blinding/Masking
|
Participant and Investigator Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
1.Mean Duration of analgesia (minutes)
2.Mean of NRS score
|
Postoperative 4hr
Postoperative 8hr
Postoperative 12hr
Postoperative 16hr
Postoperative 20hr
Postoperative 24hr
|
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
1.Mean time of onset of sensory block (minutes)
2.Mean time of onset of motor block (minutes)
3.Mean Duration of motor block (minutes)
4.Median of sedation score
5.Mean systolic B.P, mean diastolic B.P, Mean of mean B.P, Mean heart rate
6.Proportion of cases having adverse effects if any in both the groups |
0min
5min
10min
15min
20min
25min
30min
45min
60min
75min
90min
|
|
|
Target Sample Size
|
Total Sample Size="70" Sample Size from India="70"
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)
|
30/03/2024 |
| 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="3" 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
|
Supraclavicular brachial plexus block has been the choice of anaesthesia for upper limb surgeries .The addition of adjuvant to local anesthetic not only augments the anaesthetic action of the drug but also reduces the dose required thus improving the safety margin. Prolonging postoperative analgesia using various adjuvants has become a trend in regional anesthesia practice .which provides effective pain relief during intra operative and early postoperative period along with avoiding the risks of general anaesthesia. In this study, we plan to compare different doses of Dexmedetomidine combined with Ropivacaine to determine their effectiveness in prolonging sensory and motor block and duration of analgesia in patients undergoing upper limb surgeries .For this a total of seventy patients (n=70) undergoing elective ultrasound-guided supraclavicular brachial plexus block who satisfy the inclusion criteria will be randomly divided into two groups of 35 each (A and B). Group A patients will be receiving Perineural: 20ml 0.5% ropivacaine + 25mcg Dexmedetomidine diluted in 1ml NS (total-21ml)for ultrasound-guided supraclavicular brachial plexus blockand group B will be receiving Perineural: 20ml 0.5% ropivacaine + 50mcg Dexmedetomidine diluted in 1ml NS (total-21ml) for ultrasound-guided supraclavicular brachial plexus block. When patients arrive in the operating room(OR), intravenous cannula (IV cannula) will be inserted and hemodynamic variables will be measured. After this ultrasound-guided supraclavicular brachial plexus block will be administered using different doses of dexmedetomidine as an adjuvant to Ropivacaine in groupA and groupB. Surgery will be allowed to proceed after the adequate effect is achieved. Quantitative values of time of onset of sensory loss, time of onset of motor loss, time taken for motor regression, duration of post operative analgesia, hemodynamic parameters, sedation score and side effects if any will be recorded |