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CTRI Number  CTRI/2024/04/065366 [Registered on: 08/04/2024] Trial Registered Prospectively
Last Modified On: 05/04/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Preventive 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Effect of compressed sponge Nasal pack versus compressed sponge Nasal pack with breathable tube on Eustachian tube function and arterial blood gas- A clinical trial 
Scientific Title of Study   Effect of completely occlusive nasal pack versus nasal pack with airway on eustachian tube function and arterial blood gas- a randomised controlled trial 
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 Hithyshree. N 
Designation  Junior resident 
Affiliation  Sri Devaraj urs medical college  
Address  Sri Devaraj urs medical college

Kolar
KARNATAKA
563103
India 
Phone  9886143406  
Fax    
Email  drhithyshree@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr S M AZEEM MOHIYUDDIN 
Designation  Professor  
Affiliation  Sri Devaraj urs medical college  
Address  Sri Devaraj urs medical college

Kolar
KARNATAKA
563103
India 
Phone  9886143406  
Fax    
Email  hitu.238@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Hithyshree N 
Designation  Post graduation student  
Affiliation  Sri Devaraj urs medical college  
Address  Room No. 21 Department of ENT Sri Devaraj urs medical college

Kolar
KARNATAKA
563103
India 
Phone  9886143406  
Fax    
Email  drhithyshree@gmail.com  
 
Source of Monetary or Material Support  
Room no 21 Department of ENT Sri Devaraj urs medical college Tamaka, Kolar 563103 
 
Primary Sponsor  
Name  Dr Hithyshree N 
Address  Room no 21 Department of ENT Sri Devaraj urs medical college Tamaka, Kolar 563103 
Type of Sponsor  Other [Post graduate resident] 
 
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 Hithyshree   Sri Devaraj Urs medical college  Room no.21, Department of ENT, Sri Devaraj urs medical college, Tamaka, Kolar 563103
Kolar
KARNATAKA 
9886143406

drhithyshree@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Sri Devaraj Urs medical college   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: R068||Other abnormalities of breathing,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  merocele nasal pack  Completely occlusive nasal pack 
Intervention  Nasal pack with airway  There will be a ventilation tube with the nasal pack 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  All patients aged between 18- 60 years planned for nasal surgeries and patients with epistaxis requiring bilateral anterior nasal packs
 
 
ExclusionCriteria 
Details 
1. Patients with mucociliary disorders
2. Patients requiring posterior nasal pack
3. Patients who have received radiation to nasopharynx or the surrounding areas
4. Very obese patients with history of obstructive sleep apnea
5. Patients with impaired cardiac functions.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Alternation 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Middle ear aeration and pulmonary ventilation   At baseline & Day 1 
 
Secondary Outcome  
Outcome  TimePoints 
Oxygen saturation  Post operative day 1 
 
Target Sample Size   Total Sample Size="62"
Sample Size from India="62" 
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 2/ Phase 3 
Date of First Enrollment (India)   17/04/2024 
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="8"
Days="0" 
Recruitment Status of Trial (Global)   Open to Recruitment 
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  

Nasal packs are usually used in case of epistaxis and after nasal surgeries to control bleeding and to support and stabilize the bony and cartilaginous structures. Due to packing, patients experience significant discomfort in the post-operative period. Bilateral nasal packing can lead to compromised Eustachian tube function. Eustachian tube patency is very important to maintain middle ear pressure and its dysfunction can lead to Eustachian tube catarrh, secretory otitis media. Nasal obstruction can lead to hypoxia, sleep apnea especially in patients with vulnerable cardiac function or poor lung capacity. Mouth breathing can also lead to imbalance in the acid- base due to disturbance in pulmonary ventilation. Some patients may experience fall in saturation when in deep sleep.

In this study, the pulmonary side effects and alterations in Eustachian tube function associated with the use of nasal packs will be evaluated.

The effect of totally occlusive nasal pack and nasal pack with airways on pulmonary and Eustachian tube function will be compared.

 
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