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CTRI Number  CTRI/2024/04/066315 [Registered on: 25/04/2024] Trial Registered Prospectively
Last Modified On: 24/04/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Events of diaphragmatic paresis following various approach of brachial plexus block. 
Scientific Title of Study   A prospective observational study on incidences of ipsilateral hemidiaphragmatic paresis following various approach of brachial plexus block. 
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 Zeel Jariwala 
Designation  2nd Year Anaesthesia Resident 
Affiliation  New Civil Hospital,Surat 
Address  2nd floor,Department of Anaesthesia,Government Medical College, near Majura gate-Surat,Gujarat

Surat
GUJARAT
395001
India 
Phone  9033281811  
Fax    
Email  zulu4198@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Neeta Kavishvar 
Designation  Professor and Head of Department  
Affiliation  New Civil Hospital,Surat 
Address  Department of Anaesthesiology ,Second Floor College building,New Civil Hospital,majura gate,Surat

Surat
GUJARAT
395001
India 
Phone  9825615264  
Fax    
Email  neeta_kavishvar@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Dr Neeta Kavishvar 
Designation  Professor and Head of Department  
Affiliation  New Civil Hospital,Surat 
Address  Department of Anaesthesiology ,Second Floor College building,New Civil Hospital,majura gate,Surat

Surat
GUJARAT
395001
India 
Phone  9825615264  
Fax    
Email  neeta_kavishvar@yahoo.co.in  
 
Source of Monetary or Material Support  
First floor operation theater,Government medical college and new civil hospital,near majura gate, surat,gujarat 395001 
 
Primary Sponsor  
Name  Government medical college and new civil hospital 
Address  New civil Hospital,majura gate Surat ,395001 Gujarat  
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 Zeel Jariwala  New civil hospital  First floor operation theater complex,orthopaedic Ot;New civil hospital,Majura gate,Surat,Gujarat
Surat
GUJARAT 
9033281811

zulu4198@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Human research and ethics Committee of GMC surat  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  nil  nil 
Comparator Agent  nil  nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  patient who will undergo brachial plexus block for upper limb surgery. 
 
ExclusionCriteria 
Details  1.patient not giving consent.
2.patient who are unable to perform PEFR(peak expiratory flow rate)
3.patient with diaphragmatic pathology. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
incidences of diaphragmatic paresis  will record the data at two points before the brachial plexus block and 30 mintues after the block with peak flow meter and ultrasound  
 
Secondary Outcome  
Outcome  TimePoints 
severity of diaphragmatic paresis and reduction in spo2 and peak expiratory flow rate  will record the data at two points before the brachial plexus block and 30 mintues after the block with peak flow meter and ultrasound  
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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)   06/05/2024 
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 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 - NO
Brief Summary   being in a tertiary care hospital many trauma cases of upper limb are recorded . Most upperlimb surgeries are done under brachial plexus block as it provides anaesthsia along with postoperative analgesia with out the need of airway manipulation but phrenic nerve supplying being inclose proximity with brachial plexus gets paralysed causing ipsilateral hemidiaphragmatic pariesis. This leads to decrease in saturation and peak flow rate. Primary aim is to determine incidences of ipsilateral hemidiaphragmatic paralysis following brachail plexus block and its severity.It is measured by assessing peak flow rate and ultrasonograhic movement of diaphragm before and 30 minutes after block ,along with calculating respiratory rate and drop in saturation. 
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