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CTRI Number  CTRI/2024/10/075959 [Registered on: 28/10/2024] Trial Registered Prospectively
Last Modified On: 22/10/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Comparision of two approaches of nerve block for pain relief after Laparoscopic gall bladder removal surgery 
Scientific Title of Study   Comparison of External Oblique Intercostal Block with Subcostal Transversus Abdominis plane Block for Postoperative Analgesia in Laparoscopic Cholecystectomy  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
U1111-1311-7207  UTN 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Purvika Singh 
Designation  Junior Resident 
Affiliation  Teerthanker Mahaveer Medical College and Research Centre 
Address  Room No. 117 Department Of Anaesthesia Teerthanker Mahaveer Medical College and Research Centre N.H.-24, Delhi Road, Moradabad - 244001, Uttar Pradesh Moradabad UTTAR PRADESH 244001 India

Moradabad
UTTAR PRADESH
244001
India 
Phone  9068152305  
Fax    
Email  purvikasingh.singh@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Mukesh Kumar Prasad 
Designation  Professor 
Affiliation  Teerthanker Mahaveer Medical College and Research Centre 
Address  Room No. 117 Department Of Anaesthesia Teerthanker Mahaveer Medical College and Research Centre N.H.-24, Delhi Road, Moradabad - 244001, Uttar Pradesh Moradabad UTTAR PRADESH 244001 India

Moradabad
UTTAR PRADESH
244001
India 
Phone  9837624543  
Fax    
Email  mukeshkumar2002@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Mukesh Kumar Prasad 
Designation  Professor 
Affiliation  Teerthanker Mahaveer Medical College and Research Centre 
Address  Room No. 117 Department Of Anaesthesia Teerthanker Mahaveer Medical College and Research Centre N.H.-24, Delhi Road, Moradabad - 244001, Uttar Pradesh Moradabad UTTAR PRADESH 244001 India

Moradabad
UTTAR PRADESH
244001
India 
Phone  9837624543  
Fax    
Email  mukeshkumar2002@gmail.com  
 
Source of Monetary or Material Support  
Teerthanker Mahaveer Medical College and Research Centre, Delhi road,Moradabad 244001 , Uttar Pradesh,India 
 
Primary Sponsor  
Name  Teerthanker Mahaveer Medical College and research Centre 
Address  Teerthanker Mahaveer Medical College and Research Centre, N.H.-24, Delhi Road, Moradabad - 244001, Uttar Pradesh 
Type of Sponsor  Private 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 Purvika Singh  Teerthanker Mahaveer Medical college and Research centre  Room no 4, Main OT Complex,Department of Anaesthesia, Teerthanker Mahaveer Medical College and Research Centre Moradabad UTTAR PRADESH
Moradabad
UTTAR PRADESH 
9068152305

purvikasingh.singh@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Teerthanker Mahaveer University-Institutional Ethics Committee  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 
Comparator Agent  Group 2 -Transversus abdominis plane block   Dose-20ml 0.25% Bupivacaine Injection in fascial plane Frequency- once before extubation Duration-VAS score and haemodynamic parameter will be recorded at the end of surgery  
Intervention  Group I- Ultrasound guided EOIB  Dose-20ml 0.25% Bupivacaine Injection in fascial plane Frequency- once before extubation Duration-VAS score and haemodynamic parameter will be recorded at the end of surgery  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  1-Patients posted for Elective Laparoscopic 2-Cholecystectomy (Cholelithiasis and Cholecystitis) giving informed and written consent
3-Patients of age 18-70 years
4-American Society of Anesthesiologist (ASA) physical status I-II
 
 
ExclusionCriteria 
Details  1-H/o coagulopathy
2-History of chronic alcohol abuse / drug abuse
3-Allergy to local anaesthetic
4-BMI ≥35kg/m2
5-Pregnant patients
6-All other indications of laparoscopic cholecystectomy
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
To evaluate tramadol consumption for postoperative 24 hours in both the groups   To evaluate tramadol consumption for postoperative 24 hours in both the groups, 0 min, 15 min, 30 min, 1 hour, 2 hour, 4 hour, 8 hour, 12 hour,16 hour, 24 hour 
 
Secondary Outcome  
Outcome  TimePoints 
1-To compare VAS score postoperatively.
2-To compare total consumption of analgesics in 24 hours post operatively.
3-To compare hemodynamical parameters.
4-To observe any complications 
0 mins, 15 mins, 30 mins, 45 mins ,1st hours, 2 hours, 4hours, 8hours, 12hours, 16hours, 20 hours 24hours. 
 
Target Sample Size   Total Sample Size="70"
Sample Size from India="70" 
Final Enrollment numbers achieved (Total)= "70"
Final Enrollment numbers achieved (India)="70" 
Phase of Trial   N/A 
Date of First Enrollment (India)   30/11/2024 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) 15/04/2025 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Completed 
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 getting approval from College Research Committee (CRC) and Institutional Ethical Committee (IEC), TMMC & RC

All Patients meeting our inclusion & exclusion criterions will be studied

Patients will be randomly allocated into two groups : E-External oblique intercoastal block[EOIB] and T-Subcostal transversus abdominis plane block [STAP]

General anaesthesia will be given as per the institution’s protocol

After surgery before extubation : Group E- Ultrasound guided EOIB 20ml Bupivacaine 0.25% and Group T- Ultrasound guided STAP 20ml Bupivacaine 0.25%

The patient will be shifted to PACU and standard analgesia (1 gm PCM 8 hourly I. V.) will be given as per  institute protocol.

VAS score and hemodynamic parameter will be recorded at the end of surgery 30mins , 45mins then 1st  hour, 2nd hour ,6th hour, 12th hour, 16th hour, 20th hour, and 24th hour.

VAS >4 will be given rescue analgesia in form of I/V Tramadol 1mg/kg. 

Total rescue analgesic consumption in 24 hours and complications will be noted.

Data will be analysed using the appropriate statistical method.
 
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