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CTRI Number  CTRI/2024/09/073570 [Registered on: 09/09/2024] Trial Registered Prospectively
Last Modified On: 23/08/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Prospective study 
Study Design  Other 
Public Title of Study   An Observational study to assess the effect of ultrasound guided surficial cervical plexus block with clavipectoral fascial plane block or interscalene brachial plexus block in clavicle surgery 
Scientific Title of Study   The effect of ultrasound guided surficial cervical plexus block with clavipectoral fascial plane block or interscalene brachial plexus block in clavicle surgery 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Ganapathy S 
Designation  Post Graduate 
Affiliation  Shree Balaji Medical College and Hospital  
Address  Department of Anesthesiology Shree Balaji Medical College and Hospital Chromepet Chennai

Chennai
TAMIL NADU
600044
India 
Phone  8056542474  
Fax    
Email  ganapathy2537@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  K Vinod 
Designation  Professor 
Affiliation  Shree Balaji Medical College and Hospital  
Address  Department of Anesthesiology Shree Balaji Medical College and Hospital Chromepet Chennai

Chennai
TAMIL NADU
600044
India 
Phone  9841557566  
Fax    
Email  vinodkrishnagopal@gmail.com  
 
Details of Contact Person
Public Query
 
Name  K Vinod 
Designation  Professor 
Affiliation  Shree Balaji Medical College and Hospital  
Address  Department of Anesthesiology Shree Balaji Medical College and Hospital Chromepet Chennai

Chennai
TAMIL NADU
600044
India 
Phone  9841557566  
Fax    
Email  vinodkrishnagopal@gmail.com  
 
Source of Monetary or Material Support  
Shree Balaji Medical College and hospital Chromepet Chennai600044 Tamilnadu India 
 
Primary Sponsor  
Name  Ganapathy S 
Address  Department of Anesthesiology Shree Balaji Medical College and Hospital Chromepet Chennai 600044 Tamilnadu India 
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 
Dr Ganapathy S  Shree Balaji Medical College and Hospital   Department of Anesthesiology
Chennai
TAMIL NADU 
8056542474

ganapathy2537@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Shree Balaji Medical College and Hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Patient undergoing clavicle surgery 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1.Elective surgery with ASA grade 1 and 2
2.Patient undergoing Elective surgery of Clavicular fracture Planned for ORIF plating of clavicle 
 
ExclusionCriteria 
Details  1.Patient refusal
2.Abnormal blood coagulation
3.Allergy to local anesthesia
4.ASA grade III and above
5.Age more than 60 years and less than 18 years
6.Puncture site infection 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
To find out the time of first rescue analgesia in both the study group  To find out the time of first rescue analgesia in 24housin both the study group 
 
Secondary Outcome  
Outcome  TimePoints 
To find out pain score 2nd hour post operatively
To assess the Bromage score 
To find the VAS score 2nd hour post operatively for First 24 hours
To access the Upper limb Motor function in First 24 hours function 
 
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)   15/09/2024 
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="0"
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   1. Pre anesthetic checkup will be done before surgery
 2. Procedure and possible complications of anesthesia and superficial cervical plexus block clavipectoral fascial plane block interscalene block will be explained in patients own language on the day before surgery during the review in the ward. Informed written consent will be obtained from the patient along with the witness signature. 
3. On arrival to the operative room an IV access with 18 or 20 Gauge IV cannula will be secured. 
4. Minimum mandatory monitoring of SpO2, BP, ECG, ETCO2, Temperature will be done. 
5. As per the decision taken by the Consultant Anesthesiologist  patients will receive either superficial cervical plexus block with clavipectoral fascial plane block or superficial cervical plexus block with interscalene block. 
6. Group 1 Under sterile aseptic precautions superficial cervical plexus block 10ml of 0.5% Inj. Ropivacaine with clavipectoral fascial plane block 20ml of 0.5% Inj. Ropivacaine
7. Group 2 Under sterile aseptic precautions superficial cervical plexus block 10ml of 0.5% Inj. Ropivacaine with interscalene block 20ml of 0.5% Inj. Ropivacaine
8. Patient is handed over to the surgeon after assessing the effect of the block. If patient in either group complaints of pain, case is converted to General Anesthesia and is excluded from the study
9. In the recovery room and Post-operative ward the patients will be monitored for vital parameters which include BP HR SpO2 RR Effect of block measured at 30mins post operative analgesic duration motor function duration of block hemi-diaphragmatic paralysis.
10. Rescue analgesic will be administered as appropriate.

 
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