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CTRI Number  CTRI/2024/12/078668 [Registered on: 27/12/2024] Trial Registered Prospectively
Last Modified On: 24/12/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Non-randomized, Active Controlled Trial 
Public Title of Study   Correlation of Perfusion Index (PI) and PI Ratio with the Success of Ultrasound-Guided Supraclavicular Block 
Scientific Title of Study   A study to correlate values of perfusion index(PI) and PI ratio with success of ultrasound guided supraclavicular 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 Ramesh Kumar 
Designation  Professor , Department of Anesthesia , IGMC Shimla 
Affiliation  IGMC , Shimla 
Address  Department of Anaesthesiology,Indira Gandhi Medical College , Ridge - Sanjouli Road , Lakkar Bazar, Shimla , H.P , 171001, India

Shimla
HIMACHAL PRADESH
171001
India 
Phone  9418077428  
Fax    
Email  drrameshkumar66@gmail.com1  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ramesh Kumar 
Designation  Professor , Department of Anesthesia , IGMC Shimla 
Affiliation  IGMC , Shimla 
Address  Department of Anaesthesiology,Indira Gandhi Medical College , Ridge - Sanjouli Road , Lakkar Bazar, Shimla , H.P , 171001, India

Shimla
HIMACHAL PRADESH
171001
India 
Phone  9418077428  
Fax    
Email  drrameshkumar66@gmail.com1  
 
Details of Contact Person
Public Query
 
Name  Dr Shavi Singla 
Designation  Junior Resident 
Affiliation  IGMC , SHIMLA 
Address  Department of Anaesthesiology,Indira Gandhi Medical College , Ridge - Sanjouli Road , Lakkar Bazar, Shimla , H.P , 171001, India

Shimla
HIMACHAL PRADESH
171001
India 
Phone  9876616158  
Fax    
Email  shavisingla11@gmail.com  
 
Source of Monetary or Material Support  
Available in Indira Gandhi medical college , Shimla 
Himachal Pradesh Government 
 
Primary Sponsor  
Name  Indira Gandhi Medical College  
Address  Ridge , Sanjauli Road, Lakkar Bazar, Shimla, Himachal Pradesh-171001 
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 Shavi Singla  Indira Gandhi Medical College , Shimla , Himachal Pradesh , India  Department of Anesthesia , IGMC , RIDGE SANJOULI ROAD , LAKKAR BAZAR,171001.
Shimla
HIMACHAL PRADESH 
9876616158

shavisingla11@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Indira Gandhi Medical College , Shimla  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: V988||Other specified transport accidents, (2) ICD-10 Condition: V229||Unspecified motorcycle rider injured in collision with two- or three-wheeled motor vehicle in traffic accident,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  General anesthesia  General anesthesia is given in the patients contraindicated for the supraclavicular block 
Intervention  Ultrasound guided Supraclavicular Block   Supraclavicular Block is given for the upper limb surgeries under USG guidance . Drugs to be given injection bupivacaine 0.25% with injection lignocaine with ADR 0.1% , total 30cc . Observation period is 30 minutes. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  ASA physical status I & II patients.
Patient undergoing upper extremity orthopedic surgery.
Both male and female patient in the age group of 18-60 years. 
 
ExclusionCriteria 
Details  I. Patient refusal for regional anaesthesia or unwillingness to participate in
study.
II. H/O allergy to local anaesthetics.
III. Local site infection.
IV. Patient with peripheral vascular disease.
V. H/O coagulation disorders.
VI. Use of medication like alpha and beta blockers.
VII. H/o anticoagulation 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Other 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
A study to correlate values of PI and PI ratio with success and/or
failure of ultrasound guided supraclavicular block. 
30 minutes 
 
Secondary Outcome  
Outcome  TimePoints 
i. To calculate the cut off value of perfusion index for
successful supraclavicular block, if any.
ii. To compare the perfusion index between blocked and
unblocked arm. 
30 minutes 
 
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   N/A 
Date of First Enrollment (India)   10/01/2025 
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 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   An increase in PI is an early indicator that a general, epidural and regional block has initiated peripheral vasodilation which typically occurs after the onset of anaesthetic effect only. A few studies are there in literature about the actual value of PI in a successful SCB. Therefore we decided to carry out the study to know the cut off value of PI for USG guided successful SCB using lignocaine with adrenaline 2% and bupivacaine 0.5% total volume 30 ml in 1:1 ratio. 
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