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CTRI Number  CTRI/2025/02/080412 [Registered on: 12/02/2025] Trial Registered Prospectively
Last Modified On: 07/02/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Medical Device
Surgical/Anesthesia 
Study Design  Other 
Public Title of Study   Dexmedetomidine versus Fentanyl as Premedication in Pediatric Patients in general anaesthesia 
Scientific Title of Study   A comparative study of the efficacy of Dexmedetomidine versus Fentanyl as Premedication in Pediatric Patients via intranasal mucosal atomization device. 
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Rohan Modi 
Designation  Resident doctor 
Affiliation  Smt.Bhikiben Kanjibhai Shah Medical Institute and Research Centre 
Address  Anaesthesia Department, General Ot Complex, 2nd Floor, Dhiraj Hospital, Smt.Bhikiben Kanjibhai Shah Medical Institute and Research Centre, Waghodiya, Piparia ,Vadodara,GUJARAT,391760 India

Vadodara
GUJARAT
391760
India 
Phone  9909430593  
Fax    
Email  modirohan3021@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Priya Kishnani 
Designation  Associate Professor 
Affiliation  Smt.Bhikiben Kanjibhai Shah Medical Institute and Research Centre 
Address  Anaesthesia Department, General Ot Complex, 2nd Floor, Dhiraj Hospital, Smt.Bhikiben Kanjibhai Shah Medical Institute and Research Centre, Waghodiya, Piparia ,Vadodara,GUJARAT,391760 India

Vadodara
GUJARAT
391760
India 
Phone  9898076139  
Fax    
Email  drpriya0809@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Priya Kishnani 
Designation  Associate Professor 
Affiliation  Smt.Bhikiben Kanjibhai Shah Medical Institute and Research Centre 
Address  Anaesthesia Department, General Ot Complex, 2nd Floor, Dhiraj Hospital, Smt.Bhikiben Kanjibhai Shah Medical Institute and Research Centre, Waghodiya, Piparia ,Vadodara,GUJARAT,391760 India

Vadodara
GUJARAT
391760
India 
Phone  9898076139  
Fax    
Email  drpriya0809@gmail.com  
 
Source of Monetary or Material Support  
Smt.Bhikiben Kanjibhai Shah Medical Institute and Research Centre, waghodiya, pipariya, vadodara, gujarat, india. pincode-391760 
 
Primary Sponsor  
Name  Smt.Bhikiben Kanjibhai Shah Medical Institute and Research Centre 
Address  Waghodiya, Piparia ,Vadodara,GUJARAT,391760 
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 Priya Kishnani  Smt Bhikiben Kanjibhai Shah Medical Institute and Research Centre  Sumandeep vidyapeeth Wagodhia , Pipariya, Vadodara Wagodhia , Pipariya, Vadodara Vadodara GUJARAT 391760 India Vadodara GUJARAT
Vadodara
GUJARAT 
9898076139

drpriya0809@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Sumandeep Vidyapeeth 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 
Intervention  dexmedetomidine  1.5 ug/kg dose given to the patient 30 min prior surgery and observe the response  
Comparator Agent  Fentanyl   1 ug/kg dose given to patient 30 min prior to surgery and check the response  
 
Inclusion Criteria  
Age From  3.00 Year(s)
Age To  12.00 Year(s)
Gender  Both 
Details  Children in the age group 3–12 years
ASA I and II.
Children undergoing elective surgery under general anesthesia. 
 
ExclusionCriteria 
Details  Children with ASA physical status Classes III and IV
Allergy to the drugs under study
Patients with any intranasal pathology/congenital anomaly of upper airway tract
Patients on anticonvulsant therapy or other sedative medications
Patients undergoing emergency surgeries.
Children with bradycardia
Patient fulfilling the above said inclusion criteria will be subjected to study.  
 
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 
This study will help us to know which drug out of two drugs - intranasal fentanyl or
dexmedetomidine is a better premedication to achieve the better-quality sedation and reducing
preoperative anxiety in children 
every 5 min till 30 min (pre ot)
every 30 min till 2 hours (intra ot) 
 
Secondary Outcome  
Outcome  TimePoints 
following parameters will be assessed.
1)Anxiety score
2)acceptance of drug
3)level of sedation
4)behaviour at the time of parent separation
 
every 5 min till 30 min (pre ot)
every 30 min till 2 hours (intra ot) 
 
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)   28/02/2025 
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="6"
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   A comparative study of the efficacy of Dexmedetomidine versus Fentanyl as Premedication in Pediatric Patients via intranasal mucosal atomization device.

OBJECTIVES  
To compare the efficacy of intranasal fentanyl and intranasal dexmedetomidine, for relieving
pre-operative anxiety in children on the basis of onset and quality of anxiolysis 
parental separation 
hemodynamic stability 
cooperation to mask holding
To compare the onset of action and duration of the sedative effects of each drug 
To evaluate the safety of both intranasal fentanyl and intranasal dexmedetomidine as premedication, focusing on the incidence of adverse effects.

Inclusion Criteria: 
 Children in the age group 3–12 years. 
 ASA I and II.
Children underwent elective surgery under general anesthesia

Exclusion Criteria: 
Children with ASA physical status Classes III and IV 
Allergy to the drugs under study 
Patients with any intranasal pathology/congenital anomaly of upper airway tract 
Patients on anticonvulsant therapy or other sedative medications 
Patients undergoing emergency surgeries. 
Children with bradycardia Patient fulfilling the above said inclusion criteria will be subjected to study. 

Patient will be divided randomly in group D and group F: 
Group - D - 1.5 ug/kg intranasally ½dose in each nostril. 
Group - F - 1 ug/kg intranasally 1/5 dose in each nostril. 

Duration Of Study: 18 Months

Study Site: Dhiraj Hospital, S.B.K.S M.I.R.C. Piparia, Waghodia, Vadodara, Gujarat. Study Design: Randomised, parellel group, active controlled trial

Sample Size: 60 (30 In Each Group)
 
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