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CTRI Number  CTRI/2024/10/076057 [Registered on: 29/10/2024] Trial Registered Prospectively
Last Modified On: 29/10/2024
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Single Arm Study 
Public Title of Study   Determining the best needle length in young children using ultrasound 
Scientific Title of Study   Determination of the optimal needle length for caudal block in infants using ultrasonography 
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Divya Jain 
Designation  Professor 
Affiliation  Post Graduate Institute of Medical Education and Research 
Address  Department of Anesthesia, fourth floor, Nehru hospital, PGIMER, sector 12, Chandigarh

Chandigarh
CHANDIGARH
160012
India 
Phone  9855900171  
Fax    
Email  jaindivya77@rediffmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Shephali 
Designation  Senior Resident 
Affiliation  Post Graduate Institute of Medical Education and Research 
Address  Department of Anesthesia, fourth floor, Nehru hospital, PGIMER, sector 12, Chandigarh

Chandigarh
CHANDIGARH
160012
India 
Phone  9044657889  
Fax    
Email  addusingh22@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Shephali 
Designation  Senior Resident 
Affiliation  Post Graduate Institute of Medical Education and Research 
Address  Department of Anesthesia, fourth floor, Nehru hospital, PGIMER, sector 12, Chandigarh


CHANDIGARH
160012
India 
Phone  9044657889  
Fax    
Email  addusingh22@gmail.com  
 
Source of Monetary or Material Support  
Post Graduate Institute of Medical Education and Research, sector-12, Madhya marg, Chandigarh, India- 160012 
 
Primary Sponsor  
Name  Post Graduate Institute of Medical Education and Research 
Address  SECTOR 12, MADHYA MARG, CHANDIGARH, INDIA-160012 
Type of Sponsor  Research institution and hospital 
 
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 Shephali  Advance pediatric centre, Post Graduate Institute of Medical Education and Research  Pediatric surgery operation theatre, 6th floor (6A), OT number 1-4, Divison of pediatric anesthesia, Deartment of Anesthesia
Chandigarh
CHANDIGARH 
9044657889

addusingh22@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee (Intramural), Postgraduate Institute of Medical Education and Research, Chandigarh  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K928||Other specified diseases of the digestive system, (2) ICD-10 Condition: N398||Other specified disorders of urinary system,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  1.00 Month(s)
Age To  1.00 Year(s)
Gender  Both 
Details  Infant (1 month-1 year) undergoing surgery in APC OT under general anaesthesia and caudal block  
 
ExclusionCriteria 
Details  Parental refusal to participate in the study.
Contra-indication to caudal block (local site infection, coagulopathy, raised intracranial pressure, vertebral anomalies)
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To determine the optimal needle length for caudal block in infants using ultrasonography  Baseline 
 
Secondary Outcome  
Outcome  TimePoints 
To identify the factors (age, gender, weight, height, weight to height ratio, body mass index & subcutaneous fat in sacral area) that affect the optimal needle length.   Baseline 
 
Target Sample Size   Total Sample Size="65"
Sample Size from India="65" 
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)   10/11/2024 
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   Caudal block is the primary and most widely employed regional anesthesia technique in pediatric population. Irrespective of its high success rate, there is increased risk of dural and vascular puncture due to inappropriate needle length inserted to place the block. Ultrasound guided caudal needle insertion is recommended for each patient. However, there is lack of USG in many centers, making scanning impossible. The distance that a needle can be safely inserted while performing a caudal block in infants would be a useful information for anesthesiologist in clinical practice. There is no known standard method at present which suggest the optimal length of needle which can be used to perform caudal block, by avoiding risk of dural puncture. Therefore, the present study is designed to determine the optimal needle length for caudal block using ultrasound and identify the factors that affects the needle length for caudal block in infants.  
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