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CTRI Number  CTRI/2024/08/071836 [Registered on: 02/08/2024] Trial Registered Prospectively
Last Modified On: 01/08/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Other 
Public Title of Study   A clinical trial to study the effect of three drugs, dexmedetomidine, ketamine and tramadol in patient experiencing shivering during Spinal anaesthesia 
Scientific Title of Study   Comparison of Dexmedetomedine, Ketamine, and Tramadol In Treatment of Shivering During spinal anaesthesia. 
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 Kalavathi 
Designation  Junior resident 
Affiliation  Sapthagiri Institute Of Medical Sciences And Research centre 
Address  Department of anaesthesiology, ground floor ot complex, sapthagiri hospital 15,Hessarghatta road,Navy layout chikkasandra, Chikkabanavara Karnataka 560090
Department of anaesthesiology, ground floor ot complex, sapthagiri hospital 15,Hessarghatta road,Navy layout chikkasandra, Chikkabanavara Karnataka 560090
Bangalore
KARNATAKA
560090
India 
Phone  8904323469  
Fax    
Email  kalavatijat99@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Sr Shreyavathi . R 
Designation  Professor 
Affiliation  Sapthagiri Institute Of Medical Sciences And Research centre 
Address  Department of anaesthesiology, ground floor ot complex, sapthagiri hospital 15,Hessarghatta road,Navy layout chikkasandra, Chikkabanavara Karnataka 560090
Department of anaesthesiology, ground floor ot complex, sapthagiri hospital 15,Hessarghatta road,Navy layout chikkasandra, Chikkabanavara Karnataka 560090
Bangalore
KARNATAKA
560090
India 
Phone  9880588325  
Fax    
Email  Shreyamurthy8993@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Shreyavathi . R 
Designation  Professor 
Affiliation  Sapthagiri Institute Of Medical Sciences And Research centre 
Address  Department of anaesthesiology, ground floor ot complex, sapthagiri hospital 15,Hessarghatta road,Navy layout chikkasandra, Chikkabanavara Karnataka 560090
Department of anaesthesiology, ground floor ot complex, sapthagiri hospital 15,Hessarghatta road,Navy layout chikkasandra, Chikkabanavara Karnataka 560090
Bangalore
KARNATAKA
560090
India 
Phone  9880588325  
Fax    
Email  Shreyamurthy8993@gmail.com  
 
Source of Monetary or Material Support  
Sapthagiri hospital 15, Hesarghatta rd, Navy Layout, Chikkasandra, Chikkabanavara, Bengaluru, Karnataka 560090 
 
Primary Sponsor  
Name  Sapthagiri Institute Of Medical Sciences And Research Centre 
Address  15, Hesarghatta road, Navy Layout, Chikkasandra, Chikkabanavara, Bengaluru, Karnataka 560090 
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 
Kalavathi  sapthagiri institute of medical sciences and research centre  Department of anaesthesiology ground floor ot complex , sapthagiri hospital hesarghatta main road,chikkabanavara, bangalore 560090
Bangalore
KARNATAKA 
9980205851

kalavatijat99@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SAPTHAGIRI INSTITUTE OF MEDICAL SCIENCES AND RESEARCH CENTRE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: Z768||Persons encountering health services in other specified circumstances, (2) ICD-10 Condition: N200||Calculus of kidney,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  To compare the effectiveness of three different drugs dexmedetomidine , ketamine and tramadol in treatmeant of shivering during spinal anaesthesia.  The study is conducted to known Effectiveness of Inj Dexmedetomidine dose 0.5 mcg per kg IV or Inj Ketamine dose 0.5 mg per kg IV or INJ tramadol dose 0.5 mg per kg IV the study drug is given iv slowly for over 10mins once the shivering starts post spinal anaesthesia. patients are divided into Three groups Group A Dexmedetomidine (60 patients) Group B Ketamine (60 patients) Group C Tramadol (60 patients)  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1.Patient willing to take part in the study
2.Patient posted for elective spinal anaesthesia
3.ASA grade 1&2
4.Age 18 to 60 
 
ExclusionCriteria 
Details  1.Patient not willing to take part in the study
2.Any abnormalities of spine , kyphosis , lordosis , scoliosis.
3.Bleeding disorder like Haemophilia(A,B), Von-Willebrands, platelet function disorders, Thrombocytopenia, Vitamin K deficiency , Severe liver diseases
4.Patient allergic to to the intended study drug i,e Dexmedetomidine, ketamine , tramadol.
5.Pregnant females 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
To compare the effectiveness of three drugs dexmedetomidine, ketamine, tramadol in treating the shivering experienced by patients during spinal anaesthesia   From the time of Spinal anaesthesia given to the patient to 120 minutes at a time interval of 0 mins ,15 mins, 30 mins, 45 mins, 60 mins, 90 mins, 120 mins. 
 
Secondary Outcome  
Outcome  TimePoints 
Time taken for cessation of shivering after the administration of study drug Iv dexmedetomidine or ketamine or tramadol. sedation score (ramsay sedation score) will be monitored, heart rate , blood pressure will be monitored for any changes.   Time taken for cessation of shivering after the study drug is given. 
 
Target Sample Size   Total Sample Size="180"
Sample Size from India="180" 
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)   12/08/2024 
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="6"
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   Patient fullfilling the inclusion criteria will be assessed . Subarachnoid block will be given, patient will be assessed for onset of shivering post spinal 0,15,30,45,60,90,120 mins, study drug will be administered once shivering sets in GRADE 3& 4 shivering score ,time taken for cessation of shivering after administration of drug will be assessed. 
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