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CTRI Number  CTRI/2024/07/070790 [Registered on: 18/07/2024] Trial Registered Prospectively
Last Modified On: 15/07/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparison of the effect of two drugs on shivering after spinal anaesthesia. 
Scientific Title of Study   Effect of pre-emptive intravenous dexmedetomidine and paracetamol on post spinal shivering - Randomized double blind study. 
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 Preeti Varma 
Designation  PG Resident 
Affiliation  Department of anaesthesiology and pain medicine, Pt. JNM Medical College Raipur, Chhattisgarh 
Address  Department of anaesthesiology and pain medicine, Pt. JNM Medical College, Raipur, Chhattisgarh, PIN- 492001, India.

Raipur
CHHATTISGARH
492001
India 
Phone  7415499253  
Fax    
Email  preetivermadr10@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Rashmi Naik Bhuaarya 
Designation  Associate Professor 
Affiliation  Department of anaesthesiology and pain medicine, Pt. JNM Medical College, Raipur, Chhattisgarh 
Address  Department of anaesthesiology and pain medicine, Pt. JNM Medical College, Raipur, Chhattisgarh, PIN-492001, India

Raipur
CHHATTISGARH
492001
India 
Phone  7024558098  
Fax    
Email  rashminaik.2007@rediffmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Preeti Varma 
Designation  PG Resident 
Affiliation  Department of anaesthesiology and pain medicine, Pt. JNM Medical College, Raipur, Chhattisgarh 
Address  Department of anaesthesiology and pain medicine, Pt. JNM Medical College, Raipur, Chhattisgarh, PIN-492001, India

Raipur
CHHATTISGARH
492001
India 
Phone  7415499253  
Fax    
Email  preetivermadr10@gmail.com  
 
Source of Monetary or Material Support  
Department of anesthesiology and pain medicine, Pt JNM Medical College, Moudahapara, Raipur, Chhattisgarh, India, Pin- 492001 
 
Primary Sponsor  
Name  Department of Anaesthesiology and Pain Medicine Pt JNM Medical college Raipur 
Address  In front of central jail, moudahapara, Raipur, C.G. India, Pincode- 492001 
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 Rashmi Naik Bhuaarya  Dr. Bhimrao Ambedkar Memorial Hospital  Room no.- 349, 2nd floor, department of anaesthesiology and pain medicine, Raipur, India, PIN- 492001 Raipur CHHATTISGARH
Raipur
CHHATTISGARH 
7024558098

rashminaik.2007@rediffmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Pt J.N.M. Medical College, Raipur (CG)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N00-N99||Diseases of the genitourinary system,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  IV Dexmedetomidine 1mcg/kg  Group A: IV Dexmedetomidine 1mcg/kg (diluted in 100 ml NS)15 minutes before induction.  
Comparator Agent  IV Paracetamol 1g  Group B: IV Paracetamol 1g 15 minutes prior to induction 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  ASA I and ІІ and III
Age 18 to 60 years
BMI less than 30
Patients undergoing elective lower abdominal surgery under SAB 
 
ExclusionCriteria 
Details  Patients refusal to participate
Insufficient blockade
Any comorbidities like uncontrolled cardiovascular or cerebrovascular diseases, renal impairment, severe liver diseases, convulsion or psychiatric disorders, hypo/hyperthyroidism, DM & other autonomic disorders.
Allergy to study drugs
Initial nasopharyngeal temp of more than 38 degree C or less than 35 degree C
Sensory block above T6
Blood transfusion during surgery
 
 
Method of Generating Random Sequence   Random Number Table 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Incidence of shivering based on Tsai and Chu score.  The incidence and duration of shivering will be noted and graded at every 2
minutes after administration of SAB till 20 minutes & at every 5 minutes
thereafter till the completion of surgery. It will be based on Tsai and Chu score 
 
Secondary Outcome  
Outcome  TimePoints 
• Grades of shivering
• Duration of shivering
• Duration of analgesia
• Side effects and complications (Hypotension, bradycardia, desaturation, nausea
and vomiting and sedation). 
The incidence and duration of shivering will be noted and graded at every 2
minutes after administration of SAB till 20 minutes & at every 5 minutes
thereafter till the completion of surgery. It will be based on Tsai and Chu score 
 
Target Sample Size   Total Sample Size="120"
Sample Size from India="120" 
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   Phase 4 
Date of First Enrollment (India)   30/07/2024 
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   Group A: iv Dexmedetomidine 1 μg/kg (diluted in 100 ml NS) and Group B: iv Paracetamol 1 g
•On arrival in the OT patients will be positioned in a supine position &
multipara monitors will be attached & baseline HR, NIBP, SpO2 & ECG will
be recorded. Baseline nasopharyngeal temp will be also noted. A large-
bore intravenous cannula will be inserted into forearm and pre-hydration
will be done with 500 ml RL which will be kept at room temperature
• Study drugs will be prepared and administered by Anaesthesiologist who
will not be involved in the study.
• Pre-medication: i.v Ondansetron 4 mg + study drug as per the group assigned 15 min prior to administration of SAB.
•The incidence and duration of shivering will be noted and graded at every 2
minutes after administration of SAB till 20 minutes & at every 5 minutes
thereafter till the completion of surgery. It will be based on Tsai and Chu score
 
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