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CTRI Number  CTRI/2024/07/071595 [Registered on: 30/07/2024] Trial Registered Prospectively
Last Modified On: 30/07/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Medical Device
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparison of drug given either single dose every 5 hourly or continuous infusion pump for postoperative pain relief in bone surgeries  
Scientific Title of Study   Comparative evaluation of dexmedetomidine ropivacaine bolus VS Dexmedetomidine ropivacaine via elastomeric infusion pump for epidural analgesia in lower limb Orthopaedic surgery  
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 Supriya Maurya  
Designation  Junior resident  
Affiliation  Lala lajpat Rai memorial medical College meerut  
Address  Department of anaesthesia Lala Lajpat Rai memorial medical College meerut

Meerut
UTTAR PRADESH
250004
India 
Phone  7985414931  
Fax    
Email  supriyamaurya9@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Pramod chand  
Designation  Associate Professor  
Affiliation  Lala lajpat Rai memorial medical College meerut  
Address  Department of anaesthesia Lala Lajpat Rai memorial medical College meerut

Meerut
UTTAR PRADESH
250004
India 
Phone  9557040620  
Fax    
Email  pcllrm@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Pramod chand  
Designation  Associate Professor  
Affiliation  Lala lajpat Rai memorial medical College meerut  
Address  Department of anaesthesia Lala Lajpat Rai memorial medical College meerut

Meerut
UTTAR PRADESH
250004
India 
Phone  9557040620  
Fax    
Email  pcllrm@gmail.com  
 
Source of Monetary or Material Support  
Department of anaesthesia Lala Lajpat Rai memorial medical College meerut uttar pradesh pin code 250004 
 
Primary Sponsor  
Name  Dr Supriya Maurya  
Address  Department of anaesthesia Lala Lajpat Rai memorial medical College meerut uttar pradesh pin code 250004 
Type of Sponsor  Other [Other (self)] 
 
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 Pramod chand   Sardar Vallabhbhai Patel hospital   Department of anaesthesia Lala Lajpat Rai memorial medical College
Meerut
UTTAR PRADESH 
9557040620

pcllrm@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethics committee sardar Vallabhbhai Patel hospital Meerut   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: S723||Fracture of shaft of femur, (2) ICD-10 Condition: S822||Fracture of shaft of tibia, (3) ICD-10 Condition: V235||Motorcycle passenger injured in collision with car, pick-up truck or van in traffic accident, (4) ICD-10 Condition: M255||Pain in joint, (5) ICD-10 Condition: R52||Pain, unspecified, (6) ICD-10 Condition: S730||Subluxation and dislocation of hip,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Epidural analgesia for post operative pain relief in lower limb orthopaedic surgery   Group A - 0.2% Ropivacaine(6ml) + dexmedetomidine(1mcg/kg) bolus Group B- 0.2% Ropivacaine+ dexmedetomidine 1mcg/kg via elastomeric infusion pump For postoperative analgesia we will observe patient for 48 hour. 
Comparator Agent  Epidural analgesia through bolus dose  Group A 6ml bolus dose of 0.2% ropivacaine +1mcg/kg dexmedetomidine every 5 hourly for 48 hours and efficacy ,quality of analgesia with haemodynamic parameters accessed for 48 hours  
Comparator Agent  Epidural analgesia through elastomeric infusion pump   Group B _.2% ropin + 1mcg/kg dexmedetomidine infusion is given postoperatively to patients undergoing Lower Limb orthopaedic Surgery via elastomeric infusion pump at 3ml/ hour for 48 hours and efficacy, quality of analgesia, haemodynamic parameters assessed for 48 hours 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  1- ASA class 2 and 3
2- Age 18-75 years
3-Patients undergoing lower limb orthopaedic surgery  
 
ExclusionCriteria 
Details  1- Infection at injection site.
2-Communication difficulty that would prevent postoperative assessment
3- Any contraindications to epidural anesthesia
4- ASA class 4 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Primary objective to compare postoperative analgesia in 2 groups with same drug but different delivery method one bolus and other elastomeric infusion pump postoperatively.  Primary objective to compare efficacy and quality of postoperative analgesia in 2 groups with same drug but different delivery method one bolus and other elastomeric infusion pump for 48 hours postoperatively. 
 
Secondary Outcome  
Outcome  TimePoints 
1-comparison of haemodynamic changes in 2 groups.
2-Any complications of epidural anesthesia
3-Any side effects of drug in the study. 
For 48 hour. 
 
Target Sample Size   Total Sample Size="80"
Sample Size from India="80" 
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)   10/08/2024 
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="0"
Days="0" 
Recruitment Status of Trial (Global)   Open to Recruitment 
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   Pain an unpleasant sensory and emotional experience associated with actual or potential tissue damage. While studying of reasonable census about use of ropivacaine dexmedetomidine via epidural for analgesia, I found there is scant literature about efficacy of infusion of drug (ropivacaine -dexmedetomidine) via elastomeric infusion pump VS bolus dose  .So, We planned to conduct an analytical  study cohort of 80 postoperative orthopaedic patients to compare the efficacy,quality of analgesia, haemodynamic stability in these 2groups.  
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