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CTRI Number  CTRI/2024/07/071128 [Registered on: 23/07/2024] Trial Registered Prospectively
Last Modified On: 20/07/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   to compare bupivacaine alone and bupivacaine- dexamethasone combination in caudal block for pediatric patients undergoing elective infraumbilical surgery 
Scientific Title of Study   Comparison of caudal bupivacaine alone and caudal bupivacaine- dexamethasone combination for pediatric patients undergoing elective infraumbilical 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 Bharath T 
Designation  PG Resident 
Affiliation   
Address  Department of Anesthesia and Intensive Care, Vardhman Mahavir medical college and Safdarjung hospital, Ansari Nagar, New Delhi

New Delhi
DELHI
110029
India 
Phone  8072238544  
Fax    
Email  bharaththanigaivelan@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr PS Bhatia 
Designation  Professor and Consultant 
Affiliation  VMMC and Safdarjung Hospital 
Address  Department of Anesthesia and Intensive Care, ground floor, main operation theatre building, Safdarjung Hospital Campus, Ansari Nagar East, New Delhi

New Delhi
DELHI
110029
India 
Phone  7042142230  
Fax    
Email  psbhatia2@rediffmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr PS Bhatia 
Designation  Professor and Consultant 
Affiliation  VMMC and Safdarjung Hospital 
Address  Department of Anesthesia and Intensive Care, ground floor, main operation theatre building, Safdarjung Hospital Campus, Ansari Nagar East, New Delhi

New Delhi
DELHI
110029
India 
Phone  7042142230  
Fax    
Email  psbhatia2@rediffmail.com  
 
Source of Monetary or Material Support  
Vardhman Mahavir medical college and Safdarjung hospital, Ansari Nagar, New Delhi 110029 
 
Primary Sponsor  
Name  Vardhman Mahavir medical college and Safdarjung hospital 
Address  Vardhman Mahavir medical college and Safdarjung hospital, Ansari Nagar, New Delhi  
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 Bharath  Vardhman Mahavir medical college and Safdarjung hospital  Vardhman Mahavir medical college and Safdarjung hospital, Ansari Nagar, New Delhi
New Delhi
DELHI 
8072238544

bharaththanigaivelan@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Vardhman Mahavir medical college and Safdarjung hospital  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 
Comparator Agent  Comparison of bupivacaine vs bupivacaine-dexamethasone in caudal block  By adding dexamethasone to bupivacaine and trying to see whether it prolongs the duration of post operative analgesia in paediatric patients undergoing infra-umbilical surgeries when compared to dexamethasone alone in caudal block 
Intervention  Conventional Caudal block for Postoperative analgesia  pediatric patients undergoing infraumbilical surgery under general anaesthesia will be given caudal block for postoperative analgesia 
 
Inclusion Criteria  
Age From  2.00 Year(s)
Age To  10.00 Year(s)
Gender  Both 
Details  All patients aged 2-10 years with American society of Anesthesiologists physical status I, II scheduled for elective infraumbilical surgeries 
 
ExclusionCriteria 
Details  1.Infection at the site of the block.
2.Coagulopathy.
3.Allergy to local anesthetics.
4.Pre-existing neurological or spinal disease and abnormalities of the sacrum.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To compare the duration of postoperative analgesia in caudal block using bupivacaine and bupivacaine with dexamethasone by time taken to first rescue analgesia in paediatric patients undergoing elective infraumbilical surgery  To compare the duration of postoperative analgesia in caudal block using bupivacaine and bupivacaine with dexamethasone by time taken to first rescue analgesia in paediatric patients undergoing elective infraumbilical surgery 
 
Secondary Outcome  
Outcome  TimePoints 
1. Intraoperative haemodynamic parameters.
2. Total analgesia requirement in the first 24 hours.
 
Intraoperatively every 10 mins the vital parameters will be assessed 
 
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   Post Marketing Surveillance 
Date of First Enrollment (India)   01/08/2024 
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 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   This study is a randomised comparative study to compare the postoperative analgesia between caudal bupivacaine alone and caudal bupivacaIne-dexamethasone in pediatric patients undergoing elective infraumbilical surgery under general anaesthesia, with the hypothesis that the bupivacaine-dexamethasone combination provides better postoperative analgesia than bupivacaine alone in caudal block. Primarily postoperative pain scores (FLACC score) will be recorded at 0hr, 1hr, 2hrs, 4hrs, 8hrs, 12hrs and 24 hrs. Secondarily intraoperative hemodynamic parameters and total analgesic requirement in 24 hrs will be recorded. 
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