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CTRI Number  CTRI/2024/09/073406 [Registered on: 04/09/2024] Trial Registered Prospectively
Last Modified On: 23/08/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Combination of Ketamine-Propofol versus Fentanyl-Propofol in short surgeries 
Scientific Title of Study   Comparative Study of Propofol- Ketamine vs Propofol- Fentanyl as Procedural Sedation for Total Intravenous Anaesthesia in Adults Undergoing Short Surgical Procedures 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Prashanthi Ballepu 
Designation  1st Year Anaesthesia Resident 
Affiliation  Pandit Deendayal Upadhyay Medical College 
Address  Pandit Deendhayal Upadhyayay Medical College Civil Hospital Campus Department of Anaesthesiology Main OPD Building OT floor 3

Rajkot
GUJARAT
360001
India 
Phone  7997776682  
Fax    
Email  prashanthiballepu1@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Vandana Parmar  
Designation  Professor and Head of Department of Anaesthesiology 
Affiliation  Pandit Deendayal Upadhyay Government Medical College 
Address  PDU Medical College and Hospital Department of Anaesthesiology New OPD Building

Rajkot
GUJARAT
360001
India 
Phone  9898090220  
Fax    
Email  drvandanapithadia@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr Vandana Parmar  
Designation  Professor and Head of Department of Anaesthesiology 
Affiliation  Pandit Deendayal Upadhyay Government Medical College 
Address  PDU Medical College and Hospital Department of Anaesthesiology New OPD Building

Rajkot
GUJARAT
360001
India 
Phone  9898090220  
Fax    
Email  drvandanapithadia@yahoo.com  
 
Source of Monetary or Material Support  
Pandit Deendhayal Upadhyay Medical College and Hospital Rajkot, Gujarat India 360001 
 
Primary Sponsor  
Name  Pandit Deendayal Upadhyay Government Medical College 
Address  Sadar Civil Hospital Campus, Rajkot, Gujarat India,360001 
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 Prashanthi Ballepu  Pandit Deendayal Upadhyay Government Medical College  Department of Anaesthesiology Main OPD Building OT Floor 3 Rajkot, Gujarat 360001
Rajkot
GUJARAT 
07997776682

prashanthiballepu1@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
P.D.U. Medical College Institutional Ethics Committee (Human)  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 
Intervention  Combination of Propofol and Ketamine versus Propofol and Fentanyl in TIVA  Patients will be anaesthetized for short surgical procedures (less than 30 minutes) either under the the combination of Propofol and Ketamine or with Propofol and Fentanyl 
Comparator Agent  Propopofol- Ketamine versus Propofol- Fentanyl  Comparision of the effects and duration of sedation of propofol- ketamine combination versus propofol- fentanyl combination in short surgical procedures (less than 30 minutes) 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  - All patients with normal airway (MPG 1&2)
- Study subjects classified as American Society of Anesthesiologists (grade I or II)
- All subjects scheduled for elective operations requiring general anesthesia and duration of surgery less than 40mins) 
 
ExclusionCriteria 
Details  - Emergency Surgeries
- Patients allergic to eggs or soyproducts
- Patients with known or unanticipated difficult intubations
- Those with heart rhythms other than sinus
- Those with known allergy to study drugs. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Alternation 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
1) Demographic Data (Age and Sex)
2) Intraoperative Monitoring of Hemodynamic Variability (Pulse Rate, SBP, DBP, Respiratory Rate, Spo2(%)
3) Intraoperative Sedation Level using BIS monitor
4) Post-Operative Ramsay Sedation Score
5) Time to Recovery (Modified Aldrete Score)
6) Post- operative Side Effects
 
Initially, after 5 minutes, 10 minutes, 15 minutes, 20 minutes, 25 minutes, 30 minutes, 1 hr, 2hr, 4hr, 8hr, 12hr, 16hr, 20hr, 24hr
 
 
Secondary Outcome  
Outcome  TimePoints 
Overall patient satisfaction post-procedure   Immediate post-operatively, 4hrs, 8hrs, 1whrs, 16hrs, 20hrs, 24hrs 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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 2/ Phase 3 
Date of First Enrollment (India)   23/09/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  23/09/2024 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="1"
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   In this study, we are planning to evaluate the two TIVA regimes that are commonly used in practice- ketamine- propofol (ketofol) and fentanyl-propofol (fentofol). Studies have proven the efficacy of these two regimes in sedoanalgesia. In earlier studies, continuous infusions of either ketofol or fentofol have been prepared. However, in this study either ketamine or fentanylbis used only during induction, and maintainence in both cases is only with propofol. Keeping the factor of continuous infusion of propofol common in both the studies, hemodynamic parameters and recovery states are compared. 
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