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CTRI Number  CTRI/2024/12/077524 [Registered on: 02/12/2024] Trial Registered Prospectively
Last Modified On: 07/09/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparison between Hyperbaric Levobupivacaine with Hyperbaric Bupivacaine in spinal anesthesia along with fentanyl in patients undergoing -Total abdominal hysterectomy- A single Blind study  
Scientific Title of Study   A Comparitive study of Hyperbaric Levobupivacaine with Hyperbaric Bupivacaine in spinal anesthesia with adjuvant fentanyl in patients undergoing -Total abdominal hysterectomy- A single Blinded 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 Kirti Pandey 
Designation  Junior Resident 
Affiliation  Heritage Institute of Medical Sciences 
Address  Department of Anaesthesia, Heritage Institute of Medical Sciences, NH-2, Bhadawar, Varanasi
Bhadawar, Varanasi.
Varanasi
UTTAR PRADESH
2211311
India 
Phone  8447136107  
Fax    
Email  drkirti8386@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Pushkar Ranjan 
Designation  Professor 
Affiliation  Heritage Institute of Medical Sciences 
Address  Department of Anaesthesia, Heritage Institute Of Medical Science. NH-2, Bhadawar, Varanasi
Bhadawar, varanasi.
Varanasi
UTTAR PRADESH
2211311
India 
Phone  9415986684  
Fax    
Email  pushkarranjanbhu@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Kirti Pandey 
Designation  Junior Resident 
Affiliation  Heritage Institute of Medical Sciences 
Address  Heritage Istitute of Medical Sciences, Bhadawar, Varanasi
Bhadawar, varanasi.
Varanasi
UTTAR PRADESH
2211311
India 
Phone  8447136107  
Fax    
Email  drkirti8386@gmail.com  
 
Source of Monetary or Material Support  
Heritage institute of medical sciences, Bhadawar, Varanasi, Uttar Pradesh-221311 
 
Primary Sponsor  
Name  Heritage Institute of Medical Sciences 
Address  Heritage Institute of Medical Sciences,Bhadawar, varanasi, Uttar Pradesh, India pin code- 221311 
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 
Kirti pandey  Heritage institute of medical sciences   Gynae O.T. Complex, Department Of Anaesthesiology.
Varanasi
UTTAR PRADESH 
08447136107

drkirti8386@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
HIMS - Institutional Ethical Commitee  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  Local Anaesthetic Agent  Injection levobupivacain (3ml) and injection bupivacain (3ml) with adjuvant injection Fentanyl 25cc  
Intervention  Spinal Anaesthesia   Injection bupivacaine (3ml) and levobupivacain(3ml) with injection fentanyl(25cc) will be given intrathecaly for spinal anaesthesia in patients undergoing transabdominal hysterectomy.  
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  65.00 Year(s)
Gender  Female 
Details  1-Patient aged 30 -65 yr.
2- ASA grade I, II.
 
 
 
ExclusionCriteria 
Details  1-patient refusal
2-patients with coagulation disorders or on anticoagulants, spinal deformity, allergic to amide local anaesthetics,
4-Patients with musculoskeletal and psychiatric diseases that could make our technique difficult
5-surgeries lasting for more than 1.5hr.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Alternation 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
To compare efficacy of 0.5% hyperbaric levobupivacaine and 0.5% hyperbaric bupivacaine with adjuvant fentanyl in terms of sensory and motor block in patients undergoing total abdominal hysterectomy.

 
Onset of sensory block- recording every minute for first 10 min then every 5min will be done. Max height of sensory block (T5/6) will be recorded.

 
 
Secondary Outcome  
Outcome  TimePoints 
To compare the effect on change in hemodynamics parameter and side effects using these same drugs.
 
After injecting the drug hemodynamic parameters (NIBP, Pulse Rate, Pulse Oxymetry) changes will be recorded every 5min till the end of the surgery 
 
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 
Date of First Enrollment (India)   10/12/2024 
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)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
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 60 patients will be  randomly allocated into two groups of 30 each . The patient will be unaware about the drug. Depending on the drug regime used for spinal anaesthesia as Group B: receiving 3ml of 0.5% hyperbaric bupivacaine (15 mg) and Group L: receiving 3ml of 0.5%  hyperbaric levobupivacaine (15 mg). Each group will receive an equal amount of 25 mcg of opioid fentanyl      as an  adjuvant drug . After injecting the drug hemodynamic parameters (NIBP, Pulse Rate, Pulse Oxymetry) changes will be recorded every 5min till the end of the surgery.For Onset of sensory block- recording every minute for first 10 min then every 5min will be done. Max height of sensory block (T5/6) will be recorded.(VAS score).Motor blockade using Modified bromage will be done till score of 2 will be achieved, testing every minute .Variables- hemodynamics parameter, NIBP (non invasive blood pressure monitoring, Pulse Rate,Pulse Oxymetry. Measuring indicators- VAS (Visual Analogue Scale, Modified Bromage Scale

 


 
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