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CTRI Number  CTRI/2025/02/080789 [Registered on: 18/02/2025] Trial Registered Prospectively
Last Modified On: 15/02/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Follow Up Study 
Study Design  Single Arm Study 
Public Title of Study   The role of ultrasound guided nerve block in relieving post spinal anaesthesia headache after caesarean section 
Scientific Title of Study   Ultrasound guided Bilateral Greater Occipital Nerve Block in the treatment of PostDural Puncture Headache after Caesarean Section : A Prospective Observational 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 Dipendra Singh 
Designation  Post Graduate Trainee Student 
Affiliation  Gauhati Medical College and Hospital 
Address  Department of Anaesthesiology and Critical Care Gauhati Medical College and Hospital Bhangagarh Kamrup Metro

Kamrup
ASSAM
781008
India 
Phone  8638771617  
Fax    
Email  dipendraunistar136@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Hiranya Kumar Saharia 
Designation  Associate Professor 
Affiliation  Gauhati Medical College and Hospital 
Address  Department of Anaesthesiology and Critical Care Gauhati Medical College and Hospital Bhangagarh Kamrup Metro

Kamrup
ASSAM
781032
India 
Phone  9435087643  
Fax    
Email  sahariahiranya@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Dipendra Singh 
Designation  Post Graduate Trainee Student 
Affiliation  Gauhati Medical College and Hospital 
Address  Department of Anaesthesiology and Critical Care Gauhati Medical College and Hospital Bhangagarh Kamrup Metro

Kamrup
ASSAM
781032
India 
Phone  8638771617  
Fax    
Email  dipendraunistar136@gmail.com  
 
Source of Monetary or Material Support  
Gauhati Medical College and Hospital, Bhangagarh, Guwahati- 781032 
 
Primary Sponsor  
Name  Dipendra Singh 
Address  Post Graduate Trainee Student, Department of Anaesthesiology and Critical Care, Gauhati Medical College and Hospital, Bhangagarh, Guwahati-781032 
Type of Sponsor  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 Dipendra Singh  Gauhati Medical College and Hospital, Guwahati  Department of Anaesthesiology,Bhangagarh, Guwahati-781032
Kamrup
ASSAM 
8638771617

dipendraunistar136@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITEE,GAUHATI MEDICAL COLLEGE AND HOSPITAL,GUWAHATI  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O894||Spinal and epidural anesthesia-induced headache during the puerperium,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Dr Dipendra Singh  Post Graduate Trainee, Department of Anaesthesiology,GMCH Guwahati  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Female 
Details  1) ASA score II
2) Term gestation 37-42 weeks
3) Caesarean section under spinal anaesthesia
4) All spinal anaesthesia done with 25G needle
Quincke needle
5) Informed and written consent provided 
 
ExclusionCriteria 
Details  1) Refusal of patient to take part in the study
2) Meningitis, encephalitis , migraine
3) Neuralgia , chronic headache
4) Cerebrovascular diseases, haemorrhage, intracranial tumours
5) Pre-eclampsia , vertebral column anomalies , renal, hepatic ,cardiac diseases.
6) Blood diathesis
7) Seizure disorder 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To evaluate the effectiveness of Ultrasound guided Bilateral Greater Occipital Nerve Block using Visual Analog Score  baseline, 10 min, 2 hrs, 24 hrs  
 
Secondary Outcome  
Outcome  TimePoints 
none  none 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
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)   26/02/2025 
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 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   This is a prospective, Observation study conducted in Department of Anaesthesiology and Critical are , Gauhati Medical College and Hospital . The study will be carried out in the post operative caesarean section patients who has postdural puncture headache. The aim of this study is to evaluate the effectiveness of ultrasound guided greater occipital nerve block as a therapeutic modality for the treament of postdural puncture headache in patients undergoing spinal anaesthesia after caesarean section. The primary objective of this study is to evaluate the effectiveness of ultrasound guided greater occipital nerve block using Visual Analog Score.  
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