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CTRI Number  CTRI/2025/03/081696 [Registered on: 05/03/2025] Trial Registered Prospectively
Last Modified On: 03/03/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Other 
Public Title of Study   Comparison of Dexmedetomidine and Dexmedetomidine-Ketamine combination efficacy as intranasal premedication in paediatric infraumbilical surgeries 
Scientific Title of Study   Comparison between effectiveness of Dexmedetomidine and Dexmedetomidine-ketamine combination as an intranasal premedication in paediatric infraumbilical surgeries  
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 Fehima Haris  
Designation  Junior resident  
Affiliation  Government medical college Kozhikode  
Address  Department of Anaesthesiology Government medical college Kozhikode Kerala

Kozhikode
KERALA
673008
India 
Phone  9539833177  
Fax    
Email  fehimaharis04282@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Suvarna K 
Designation  Professor  
Affiliation  Government medical college Kozhikode  
Address  Department of Anaesthesiology Government medical college Kozhikode Kerala

Kozhikode
KERALA
673008
India 
Phone  9447638221  
Fax    
Email  suvarnakaniyil@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Mumthas M S 
Designation  Assistant professor  
Affiliation  Government medical college Kozhikode  
Address  Department of Anaesthesiology Government medical college Kozhikode Kerala

Kozhikode
KERALA
673008
India 
Phone  9446467821  
Fax    
Email  msmumthas@gmail.com  
 
Source of Monetary or Material Support  
Government medical college Kozhikode Kerala India Pin: 673008 
 
Primary Sponsor  
Name  Dr Fehima Haris 
Address  Junior resident Government medical college Kozhikode Kerala  
Type of Sponsor  Other [Principal investigator] 
 
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 Fehima Haris   Government medical college Kozhikode   Operation theater Department of paediatric surgery
Kozhikode
KERALA 
9539833177

fehimaharis04282@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethics committee Government medical college Kozhikode   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  Intranasal dexmedetomidine-ketamine combination   Effectiveness of intranasal premedication with dexmedetomidine-ketamine combination is compared with intranasal dexmedetomidine alone in paediatric infraumbilical surgeries  
 
Inclusion Criteria  
Age From  1.00 Year(s)
Age To  6.00 Year(s)
Gender  Both 
Details  Paediatric patients of age 1-6 years of either sex undergoing elective infraumbilical surgeries of ASA physical status I or II  
 
ExclusionCriteria 
Details  Known allergy to study drugs
Cardiac arrhythmia or congenital heart disease
Raised intracranial tension
Children with mental retardation
Intranasal mass or nasal bleeding  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To compare the effectiveness of intranasal dexmedetomidine versus intranasal dexmedetomidine-ketamine combination as a premedication in terms of mask acceptance score in paediatric patients undergoing general anaesthesia for infraumbilical surgeries   Mask acceptance score will be assessed at the time of induction that is 30 minutes after giving premedication  
 
Secondary Outcome  
Outcome  TimePoints 
To assess level of sedation using Ramsay sedation score
To determine Child-parent separation score 
Sedation assessed 15 & 30 minutes after premedication
Child- parent separation score assessed at the time of parental separation or 30 minutes after premedication  
 
Target Sample Size   Total Sample Size="144"
Sample Size from India="144" 
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)   01/04/2025 
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 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 is a comparative observation study comparing effectiveness of intranasal dexmedetomidine 3mcg/kg with intranasal dexmedetomidine(2mcg/kg)-ketamine(2mg/kg) combination as a premedication in paediatric infraumbilical surgeries . While there has been much research on the individual effectiveness of dexmedetomidine and ketamine as paediatric premedication,  there has been limited evidence on their combined efficacy . Our primary objective is to compare effectiveness of intranasal dexmedetomidine versus dexmedetomidine-ketamine combination as a premedication in terms of mask acceptance score in paediatric patients undergoing general anaesthesia for infraumbilical surgeries.  
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