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CTRI Number  CTRI/2025/04/084019 [Registered on: 03/04/2025] Trial Registered Prospectively
Last Modified On: 27/03/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A clinical trial to study the effect of a pain management technique given at two different levels and at single level for control of pain after open abdominal sugery. 
Scientific Title of Study   Postoperative analgesic efficacy between bilateral bi level and bilateral single level Erector Spinae Plane Block(ESPB) in patients undergoing emergency/elective laparotomy: A prospective comparison 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 Shivani sharma 
Designation  SENIOR RESIDENT, DEPT OF ANAESTHESIOLOGY 
Affiliation  GOVERNMENT MEDICAL COLLEGE, KATHUA 
Address  DEPARTMENT OF ANESTHESIOLOGY AND CRITICAL CARE, GOVERNMENT MEDICAL COLLEGE KATHUA, JAMMU AND KASHMIR

Kathua
JAMMU & KASHMIR
184101
India 
Phone  6005571564  
Fax    
Email  shivanisharmaa1989@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Rajesh Angral 
Designation  Associate Proffesor , dept of Anaesthesiology 
Affiliation  GOVERNMENT MEDICAL COLLEGE, KATHUA 
Address  DEPARTMENT OF ANESTHESIOLOGY AND CRITICAL CARE, GOVERNMENT MEDICAL COLLEGE KATHUA, JAMMU AND KASHMIR

Kathua
JAMMU & KASHMIR
184101
India 
Phone  7006047500  
Fax    
Email  rajeshangral73@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Rajesh Angral 
Designation  Associate Proffesor , dept of Anaesthesiology 
Affiliation  GOVERNMENT MEDICAL COLLEGE, KATHUA 
Address  DEPARTMENT OF ANESTHESIOLOGY AND CRITICAL CARE, GOVERNMENT MEDICAL COLLEGE KATHUA, JAMMU AND KASHMIR

Kathua
JAMMU & KASHMIR
184101
India 
Phone  7006047500  
Fax    
Email  rajeshangral73@gmail.com  
 
Source of Monetary or Material Support  
GOVERNMENT MEDICAL COLLEGE, KATHUA, JAMMU AND KASHMIR 184101 
 
Primary Sponsor  
Name  Dr Shivani sharma 
Address  DEPARTMENT OF ANESTHESIOLOGY AND CRITICAL CARE, GOVERNMENT MEDICAL COLLEGE KATHUA, JAMMU AND KASHMIR 
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 Rajesh Angral  GOVERNMENT MEDICAL COLLEGE, KATHUA  DEPARTMENT OF ANAESTHESIOLOGY, GOVERNMENT MEDICAL COLLEGE, KATHUA
Kathua
JAMMU & KASHMIR 
7006047500

rajeshangral73@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
GMC KATHUA  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  BI LEVEL BILATERAL ESP VS SINGLE LEVEL BILATERAL ESP BLOCK.  PATIENT WILL BE DIVIDED INTO TWO GROUPS B AND S. GROUP B WILL RECEIVE 60ml OF TOTAL VOLUME OF DRUG CONTAINING 58ML OF ROPIVACINE(0.25%)AND 2ML OF MAGNESIUM SULFATE (100MG) AT TWO DIFFERENT LEVEL BILATERALLY. GROUP S WILL RECEIVE THE SAME DRUG VOLUME AND COMPOSITION AT SINGLE LEVEL BILATERALLY. 
Intervention  ERECTOR SPINAE PLANE BLOCK  ESP IS AN INTER FACIAL PLANE BLOCK GIVEN IN PARA SPINAL AREA, IN WHICH THE NEEDLE PLACEMENT IS BETWEEN THE ERECTOR SPINAE MUSCLE AND THORACIC TRANSVERSE PROCESS OF THE VERTEBRAE. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1.ASA CLASS 1 and 2
2.Patient who are willing to participate and provide a written consent. 
 
ExclusionCriteria 
Details  1.Patient having any cardiovascular/renal/respiratory abnormalities.
2.Patient allergic to local anesthetic drugs.
3.Patient having peripheral vascular disorder 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
1.DURATION OF POST-OPERATIVE ANALGESIA USIING VISUAL ANALOG SCALE.
2. TIME TO FIRST RESCUE ANALGESIA
 
VAS score will be recorded at 1, 2, 6, 8, 10, 12 and 24 after the sugery. 
 
Secondary Outcome  
Outcome  TimePoints 
1.SEVERITY OF PAIN USING VISUAL ANALOG SCALE.
2.ANALGESIC CONSUMPTION IN 1ST 24 HOUR.
3. PATIENT SATISFACTION. 
1. SEVERITY OF PAIN USING VISUAL ANALOGUE SCALE AT 0MINS,2MINS, 4MNINS, 6MINS, 8MINS, 12 MINS, 24 HOURS. 
 
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   Phase 4 
Date of First Enrollment (India)   15/04/2025 
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="0"
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 prospective comparison study will be conducted to compare the effectiveness of bilateral bi level Erector Spinae Plane Block vs single level bilateral Erector Spinae Plane Block for post-operative analgesia in patients undergoing elective/emergency laparotomy, as measured by duration of analgesia and pain score in 24 hour following surgery. 
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