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CTRI Number  CTRI/2026/02/104754 [Registered on: 25/02/2026] Trial Registered Prospectively
Last Modified On: 25/02/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Comparison of Two Types of Nerve Blocks Used for Forearm Surgery and Their Effect on Breathing 
Scientific Title of Study   A comparative study of hemidiaphragmatic paralysis  following supraclavicular nerve block versus costoclavicular nerve block  in  forearm  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 Akkamahadevi  
Designation  Head of Department , anesthesiology 
Affiliation  Doctor moopens medical college  
Address  Department of anesthesiology Moctor moopens medical college Meppadi Wayanad
Department of anesthesiology Doctor moopens medical college Meppadi Wayanad
Wayanad
KERALA
673577
India 
Phone  8943691336  
Fax    
Email  hod.anesthesiology@drmoopensmc.ac.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Akkamahadevi  
Designation  Head of Department , anesthesiology 
Affiliation  Doctor moopens medical college  
Address  Department of anesthesiology Doctor moopens medical college Meppadi wayanad
Department of anesthesiology Doctor moopens medical college Meppadi wayanad
Wayanad
KERALA
673577
India 
Phone  7406784848  
Fax    
Email  srujithsruthilayam@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Akkamahadevi  
Designation  Head of Department , anesthesiology 
Affiliation  Doctor moopens medical college  
Address  Department of anesthesiology Doctor moopens medical college Meppadi Wayanad
Department of anesthesiology Doctor moopens medical college Meppadi wayanad
Wayanad
KERALA
673577
India 
Phone  7406784848  
Fax    
Email  srujithsruthilayam@gmail.com  
 
Source of Monetary or Material Support  
Srujith GS Department of anesthesiology Doctor moopens medical college Meppadi wayanad 673612 KERALA INDIA Srujithsruthilayam@gmail.com 
 
Primary Sponsor  
Name  doctor moopens medical college  
Address  Department of anesthesiology Doctor moopens medical college Meppadi wayanad 673612 Kerala 
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 
DR SRUJITH   doctor moopens medical college   doctor moopens medical college meppadi wayanad
Wayanad
KERALA 
8943691936

MEDICALCOLLEGE@DRMOOPENS.AC.IN 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: S00-T88||Injury, poisoning and certain other consequences of external causes,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Age : 18 -65 Years of age
ASA- 1 and 2
Upper limb forearm Surgeries
 
 
ExclusionCriteria 
Details  allergic to local anesthetic agent
significant pulmonary disease like Chronic obstructive lung disease ,Interstitial lung disease,Bronchial asthma
BMI more than 35
Cases convert to general anesthesia
Preexisting neuropathy
Coagulopathy
ASA -3 and 4
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Incidence of hemidiaphragmatic paralysis following supraclavicular versus costoclavicular brachial plexus block  Assessed 60 minutes after administration of brachial plexus block using ultrasound evaluation of diaphragm movement 
 
Secondary Outcome  
Outcome  TimePoints 
Change in pulmonary function test parameters
diaphragm thickness, & diaphragmatic excursion following supraclavicular versus costoclavicular brachial plexus block
Time Point Baseline before block & 60minutes after administration of the brachial plexus block 
Hemodynamic changes from baseline then upto 60 minutes
Change in pulmonary function test baseline & after 2 hours procedure
Measurement of diaphragm thickness baseline & 2hours after administration of block
Chest xray baseline & 2 hours after administratiion of brachial plexus block  
 
Target Sample Size   Total Sample Size="20"
Sample Size from India="20" 
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)   10/04/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  10/04/2026 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
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   TRIAL TITLE : A COMPARATIVE STUDY OF HEMIDIAPHRAGMATIC PARALYSIS FOLLOWING SUPRACLAVICULAR BLOCK VERSUS COSTOCLAVICULAR NERVE BLOCK IN FOREARM SURGERIES 
STUDY DESIGN : RANDOMISED CONTROL TRIAL
SAMPLE SIZE : 20 
STUDY SETTING- CONDUCTED AT DEPARTMENT OF ANETHESIOLOGY IN OT SETTINGS AT DOCTOR MOOPENS MEDICAL COLLEGE 
DURATION : 2 YEARS  
 
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