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CTRI Number  CTRI/2025/06/088210 [Registered on: 04/06/2025] Trial Registered Prospectively
Last Modified On: 02/06/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Non-randomized, Active Controlled Trial 
Public Title of Study   Comparing two pain relief methods during surgery,Blocking the scalp nerves and Local anesthetic injection,to see which one Keeps blood pressure stable during surgery and Reduces pain after surgery 
Scientific Title of Study   EFFECT OF SCALP NERVE BLOCK VERSUS LOCAL ANAESTHETIC INFILTRATION ON INTRAOPERATIVE HAEMODYNAMICS AND POSTOPERATIVE PAIN IN PATIENTS UNDERGOING CRANIOTOMY-AN 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 Parvathi O 
Designation  Junior Resident  
Affiliation  Govt. Medical College, Kozhikode  
Address  Neurosurgery theatre Major Operation Theatre Department of Anaesthesiology Government Medical College Kozhikode

Kozhikode
KERALA
673008
India 
Phone  7034126830  
Fax    
Email  paruvis326@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Biji K P 
Designation  Professor,Dept of Anaesthesiology 
Affiliation  Govt. Medical College, Kozhikode  
Address  Neurosurgery theatre Major Operation Theatre Government Medical College Kozhikode

Kozhikode
KERALA
673008
India 
Phone  7034126830  
Fax    
Email  drbijikp@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Parvathi O 
Designation  Junior Resident,Dept of Anaesthesiology 
Affiliation  Govt. Medical College, Kozhikode  
Address  Neurosurgery theatre Major Operation Theatre Government Medical College Kozhikode

Kozhikode
KERALA
673008
India 
Phone  7034126830  
Fax    
Email  paruvis326@gmail.com  
 
Source of Monetary or Material Support  
Neurosurgery theatre, Major Operation Theatre Complex, Government Medical College Kozhikode, Pin:673008, Kerala, India  
 
Primary Sponsor  
Name  Department of Anaesthesiology 
Address  Neurosurgery theatre, Major Operation Theatre Complex, Department of Anaesthesiology, Government medical College Kozhikode, Kerala, India 
Type of Sponsor  Government 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 Parvathi O  Government Medical College, Kozhikode   Neurosurgery Theatre Major Operation Theatre Complex
Kozhikode
KERALA 
7034126830

paruvis326@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Govt.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  Local infiltration   Both pin site and incision site infiltrated with mixture of 10mL 2 percentage lignocaine with 1 in 2 lakh adrenaline+10 ml 0.5 percentage bupivacaine 
Intervention  Scalp nerves block   Scalp nerves block administered by identifying 4 nerves supplying scalp with help of bony landmarks and injecting drug - 10mL 2 percentage lignocaine with 1 in 2 lakh adrenaline + 10ml 0.5 percentage bupivacaine 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1)Patients posted for elective craniotomy
2)Age between 18-65 years
3)American Society of Anaesthesiologists 1&2
4)Duration of surgery 3-5hours
5)Height of patient between 150-180cm and weight between 50 - 80kg 
 
ExclusionCriteria 
Details  1)History of allergy to local anaesthetics or opiods  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Intraoperative heart rates and mean arterial pressure   T1-just before induction
T2-5 mins after induction
T3-2 mins after pin insertion
T4-5 mins after pin insertion
T5-2 mins after incision
T6-5 mins after incision
T7-During drilling
T8-During dura opening
T9-At the end of surgery  
 
Secondary Outcome  
Outcome  TimePoints 
Postoperative pain in terms of duration of analgesia and 24 hour morphine consumption   Arrival at post anaesthetic care unit
2nd hour
4th hour
6th hour
8th hour
10th hour
12th hour
14th hour
16th hour
18th hour
20th hour
22 nd hour
24th hour 
 
Target Sample Size   Total Sample Size="76"
Sample Size from India="76" 
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)   15/08/2025 
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="6"
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 - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report
    Response -  Analytic Code

  3. Who will be able to view these files?
    Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [mevishnukv1@gmail.com].

  6. For how long will this data be available start date provided 22-07-2025 and end date provided 22-07-2027?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - Nil
Brief Summary   70 patients selected according to inclusion and exclusion criteria.Patients receiving scalp block included in group SB.Patients receiving local infiltration included in group LI.After induction of general anaesthesia intraoperative heart rate , invasive blood pressure recorded.Postoperative pain assessed by Numerical Rating Score on arrival to post anaesthetic care unit and 2 hourly intervals. 24 hour morphine consumption also noted.Data entered in Excel sheet and analysed using IBM SPSS software version 22 for windows. 
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