| CTRI Number |
CTRI/2025/04/085311 [Registered on: 22/04/2025] Trial Registered Prospectively |
| Last Modified On: |
16/04/2025 |
| Post Graduate Thesis |
No |
| Type of Trial |
Interventional |
|
Type of Study
|
Drug Surgical/Anesthesia |
| Study Design |
Randomized, Parallel Group, Multiple Arm Trial |
|
Public Title of Study
|
Role of transversus abdominis plane block with ultrasound using different drugs in addition for prolonging the pain relief after total abdominal hysterectomy |
|
Scientific Title of Study
|
Role of USG guided transversus abdominis plane block with different adjuvants in enhancing postoperative analgesia in total abdominal hysterectomy |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Thupili Poshitha Sai |
| Designation |
Post graduate |
| Affiliation |
DR B R AMBEDKAR MEDICAL COLLEGE |
| Address |
Department of Anesthesiology,
First floor major ot complex,
Dr.B.R.Ambedkar medical college and hospital,
K.G halli,Bangalore
Bangalore KARNATAKA 560045 India |
| Phone |
09949941347 |
| Fax |
|
| Email |
poshithasai1997@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Reshma B M |
| Designation |
Associate Professor |
| Affiliation |
DR B R Ambedkar medical college |
| Address |
Department of Anesthesiology,Dr BR Ambedkar medical college and hospital,Shampura main road,K G Halli,Bangalore
Bangalore KARNATAKA 560045 India |
| Phone |
8892019120 |
| Fax |
|
| Email |
lucky3276@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Dr Reshma B M |
| Designation |
Associate Professor |
| Affiliation |
DR B R Ambedkar Medical College |
| Address |
Department of Anesthesiology BR Ambedkar medical college and Hospital,
Shampura main road,
K G Halli,
Bangalore
Bangalore KARNATAKA 560045 India |
| Phone |
8892019120 |
| Fax |
|
| Email |
lucky3276@gmail.com |
|
|
Source of Monetary or Material Support
|
| Dr B R Ambedkar Medical College |
|
|
Primary Sponsor
|
| Name |
Department of Anesthesiology |
| Address |
Dr B R Ambedkar medical college and hospital,Shampura main road,K G Halli,Bangalore,560045 |
| Type of Sponsor |
Private medical college |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| DR RESHMA B M |
DR B R AMBEDKAR MEDICAL COLLEGE |
FIRST FLOOR OT COMPLEX
DR B R AMBEDKAR MEDICAL COLLEGE AND HOSPITAL
SHAMPURA MAIN ROAD
K G HALLI
BANGALORE Bangalore KARNATAKA |
08892019120
lucky3276@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institution Ethics Committee |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: N800||Endometriosis of uterus, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
usg guided transversus abdominis plane block with dexmedetomidine as adjuvant |
usg guided transversus abdominis plane block with 0.2 % ropivacaine with dexmedtomidine 0.5mcg/kg |
| Intervention |
usg guided transversus abdominis plane block with ropivacaine |
usg guided transversus abdominis plane block with 0.2% ropivacaine |
| Comparator Agent |
usg guided transversus abdominis plane block with ropivacaine and dexamethasone |
usg guided transversus abdominis plane block with 0.2% ropivacaine and dexamethasone 4mg |
|
|
Inclusion Criteria
|
| Age From |
45.00 Year(s) |
| Age To |
80.00 Year(s) |
| Gender |
Female |
| Details |
patients of ASA-1 and 2 undergoing total abdominal hysterectomy under spinal anesthesia |
|
| ExclusionCriteria |
| Details |
1. Patient refusal to participate in the study
2. Infection at the block site.
3. Neurological deficit in lower limbs.
4. Altered coagulation status
5. Patients with heart blocks
6. Patients taking analgesics for other reasons |
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
On-site computer system |
|
Blinding/Masking
|
Participant and Investigator Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
To assess the duration of postoperative analgesia and requirement of first
rescue analgesic. |
till 24 hours post surgery |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
To assess the cumulative consumption of additional analgesia in 12 and
24 hours in both the groups.
|
till 24 hours post-surgery |
|
|
Target Sample Size
|
Total Sample Size="69" Sample Size from India="69"
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 2/ Phase 3 |
|
Date of First Enrollment (India)
|
28/04/2025 |
| 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
|
Abdominal hysterectomy is open surgical procedure associated with considerable post operative pain. The use of transverse lower abdominal incisions in hysterectomies and myomectomies often cause severe pain during first 48 hours postoperatively which can adversely impact healing, patient outcomes and prolong the length of hospital stay .More recently multimodal analgesia like tap blocks has been providing better post operative pain relief. Ropivacaine is an amide local anesthetic with better sensory and motor blocking profiles and with low toxicity potential. Dexmedetomidine is an selective alpha 2 adrenergic agonist with sedative and analgesic properties. Dexamethasone as an adjuvant causes early onset and prolongs the duration of analgesia. Thus in our current study we aim to assess the efficacy of 0.25 ropivacaine and compare it with dexamethasone and dexmedetomidine in USG guided TAP block in providing post operative analgesia. |