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CTRI Number  CTRI/2024/12/078086 [Registered on: 13/12/2024] Trial Registered Prospectively
Last Modified On: 12/12/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   To compare if the epidural analgesic efficiency when placed directly in thoracic space v/s that placed in thoracic space thereaded from caudal space is same in children undergoing cardiac surgery who require epidural analgesia. 
Scientific Title of Study   Comparison of efficacy of epidural catheter inserted via direct thoracic space V/S caudal to thoracic space in children undergoing cardiac surgery. 
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 Avirneni Vaishnavi 
Designation  Resident 
Affiliation  Dr. D Y Patil Medical College Hospital and Research center 
Address  Department of Anaesthesiology, Dr. D Y Patil Medical College Hospital and Research Center, Pimpri, Pune Pune

Pune
MAHARASHTRA
411018
India 
Phone  9908223940  
Fax    
Email  vaishnavi.jun12@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Vipul K Sharma 
Designation  Cardiac Anaesthesia Faculty 
Affiliation  Dr. D Y Patil Medical College Hospital and Research center 
Address  Department of Anaesthesiology, Dr. D Y Patil Medical College Hospital and Research Center, Pimpri, Pune Pune

Pune
MAHARASHTRA
411018
India 
Phone  7251888789  
Fax    
Email  vipulsharmacta@hotmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Avirneni Vaishnavi 
Designation  Resident 
Affiliation  Dr. D Y Patil Medical College Hospital and Research center 
Address  Department of Anaesthesiology, Dr. D Y Patil Medical College Hospital and Research Center, Pimpri, Pune Pune

Pune
MAHARASHTRA
411018
India 
Phone  9908223940  
Fax    
Email  vaishnavi.jun12@gmail.com  
 
Source of Monetary or Material Support  
Central Pharmacy, Hitech OT 5th floor, DR D.Y. Patil Medical College Hospital and Recearch centre, Pimpri, Pune 411018 
 
Primary Sponsor  
Name  DR DY Patil Medical College Hospital And Research Centre 
Address  Sant Tukaram Nagar, Pimpri, Pune 411018 
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 Avirneni Vaishnavi  r. D.Y. Patil Medical College, Hospital and Research Centre  Department of Anaesthesiology, Dr. D.Y. Patil Medical College, Hospital and Research Centre, Sant Tukaram Nagar, Pimpri.
Pune
MAHARASHTRA 
9908223940

vaishnavi.jun12@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Sub Committee, Dr D Y Patil Medical College, Hospital and Research Center  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: 2||Placement,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Caudal to thoracic epidural  Epidural catheter reach thoracic level by placing the needle and achieving epidural space at caudal level and threading the catheter till desired level.Bupivacaine 0.125% infusion will be given. 
Intervention  Direct thoracic epidural  Epidural catheter reach thoracic level by placing the needle and achieving epidural space at thoracic vertebral level. Bupivacaine 0.125% infusion will be given. 
 
Inclusion Criteria  
Age From  1.00 Day(s)
Age To  12.00 Year(s)
Gender  Both 
Details  Children less than 12 years of age scheduled for elective thoracic surgery under ASA 1 2 and 3 physical status. 
 
ExclusionCriteria 
Details  Patients refusal
Patients with coagulopathy
Patients with vertebral deformities
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment    
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Safer placement of caudal epidural  At the time of placement of epidural catheter. Considered Day 0. 
 
Secondary Outcome  
Outcome  TimePoints 
Compare infection rate  Till the time of removal of epidural - 72 hours. 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
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)   23/12/2024 
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="2"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
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 randomised study to compare the analgesic efficacy of epidural inserted directly to thoracic space v/s caudal to thoracic space in children undergoing cardiac surgeries. Complications and infection rates will be assessed 
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