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CTRI Number  CTRI/2024/12/078240 [Registered on: 17/12/2024] Trial Registered Prospectively
Last Modified On: 16/12/2024
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 between both sided rectointercostal fascial plane block and rectus sheath plane block for pain management in upper abdominal surgery 
Scientific Title of Study   Comparison of analgesic efficacy of ultrasound guided bilateral recto-intercostal fascial plane block with rectus sheath plane block in adult patients undergoing abdominal surgery through upper midline incision: a randomized control trial  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Guruprasad Sahoo 
Designation  Junior Resident 
Affiliation  AIIMS Patna 
Address  Department of Anaesthesiology , OT Complex , 5th floor , AIIMS Patna , Phulwarisharif , Patna , Bihar , India Patna BIHAR 801507 India

Patna
BIHAR
801507
India 
Phone  8457815326  
Fax    
Email  guruprasad.sahu303@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Poonam Kumari 
Designation  Associate Professor 
Affiliation  AIIMS Patna 
Address  Department of Anaesthesiology , OT Complex , 5th floor , AIIMS Patna , Phulwarisharif , Patna , Bihar , India Patna BIHAR 801507 India
Department of Anaesthesiology , OT Complex , 5th floor , AIIMS Patna , Phulwarisharif , Patna , Bihar , India Patna BIHAR 801507 India
Patna
BIHAR
801507
India 
Phone  7765937919  
Fax    
Email  drpoonam1981@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Poonam Kumari 
Designation  Associate Professor 
Affiliation  AIIMS Patna 
Address  Department of Anaesthesiology , OT Complex , 5th floor , AIIMS Patna , Phulwarisharif , Patna , Bihar , India Patna BIHAR 801507 India
Department of Anaesthesiology , OT Complex , 5th floor , AIIMS Patna , Phulwarisharif , Patna , Bihar , India Patna BIHAR 801507 India
Patna
BIHAR
801507
India 
Phone  7765937919  
Fax    
Email  drpoonam1981@gmail.com  
 
Source of Monetary or Material Support  
Department of Anaesthesiology , All India Institute of Medical Sciences , Patna , Phulwarisharif  
 
Primary Sponsor  
Name  All India Institute of Medical Sciences , Patna  
Address  Department of Anaesthesiology , OT Complex , 5th floor , AIIMS Patna, Phulwarisharif , Patna , Bihar , Pin : 801507 , 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 Guruprasad Sahoo  All India Institute of Medical Sciences , Patna  Department of Anaesthesiology , OT Complex , 5th floor , AIIMS Patna , Phulwarisharif , Patna , Bihar , India Patna BIHAR 801507 India
Patna
BIHAR 
8457815326

guruprasad.sahu303@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee,AIIMS PATNA  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K00-K95||Diseases of the digestive system,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Rectointercostal fascial plane block  Patient will receive Rectointercostal fascial plane block bilaterally after General Anaesthesia.The block will be performed at the 6th and 7th costal cartilage between the posterior rectus sheath and cartilage with 20 ml of Inj 0.25% Bupivacaine 
Comparator Agent  Rectus Sheath Plane block  Patient will receive Rectus sheath plane block bilaterally after General Anaesthesia.Block will be performed in the posterior layer of Rectus sheath with 20ml Inj 0.25% Bupivacaine 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  1.ASA (American Society of Anaesthesiologists) physical status classification I or II.

2.Patients scheduled to undergo elective upper abdominal surgery through midline incision

 
 
ExclusionCriteria 
Details  BMI more than 35
History of alcohol abuse, drug abuse and psychiatric illness
History of chronic pain
Inability to comprehend pain


 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
To compare Post-operative fentanyl consumptions in Rectointercostal fascial plane block versus Rectus sheath plane block
 
24 hours
 
 
Secondary Outcome  
Outcome  TimePoints 
Intraoperative fentanyl consumption in Rectointercostal block versus Rectus sheath block
Time for first rescue analgesia in Rectointercostal block versus Rectus sheath block
Postoperative Pain Score (NRS) at 30 min, 2hour, 4 hour, 8 hour, 12 hour, 24 hour in Rectointercostal block versus Rectus sheath block
Adverse effects -Hematoma, LAST, Puncture of peritoneum/bowel, infection in Rectointercostal block and Rectus sheath block



 
30 min, 2hour, 4 hour, 8 hour, 12 hour, 24 hour 
 
Target Sample Size   Total Sample Size="44"
Sample Size from India="44" 
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)   02/01/2025 
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="2"
Months="0"
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   Comparison of analgesic efficacy of ultrasound guided bilateral recto-intercostal fascial plane block with Rectus Sheath plane block in adult patients undergoing abdominal surgery through upper midline incision

There is no any study to compare the efficacy of Recto intercostal fascial plane block with Rectus sheath plane block for Abdominal Surgeries with upper midline incision.Our study is focused on which block is more effective
 
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