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CTRI Number  CTRI/2025/04/085965 [Registered on: 29/04/2025] Trial Registered Prospectively
Last Modified On: 29/04/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Ultrasound guided Quadratus lumborum block versus caudal block for postoperative analgesia in paediatric patients undergoing unilateral lower abdominal surgeries  
Scientific Title of Study   Comparison of Analgesic Efficacy between ultrasound guided quadratus lumborum block and landmark guided caudal block in paediatric patients undergoing unilateral lower abdominal 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 Udipta Bhuyan 
Designation  Post Graduate Trainee Student 
Affiliation  Gauhati Medical College and Hospital 
Address  Department of Anaesthesiology and Critical Care Gauhati Medical College and Hospital Bhangagarh Guwahati Kamrup Metro 781032 Assam Kamrup 781032 India

Kamrup
ASSAM
781032
India 
Phone  8402029104  
Fax    
Email  udipta123456@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Faiza Ahmed Talukdar 
Designation  Professor and Head of the department 
Affiliation  Gauhati Medical College and Hospital 
Address  Department of Anaesthesiology and Critical Care Gauhati Medical College and Hospital Bhangagarh Guwahati Kamrup Metro 781032 Assam Kamrup 781032 India

Kamrup
ASSAM
781032
India 
Phone  9864031429  
Fax    
Email  Faizaahmedtalukdar@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Udipta Bhuyan 
Designation  Post Graduate Trainee Student 
Affiliation  Gauhati Medical College and Hospital 
Address  Department of Anaesthesiology and Critical Care Gauhati Medical College and Hospital Bhangagarh Guwahati Kamrup Metro 781032 Assam Kamrup 781032 India

Kamrup
ASSAM
781032
India 
Phone  08402029104  
Fax    
Email  udipta123456@gmail.com  
 
Source of Monetary or Material Support  
Gauhati Medical College and Hospital Kamrup Metro 781032 Assam 
 
Primary Sponsor  
Name  Dr Udipta Bhuyan 
Address  Departmant of Anaesthesiology and Critical Care , Gauhati Medical College and Hospital,Guwahati,Kamrup Metro,Assam  
Type of Sponsor  Other [SELF] 
 
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 Udipta Bhuyan  Gauhati Medical College And Hospital  Department of Anaesthesiology and Critical Care Gauhati Medical College and Hospital Bhangagarh Guwahati Kamrup Metro 781032 Assam Kamrup 781032 India
Kamrup
ASSAM 
08402029104

udipta123456@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Gauhati Medical College and Hospital, Guwahati  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N440||Torsion of testis, (2) ICD-10 Condition: K409||Unilateral inguinal hernia, without obstruction or gangrene, (3) ICD-10 Condition: K353||Acute appendicitis with localizedperitonitis, (4) ICD-10 Condition: N448||Other noninflammatory disorders ofthe testis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  nil  nil 
Comparator Agent  nil  nil 
 
Inclusion Criteria  
Age From  1.00 Year(s)
Age To  8.00 Year(s)
Gender  Both 
Details  1.Aged 1-8 years
2.ASA Grade 1 and 2
3.Scheduled for unilateral lower abdominal surgery under general anaesthesia 
 
ExclusionCriteria 
Details  1.Parent of the patient not willing to give consent.
2.Allergy to the study drug
3.Infection at the site of block
4.Spinal deformity
5.Developmental delay
6.Seizure disorder
7.Disorders of coagulation
8.Cardiovascular,renal and liver diseases 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To compare the analgesic requirement in the first 24 hours  Postoperative pain will be assessed by using the FLACC scale at 30mins,1,2,4,6,12 and 24 hours 
 
Secondary Outcome  
Outcome  TimePoints 
1.Duration of analgesia between the two groups
2.Pain scores between the two groups
3.Pain scores between the two groups.
4.Parent satisfaction score between the two groups
5.Complications associated with each technique. 
Postoperative pain will be assessed by using the FLACC scale at 30mins,1,2,4,6,12 and 24 hours
Complications associated with each technique will be evaluated within one hour of intervention. 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
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)   15/05/2025 
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="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   Paediatric patients undergoing lower abdominal surgeries often experience postoperative pain, necessitating effective analgesia to optimise recovery and discomfort.

Inadequate analgesia in the paediatric patients can cause biobehavioural changes that may modulate future responses to pain .
Providing adequate analgesia is a pre-requisite for early and enhanced recovery after surgery.

Quadratus lumborum block and caudal block are regional anaesthesia techniques used to provide postoperative pain relief in this population.

Hence, this study aims to compare the analgesic requirements in the first 24 hours postoperatively between Quadratus lumborum block and caudal block in paediatric patients undergoing unilateral lower abdominal surgeries.
 
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