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CTRI Number  CTRI/2025/03/083196 [Registered on: 24/03/2025] Trial Registered Prospectively
Last Modified On: 23/03/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Prospective 
Study Design  Single Arm Study 
Public Title of Study   Predicting difficulty in spinal anaesthesia: A study on spinous process and BMI in lower limb and lower abdominal surgeries at SMS Medical College,Jaipur 
Scientific Title of Study   A Prospective observational study to predict difficulty score for spinal anaesthesia by spinous process and body mass index in patients undergoing lower limb and lower abdominal sugery at SMS Medical College,Jaipur 
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 Shriphal Meena 
Designation  Senior Professor 
Affiliation  Department Of Anaesthesia Sawai Man Singh Medical College and attached hospitals Jaipur 
Address  Department Of Anaesthesia Sawai Man Singh Medical College and attached hospitals Jaipur

Jaipur
RAJASTHAN
302004
India 
Phone  09928350391  
Fax    
Email  dr.shriphal@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Shriphal Meena 
Designation  Senior Professor 
Affiliation  Department Of Anaesthesia Sawai Man Singh Medical College and attached hospitals Jaipur 
Address  Department Of Anaesthesia Sawai Man Singh Medical College and attached hospitals Jaipur

Jaipur
RAJASTHAN
302004
India 
Phone  09928350391  
Fax    
Email  dr.shriphal@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Meenakshi Meena 
Designation  Resident doctor 
Affiliation  Department Of Anaesthesia Sawai Man Singh Medical College and attached hospitals Jaipur 
Address  Department Of Anaesthesia Sawai Man Singh Medical College and attached hospitals Jaipur

Jaipur
RAJASTHAN
302004
India 
Phone  07609066293  
Fax    
Email  meenakshi1.meena@gmail.com  
 
Source of Monetary or Material Support  
Department Of Anaesthesia Sawai Man Singh Medical College and attached hospitals Jaipur Rajasthan 302004 
 
Primary Sponsor  
Name  Department Of Anaesthesia Sawai Man Singh Medical College and attached hospitals Jaipur 
Address  Department Of Anaesthesia Sawai Man Singh Medical College and attached hospitals Jaipur Rajasthan 302004 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 Shriphal Meena  Sawai Man Singh Medical College and attached hospitals Jaipur  Department Of Anaesthesia Sawai Man Singh Medical college Jaipur Rajasthan 302004
Jaipur
RAJASTHAN 
09928350391

dr.shriphal@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Office of the ethics committee sms medical College and attached hospitals jaipur  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 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  1. Patient undergoing elective lower limb and lower abdominal surgery.
2. Patients consenting to participate.
3. Adult patients aged 18-75 Years.
4. Patients belonging to American Society of Anesthesiologists (ASA) grade I and II.
 
 
ExclusionCriteria 
Details   
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Other 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
• Mean duration of Anesthesia.
• Mean duration of Surgery.
 
Just after giving spinal Anaesthesia 
 
Secondary Outcome  
Outcome  TimePoints 
• Time taken to give SAB:
• Time of Starting of Surgery:
• Time of end of Surgery:
• Duration of Surgery:

 
1.0 Min
2.2 Min
3.5 Min
4.10 Min
5.15 Min
6.20 Min
7.30 Min 
 
Target Sample Size   Total Sample Size="132"
Sample Size from India="132" 
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)   01/04/2026 
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="3"
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 - NO
Brief Summary   This study aims to assess the difficulty of administering spinal anesthesia based on two key factors :
1.Spinous process anatomy- the structure and alignment of the spinous processes can affect the ease of needle insertion.
2.Body Mass Index(BMI)- higher BMI is often associated with increased difficulty in locating anatomical landmarks for spinal anesthesia.
The research will be conducted on patients undergoing lower limb and lower abdominal surgeries at SMS Medical College,Jaipur.The findings could help anesthesiologists predict challenging spinal anesthesia cases in advance,improving patient safety and procedural success.
 
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