| CTRI Number |
CTRI/2025/02/081142 [Registered on: 21/02/2025] Trial Registered Prospectively |
| Last Modified On: |
20/01/2025 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Drug Surgical/Anesthesia |
| Study Design |
Other |
|
Public Title of Study
|
COMPARISION OF ONSET TIME OF TWO CONCENTRATIONS OF ROPIVACAINE IN THE POPULATION OF ASSAM |
|
Scientific Title of Study
|
COMPARISION OF ONSET TIME OF SENSORY BLOCK WITH 0.5% and 0.375% ROPIVACAINE IN USG GUIDED INFRACLAVICULAR BRACHIAL PLEXUS BLOCK
|
| 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 Saurav Kalita |
| Designation |
Post Graduate Trainee |
| Affiliation |
Gauhati Medical College and Hospital |
| Address |
Department of Anesthesiology and Critical care, Gauhati Medical College and Hospital Bhangagarh
Kamrup ASSAM 781032 India |
| Phone |
8486561403 |
| Fax |
|
| Email |
sauravkalitamjj@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Priyam Saikia |
| Designation |
Associate Professor |
| Affiliation |
Gauhati Medical College and Hospital |
| Address |
Department of Anesthesiology and Critical care Gauhati Medical College and Hospital Bhangagarh
Kamrup ASSAM 781032 India |
| Phone |
9706067392 |
| Fax |
|
| Email |
saikia.priyam80@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Dr Priyam Saikia |
| Designation |
Associate Professor |
| Affiliation |
Gauhati Medical College and Hospital |
| Address |
Department of Anesthesiology and Critical care Gauhati Medical College and Hospital Bhangagarh
Kamrup ASSAM 781032 India |
| Phone |
9706067392 |
| Fax |
|
| Email |
saikia.priyam80@gmail.com |
|
|
Source of Monetary or Material Support
|
| Gauhati Medical College and Hospital post office Bhangagarh police station Bhangagarh District Kamrup Metro State Assam PIN 781032 |
|
|
Primary Sponsor
|
| Name |
Dr Saurav Kalita |
| Address |
Department of Anesthesiology and Critical care Gauhati Medical College and Hospital Bhangagarh District Kamrup Metro State Assam PIN 781032 |
| Type of Sponsor |
Other [Self] |
|
|
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 Saurav Kalita |
Gauhati Medical College and Hospital |
Department of Anesthesiology and Critical care Gauhati Medical College and Hospital Bhangagarh Kamrup ASSAM |
8486561403
sauravkalitamjj@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institutional Ethics Comittee,Gauhati Medical College and Hospital |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: O||Medical and Surgical, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Injection Ropivacaine |
0.5% and 0.375 % Ropivacaine is administered via usg guided infraclavicular brachial plexus block and the onset of sensory block is noted in both groups |
| Comparator Agent |
nil |
nil |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
65.00 Year(s) |
| Gender |
Both |
| Details |
1.Patients age group 18 to 65 years ,of all sexes
2, ASA grade 1 and 2
3.patient with elective orthopedic surgery for arm,elbow,forearm and hand under US –guided infraclavicular approach
4.Patient who are willing to give informed and written consent for the surgery.
|
|
| ExclusionCriteria |
| Details |
1.Patient refusal for infraclavicular brachial plexus block
2.Patient with brachial plexus neuropathies,diabetes ,any known peripheral neuropathic disease,post CVA
3.severe brochopulmonary disease
4.coagulopathies
5. severe cardiac diseases
6.pregnancy
7.intolerance or known history of allergy to one or more medications of the study
8.Patient undergoing emergency surgeries
9 local infection at the site of the block
|
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Participant and Investigator Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
To compare the time of onset of sensory block between 0.5% and 0.375 % ropivacaine
|
To compare the time of onset of sensory block between 0.5% and 0.375 % ropivacaine in orthopedic patients within 30 minutes of performing the block prior to Surgery at baseline
|
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
1.To compare the onset time of motor block
2.Intraoperative hemodynamics ,
3.The requirements of supplemental anesthesia or analgesic
4.Occurrence of any complications
|
To compare the onset time of motor block,Intraoperative hemodynamics ,
The requirements of supplemental anesthesia or analgesic
and Occurrence of any complications in orthopedic patients within 30 minutes of performing the block prior to surgery at baseline
|
|
|
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)
|
18/03/2025 |
| 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="1" 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 - YES
- What data in particular will be shared?
Response - All of the individual participant data collected during the trial, after de-identification.
- What additional supporting information will be shared?
Response - Study Protocol Response - Statistical Analysis Plan Response - Informed Consent Form
- Who will be able to view these files?
Response - Researchers who provide a methodologically sound proposal.
- For what types of analyses will this data be available?
Response - To achieve aims in the approved proposal.
- By what mechanism will data be made available?
Response - Proposals should be directed to [sauravkalitamjj@gmail.com].
- For how long will this data be available start date provided 01-01-2025 and end date provided 01-12-2025?
Response - Immediately following publication. No end date.
- Any URL or additional information regarding plan/policy for sharing IPD?
Additional Information - nil
|
|
Brief Summary
|
Infraclavicular brachial plexus block provides sufficient anesthetic and analgesic effect for lower arm surgery (3).Infraclavicular approach also has a short procedure time compared to other approaches including supraclavicular and axilliary approaches ( Therefore ultrasound- guided infraclavicular brachial plexus block has been increasingly used . At centres with high volume of patient load ,onset time is one of the most important considerations for choosing a local local anaesthetic drug.To hasten the time of onset of the block ,higher concentration of local anaesthetics are used (8) .However higher concentration of local anesthetics causes direct neurotoxicity to the neurons .The volume and concentration of the drug must be carefully selected to avoid exceeding the maximal dose. (9)Thus, the use of diluted local anesthetics may be safer .Therefore we aimed to compare the onset times of 0.5% and0.375% ropivacaine for infraclavicular brachial plexus block
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