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CTRI Number  CTRI/2025/02/080845 [Registered on: 18/02/2025] Trial Registered Prospectively
Last Modified On: 29/01/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   To study the effect of subcutaneous dexmedetomidine for the prevention of shivering in patients undergoing cesarean delivery. 
Scientific Title of Study   Effect of subcutaneous dexmedetomidine in reducing shivering following cesarean section: a randomized control study. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Amarjeet Kumar 
Designation  Associate Professor 
Affiliation  All India Institute of Medical Sciences Patna 
Address  Room No: 505, Department of Anaesthesiology, AIIMS Patna

Patna
BIHAR
801507
India 
Phone  9570890646  
Fax    
Email  amarjeetdmch@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Amarjeet Kumar 
Designation  Associate Professor 
Affiliation  All India Institute of Medical Sciences Patna 
Address  Room No: 505, Department of Anaesthesiology, AIIMS Patna

Patna
BIHAR
801507
India 
Phone  9570890646  
Fax    
Email  amarjeetdmch@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Amarjeet Kumar 
Designation  Associate Professor 
Affiliation  All India Institute of Medical Sciences Patna 
Address  Room No: 505, Department of Anaesthesiology, AIIMS Patna

Patna
BIHAR
801507
India 
Phone  9570890646  
Fax    
Email  amarjeetdmch@gmail.com  
 
Source of Monetary or Material Support  
Department of Anaesthesiology, 5th floor IPD AIIMS Patna 
 
Primary Sponsor  
Name  All India Institute of Medical Sciences Patna 
Address  Department Of Anaesthesiology IPD 5th Floor 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
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 Amarjeet Kumar  AIIMS Patna  Department Of Anaesthesiology 5th Floor IPD OT Complex AIIMS Patna 801507 Patna BIHAR
Patna
BIHAR 
9570890646

amarjeetdmch@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: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Dexmedetomidine group  Will receive subcutaneous dexmedetomidine of dose 0.5 mcg/kg diluted with normal saline to total volume 1 ml just after delivery of the baby and cord clamping 
Comparator Agent  Normal saline group  Will receive 1ml normal saline only 
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  35.00 Year(s)
Gender  Female 
Details  American Society of Anaesthesiologists physical status 2,
Scheduled for Cesarean delivery under spinal anaesthesia 
 
ExclusionCriteria 
Details  Pre-existing structural heart diseases
Eclampsia
Preeclampsia
Cesarean under general anesthesia
Psychiatric patient
History of convulsions
Patients received opioids/ tramadol for shivering management during intraoperative and postoperative periods
Patient underwent resurgery
 
 
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 
Incidence and severity of shivering using patient rated 10 points VAS score after cesarean delivery  At 30 minutes of postoperative period. 
 
Secondary Outcome  
Outcome  TimePoints 
Incidence and severity using Observer Rated 5 point Likert Scale  At 30 minutes, 4 hours, 8 hours, 12 hours 
Post operative pain using NRS score  At 30 minutes, 4 hours, 8 hours, 12 hours 
 
Target Sample Size   Total Sample Size="68"
Sample Size from India="68" 
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)   21/02/2025 
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="6"
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   Previous studies documented that even though intravenous dexmedetomidine reduces the incidence of shivering, intravenous dexmedetomidine requires close monitoring, infusion pump and may be associated with adverse effects like Bradycardia, Hypotension and AV block.On injecting dexmedetomidine via subcutaneous route, it will allow its slow action and reduces complications rate in comparison to its intravenous injection. 
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