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CTRI Number  CTRI/2025/07/089993 [Registered on: 02/07/2025] Trial Registered Prospectively
Last Modified On: 30/06/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Postoperative Pain Control: A Combination Approach with Paracetamol and Dexamethasone 
Scientific Title of Study   "Efficacy of Combined Paracetamol and Dexamethasone Analgesia in Postoperative Pain Management Following ENT Surgery: A Randomized Controlled 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  Dr Ramya 
Designation  Junior Resident 
Affiliation  Sri Ramachandra institute of medical sciences and research institutes 
Address  6th block ,ladies hostel,Ramachandra nagar, Ramachandra university

Chennai
TAMIL NADU
600116
India 
Phone  9940941962  
Fax    
Email  rvr9098@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Arulmurugan 
Designation  Professor 
Affiliation  Government  
Address  Department of Anaesthesiology Sri Ramachandra Institute of Higher Education and Research center Ramachandra univerity

Chennai
TAMIL NADU
600116
India 
Phone  9380537411  
Fax    
Email  rampond@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DrArulmurugan 
Designation  Professor 
Affiliation   
Address  Deparment of Anaesthesiology Sri Ramachandra institute of Higher Education and Research center Ramachandra nagar Ramachandra univerity Porur

Chennai
TAMIL NADU
600116
India 
Phone  9380537411  
Fax    
Email  rampond@gmail.com  
 
Source of Monetary or Material Support  
Nil 
 
Primary Sponsor  
Name  SRI RAMACHANDRA UNIVERSITY 
Address  Department of Anesthesiology RAMACHANDRA NAGAR SRI RAMACHANDRA UNIVERSITY PORUR 
Type of Sponsor  Research institution and hospital 
 
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 Arulmururugan  SRI RAMACHANDRA MEDICAL COLLEGE AND RESEARCH HOSPITAL  Ramachandra nagar
Chennai
TAMIL NADU 
9940941962

rvr9098@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Intitutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H708||Other mastoiditis and related conditions,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  "Efficacy of Combined Paracetamol and Dexamethasone vs. Paracetamol Alone for Postoperative Pain Management in ENT Surgery: A Randomized, Controlled Trial."  Combining paracetamol and dexamethasone for postoperative pain management in ENT surgery offers enhanced pain relief compared to paracetamol alone, particularly in the immediate postoperative period. Dexamethasone, an anti-inflammatory and antiemetic, when used with paracetamol, can reduce pain scores and the need for opioid analgesics.  
 
Inclusion Criteria  
Age From  18.00 Day(s)
Age To  60.00 Day(s)
Gender  Both 
Details  Asa 1 and 2
All elective ENT surgeries done under general anaesthesia  
 
ExclusionCriteria 
Details  Patient refusal to give consent
Allergy to paracetamol and dexamethasone
Emergency cases
Patients on steroid therapy
Patients having condition for which paracetamol cand dexamethasone contraindicated
ASA 4 and ASA 5  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Postoperative pain score   Postoperative pain score  
 
Secondary Outcome  
Outcome  TimePoints 
POSTOPERATIVE NAUSEA VOMITING
NO OF POSTOPERATIVE ANALGESIC REQUIREMENT 
24 HOURS 
 
Target Sample Size   Total Sample Size="72"
Sample Size from India="72" 
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)   11/07/2025 
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="1"
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  

Paracetomol and dexamethasone are both used in postoperative pain management,but they both work through different mechanism.Paracetomol is an analgesic that reduces pain and dexamethasone is a corticosteroid that reduces inflammation by the way it helps in encountering postoperative pain and nausea vomiting.Combining both the drugs will be effective than using either drug alone ,potentially leading to better pain control and reducing opioid requirement and antiemetic use

 
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