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CTRI Number  CTRI/2025/07/091683 [Registered on: 24/07/2025] Trial Registered Prospectively
Last Modified On: 11/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparison of the onset and duration of block in intrathecal Dexmedetomidine versus Buprenorphine in heavy 0.5% Bupivacaine in spinal anaesthesia in lower limb orthopedic surgeries in patient between 18 to 65 year of age 
Scientific Title of Study   Comparison of the effect of intrathecal Dexmedetomidine versus Buprenorphine as an adjuvant to Bupivacaine in spinal anaesthesia in lower limb orthopedic 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 Kachekar Aarti Suresh  
Designation  Junior Resident  
Affiliation  Vilasrao Deshmukh Government Medical College, Latur  
Address  Department Of Anaesthesia, Vilasrao Deshmukh Government Medical College, Latur Latur MAHARASHTRA 413512 India

Latur
MAHARASHTRA
413512
India 
Phone  7050099831  
Fax    
Email  kachekaraarti@gmail.com   
 
Details of Contact Person
Scientific Query
 
Name  Dr. Surekha More  
Designation  Assistant Professor  
Affiliation  Vilasrao Deshmukh Government Medical College, Latur  
Address  Department Of Anaesthesia, Vilasrao Deshmukh Government Medical College, Latur Latur MAHARASHTRA 413512 India

Latur
MAHARASHTRA
413512
India 
Phone  9422741346   
Fax    
Email  desurekha@gmail.com   
 
Details of Contact Person
Public Query
 
Name  Dr Kachekar Aarti Suresh  
Designation  Junior Resident  
Affiliation  Vilasrao Deshmukh Government Medical College, Latur  
Address  Department Of Anaesthesia, Vilasrao Deshmukh Government Medical College, Latur Latur MAHARASHTRA 413512 India

Latur
MAHARASHTRA
413512
India 
Phone  7050099831  
Fax    
Email  kachekaraarti@gmail.com   
 
Source of Monetary or Material Support  
nil 
 
Primary Sponsor  
Name  Department Of Anaesthesia  
Address  Department Of Anaesthesia, Vilasrao Deshmukh Government Medical College, Latur  
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 Kachekar Aarti Suresh  Government Medical College, Latur   Orthopedic department , ward 14 and operation theatre
Latur
MAHARASHTRA 
07050099831

kachekaraarti@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee,Vilasrao Deshmukh Government Medical College, Latur   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 
Comparator Agent  Inj. Buprenorphine with heavy Bupivacaine   60 microgram of injection Buprenorphine in 3CC or 15mg of 0.5% heavy Bupivacaine in spinal anesthesia in lower limb orthopedic surgery for single surgery  
Intervention  Inj. Dexmedetomidine with heavy Bupivacaine   10 microgram of injection Dexmedetomidine in 3CC or 15mg of 0.5% heavy Bupivacaine in spinal anesthesia in lower limb orthopedic surgery for single surgery.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  American Society of Anesthesiologists (ASA) grade 1 and 2 patients undergoing lower limb orthopedic surgeries.  
 
ExclusionCriteria 
Details  Study drug contraindicated.
contraindication of spinal anesthesia.
spinal deformity.
 
 
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 
Onset and duration of sensory and motor blockade.   2 minute , 3 minute , 5 minute , 10 minute, 15 minute , 20 minute , 30 minute, 45 minute , 1 hour , 1.5 hour, 2 hour, 3 hour, 4 hour, 6 hour, 9 hour, 12 hour, 18 hour and 24 hours after spinal anesthesia. 
 
Secondary Outcome  
Outcome  TimePoints 
Hemodynamic changes such as heart rate, systolic blood pressure, diastolic blood pressure , mean arterial pressure & need of post op analgesia.   Time since induction of anesthesia, intraoperatively at interval of 5 minutes for first 20 minutes followed by every 10 minutes for next 20 min followed by 30 minutes then at 2,4,6,9,12,24 hours.  
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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)   25/07/2025 
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="2"
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  

The supplementation of local anesthetics with adjuvants improve the efficacy of subarachnoid block.

This study was conducted to evaluate and compare the characteristics of subarachnoid block such as sensory and motor onset and duration , along with that the hemodynamic changes and adverse effects of intrathecal dexmedetomidine versus buprenorphine as an adjuvant with hyperbaric bupivacaine.  
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