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CTRI Number  CTRI/2025/09/093981 [Registered on: 01/09/2025] Trial Registered Prospectively
Last Modified On: 29/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A study to compare if giving the intervention Pethidine along with warming measures during Caesarean section surgery under spinal anesthesia, helps reduce shivering better versus warming alone among the participants  
Scientific Title of Study   Efficacy of Pethidine along with intraoperative active warming in comparison with intraoperative active warming alone on incidence of shivering in caesarean section under spinal anaesthesia. A randomised 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 Ranjithkumar M 
Designation  Assistant Professor  
Affiliation  Jawaharlal Institute of Postgraduate Medical Education and Research(JIPMER) 
Address  Department of Anaesthesiology & critical care, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry

Pondicherry
PONDICHERRY
605006
India 
Phone  8098030898  
Fax    
Email  ranjithkumar.kmc@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ranjithkumar M ( Guide) 
Designation  Assistant Professor  
Affiliation  Jawaharlal Institute of Postgraduate Medical Education and Research(JIPMER) 
Address  2nd floor, IPD Building, Department of Anaesthesiology & critical care, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry

Pondicherry
PONDICHERRY
605006
India 
Phone  8098030898  
Fax    
Email  ranjithkumar.kmc@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Ranjithkumar M 
Designation  Assistant Professor  
Affiliation  Jawaharlal Institute of Postgraduate Medical Education and Research(JIPMER) 
Address  Department of Anaesthesiology & critical care, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry

Pondicherry
PONDICHERRY
605006
India 
Phone  8098030898  
Fax    
Email  ranjithkumar.kmc@gmail.com  
 
Source of Monetary or Material Support  
Intramural funds, JIPMER 
 
Primary Sponsor  
Name  Intramural fund Jawaharlal Institute of Postgraduate Medical Education and Research 
Address  Administrative block, Jawaharlal Institute of Postgraduate Medical Education and Research, dhanvantri nagar, Puducherry , pincode - 605006 
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 Ranjithkumar M  Jawaharlal Institute of Postgraduate Medical Education and Research  2nd floor, IPD BUILDING ,Department of Anaesthesiology & critical care, JIPMER , Dhanvantri nagar, Puducherry
Pondicherry
PONDICHERRY 
8098030898

ranjithkumar.kmc@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONALETHICSCOMMITTEE- INTERVENTIONALSTUDIES  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: 1||Obstetrics,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Intraoperative active warming  Warm iv fluids and air warmer will be given during intraoperative period 
Intervention  Pethidine drug and intraoperative active warming  0.5mg per kg IV of drug Pethidine will be given to intervention group after cord clamping and warm iv fluids and air warmer will be given during intraoperative period 
 
Inclusion Criteria  
Age From  21.00 Year(s)
Age To  49.00 Year(s)
Gender  Female 
Details  ASA PS 2 Obstetric
patients caesarean section under spinal anesthesia in
JIPMER 
 
ExclusionCriteria 
Details  1) Parturients with grade 3,4 placenta previa,
abruptio placenta.
2) Parturients with fever.
3) Parturients allergic to narcotics 
 
Method of Generating Random Sequence   Permuted block randomization, variable 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To assess the efficacy of Pethidine along with
intraoperative active warming in comparison with
intraoperative warming alone on the incidence of shivering
among the women’s undergoing caesarean section under
spinal anaesthesia. 
2 years 
 
Secondary Outcome  
Outcome  TimePoints 
To compare the core temperature in pethidine with
intraoperative active warming group to only intraoperative
active warming group. 
2 years 
To determine the influence of these interventions on
maternal comfort temperature and general satisfaction. 
2 years 
To compare haemodynamic stability (blood pressure and
heart rate) in the intervention group. 
2 years 
To establish the incidence of complications of Pethidine,
including nausea, vomiting, headache or drowsiness. 
2 years 
To compare the requirement for rescue treatments for
shivering among various study groups. 
2 years 
 
Target Sample Size   Total Sample Size="280"
Sample Size from India="280" 
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 3/ Phase 4 
Date of First Enrollment (India)   15/09/2025 
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 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 is a randomized, parallel group , open label trial comparing the efficacy of Pethidine 0.5 mg/kg iv with
intraoperative active warming to intraoperative active warming alone on incidence of shivering in caesarean section under spinal anaesthesia for 2 years in 280 Parturients.
 
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