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CTRI Number  CTRI/2025/06/088553 [Registered on: 10/06/2025] Trial Registered Prospectively
Last Modified On: 09/06/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   COMPARISON OF FRACTIONATED WITH BOLUS DOSE OF SPINAL ANESTHESIA IN PATIENTS UNDERGOING CAESAREAN SECTION 
Scientific Title of Study   COMPARISON OF FRACTIONATED DOSE WITH BOLUS DOSE OF 0.5 PERCENT HYPERBARIC BUPIVACAINE IN SPINAL ANAESTHESIA FOR PATIENTS UNDERGOING CAESAREAN SECTION 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Priyanka Kaushik 
Designation  Post Graduate Junior Resident  
Affiliation  SGT UNIVERSITY, Chandu budhera  
Address  Department of Anaesthesia and Critical Care,SGT University Budhera, Gurugram , Haryana

Gurgaon
HARYANA
122505
India 
Phone  9910868912  
Fax    
Email  kaushikpriyanka560@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Savita Saini 
Designation  Professor Anaesthesia Department  
Affiliation  SGT University, Chandu budhera  
Address  Department Of Anaesthesia and Critical Care Budhera, Gurugram, Haryana

Gurgaon
HARYANA
122505
India 
Phone  9416262343  
Fax    
Email  dr_savitasaini@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Priyanka Kaushik  
Designation  Post Graduate Junior Resident  
Affiliation  SGT University, Chandu budhera  
Address  Department of Anaesthesia and Critical Care, SGT University Budhera, Gurugram, Haryana

Gurgaon
HARYANA
122505
India 
Phone  9910868912  
Fax    
Email  kaushikpriyanka560@gmail.com  
 
Source of Monetary or Material Support  
FMHS,SGT University, Chandu budhera, Gurugram , Haryana 122505 
 
Primary Sponsor  
Name  Priyanka kaushik 
Address  Department of Anaesthesia and Critical Care , SGT University Budhera, Gurugram, Haryana 
Type of Sponsor  Other [Self] 
 
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 Priyanka Kaushik   SGT hospital   FMHS, Anaesthesia department 1st floor SGT hospital Sgt university budhera Gurugram Haryana
Gurgaon
HARYANA 
9910868912

kaushikpriyanka560@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Faculty of Medicine and Health Sciences , SGT university,INSTITUTIONSAL ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O00-O9A||Pregnancy, childbirth and the puerperium,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  0.5% Hyperbaric bupivacaine as bolus   2ml 0.5% hyperbaric bupivacaine to be given as bolus without any adjuvants. 
Comparator Agent  0.5% Hyperbaric bupivacaine as fractionated dose  2 ml of 0.5% Hyperbaric bupivacaine to be given as fractionated dose 2/3 of drug followed by 1/3 of drug after waiting for 45seconds 
 
Inclusion Criteria  
Age From  21.00 Year(s)
Age To  36.00 Year(s)
Gender  Female 
Details  1) Physical status I-III according to American Society of Anaesthesiologist
2) Singleton live pregnancies more than 37 weeks of gestation for elective or emergency caesarean
3) Body mass index less than 30 
 
ExclusionCriteria 
Details  1)Patients wit pre-existing diseases like cardiovascular or cerebrovascular disease or pregnancy induced hypertension
2) Severely altered mental status
3)Spinal deformities
4) History of laminectomy
5) Any contraindication to spinal anaesthesia
6) Emergency caesarean section who cannot be explained about the study due to paucity of time  
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Severity of pain assessment using VAS pain score and modified bromage scale  2,4,6,8,10,15,20,30,40,50 and 60 mins 
 
Secondary Outcome  
Outcome  TimePoints 
1) Hemodynamic parameters variations
2) Block characteristics  
2,4,6,8,10,15,20,30,40,50 & 60 mins 
 
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)   20/06/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  20/06/2025 
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 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 comparative randomised observational study of fractionated with bolus dose of 0.5% hyperbaric bupivacaine in spinal anaesthesia for patients undergoing caesarean section. The comparison between fractionated and bolus doses of hyperbaric bupivacaine in spinal anesthesia for cesarean section involves evaluating their effects on both maternal and fetal outcomes, as well as the quality of anesthesia, side effects, and duration of action. Total 60 patients will be randomly selected which belongs to ASA I -III. 60 patients will be divided into two groups 30 in each by using sealed envelope technique. One group will receive drug as bolus and other will receive drug as fractionated and drug will be given to pregnant females via spinal anaesthesia under all aseptic precautions.  
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