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CTRI Number  CTRI/2025/08/092264 [Registered on: 04/08/2025] Trial Registered Prospectively
Last Modified On: 03/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Prospective Observational Study 
Study Design  Other 
Public Title of Study   Studying How Body Fat Affects Spinal Anaesthesia in Obese Patients undergoing lower abdominal surgery 
Scientific Title of Study   Comparison of effect of waist-hip-ratio with body mass index on level of subarachnoid block in obese patients undergoing infra-umbilical surgery  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Neha Kanwar 
Designation  Post Graduate Student 
Affiliation  ABVIMS and Dr.Ram Manohar Lohia Hospital,New Delhi 
Address  Room NO 301 Third floor Department of anaesthesia ABVIMS and Dr.Ram Manohar Lohia Hospital,New Delhi

Central
DELHI
110001
India 
Phone  8618978871  
Fax    
Email  nehashekhawat3110@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Nisha Kachru 
Designation  Professor 
Affiliation  ABVIMS and Dr.Ram Manohar Lohia Hospital,New Delhi 
Address  Room NO 301 Third floor Department of anaesthesia ABVIMS and Dr.Ram Manohar Lohia Hospital,New Delhi

Central
DELHI
110001
India 
Phone  9810488435  
Fax    
Email  nishakachru@yahoo.co.uk  
 
Details of Contact Person
Public Query
 
Name  Dr Jyoti Singh 
Designation  Professor 
Affiliation  ABVIMS and Dr.Ram Manohar Lohia Hospital,New Delhi 
Address  Room NO 301 Third floor Department of anaesthesia ABVIMS and Dr.Ram Manohar Lohia Hospital,New Delhi

Central
DELHI
110001
India 
Phone  9910241887  
Fax    
Email  drjyoti.md@gmail.com  
 
Source of Monetary or Material Support  
ABVIMS and Dr.Ram Manohar Lohia Hospital, Baba Kharak Singh Marg,Near Gurudwara Bangla Sahib New Delhi 110001 
 
Primary Sponsor  
Name  ABVIMS and Dr.Ram Manohar Lohia Hospital,New DelhiABVIMS and Dr.Ram Manohar Lohia Hospital,New Delhi 
Address  Department of Anaesthesia ABVIMS and Dr.RML Hospital,New Delhi 110001 
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 
Neha Kanwar  ABVIMS and Dr.Ram Manohar Lohia Hospital,New Delhi  Room NO 301 Third floor Department of anaesthesia ABVIMS and Dr.Ram Manohar Lohia Hospital,New Delhi
Central
DELHI 
08618978871

nehashekhawat3110@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee,ABVIMS and Dr.Ram Manohar Lohia Hospital,New Delhi  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  Nil  Nil 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  BMI of more than 30kg/m2
Height between 150-175cms
surgeries of duration less than 2.5 hours 
 
ExclusionCriteria 
Details  1)Refusal of consent for subarachnoid block
2)Patients with bleeding and coagulation disorders
3)Pregnant patients
4)Previous spinal surgeries
5)Spinal deformities

 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1)Maximum level of sensory block achieved.   To be seen after induction of spinal anaesthesia till 20 minutes 
 
Secondary Outcome  
Outcome  TimePoints 
1)Time taken to achieve maximum sensory block level as assessed by pin prick method.1
2) Time taken to achieve maximum motor blockade as assessed by modified Bromage scale.
3) Hemodynamic parameters (pulse rate, systolic blood pressure, diastolic blood pressure,mean arterial pressure, SpO2) will be recorded every two minutes for the first 30 minutes & then every ten minutes until the end of the procedure.

 
Time taken to achieve maximum sensory & motor blockade will be seen till 20 after induction of anaesthesia
Heamodynamic parameters will be assessed every two minutes for the first 10 minutes & then every 10 minutes until the end of the procedure.
 
 
Target Sample Size   Total Sample Size="43"
Sample Size from India="43" 
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)   15/08/2025 
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="1"
Months="5"
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  
In this study, we aim to understand whether the pattern of fat distribution in the body (measured using waist-to-hip ratio) or overall body weight (measured by BMI) has a greater influence on how high the effect of spinal anaesthesia spreads in obese patients undergoing lower abdominal (infra-umbilical) surgery.

Participants will undergo a routine pre-anaesthetic check-up. Their height, weight, waist and hip measurements will be taken. Spinal anaesthesia will be administered in a sitting position using a standard dose of bupivacaine and fentanyl. Monitoring will include ECG, blood pressure, and oxygen levels. The findings may help tailor anaesthesia practices in obese patients and improve safety and outcomes.
 
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