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CTRI Number  CTRI/2018/03/012322 [Registered on: 05/03/2018] Trial Registered Retrospectively
Last Modified On: 24/04/2020
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Preventive
Behavioral 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Effect of blowing in blood pressure pipe to reduce needle pain in first time voluntary platelet donors 
Scientific Title of Study   Evaluation of efficacy of valsalva for attenuating needle puncture pain in first time nonremunerated voluntary plateletpheresis donors 
Trial Acronym  EVANPPD 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Modification(s)  
Name  Sanjay Kumar  
Designation  Assistant Professor 
Affiliation  Sanjay Gandhi Post Graduate Institute of Medical Sciences 
Address  Department of Anaesthesiology, SGPGIMS, Lucknow
Department of Anaesthesiology, , SGPGIMS, Lucknow
Lucknow
UTTAR PRADESH
226014
India 
Phone  0522-2665528  
Fax  0522-2668017  
Email  drsanjaygupta9@gmail.com  
 
Details of Contact Person
Scientific Query

Modification(s)  
Name  Sanjay Kumar  
Designation  Assistant Professor 
Affiliation  Sanjay Gandhi Post Graduate Institute of Medical Sciences 
Address  Department of Anaesthesiology, , SGPGIMS, Lucknow
Department of Anaesthesiology, , SGPGIMS, Lucknow
Lucknow
UTTAR PRADESH
226014
India 
Phone  0522-2665528  
Fax  0522-2668017  
Email  drsanjaygupta9@gmail.com  
 
Details of Contact Person
Public Query

Modification(s)  
Name  Sanjay Kumar  
Designation  Assistant Professor 
Affiliation  Sanjay Gandhi Post Graduate Institute of Medical Sciences 
Address  Department of Anaesthesiology, , SGPGIMS, Lucknow
Department of Anaesthesiology, , SGPGIMS, Lucknow
Lucknow
UTTAR PRADESH
226014
India 
Phone  05222665529  
Fax  0522-2668017  
Email  drsanjaygupta9@gmail.com  
 
Source of Monetary or Material Support  
Research Institute, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow,India. 226014  
 
Primary Sponsor  
Name  Sanjay Gandhi Postgraduate Institute Of Medical Sciences  
Address  Sanjay Gandhi Postgraduate Institute Of Medical Sciences, Lucknow-226014 Uttar Pradesh India  
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 Sanjay Kumar  Sanjay Gandhi Postgraduate Institute Of Medical Sciences  Transfusion Department Ground floor B block
Lucknow
UTTAR PRADESH 
8765974045
0522-2668017
drsanjaygupta9@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
institute ethics committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  healthy voulunteers 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Group I (Valsalva)  Donors will be asked to blow into a rubber tubing connected to sphygmomanometer and raise the mercury column up to 30 mmHg for a period of at least 20 sec. after valsalva needle puncture for donation will be done 
Comparator Agent  Group II (Control)  Will be acting as control and will not perform valsalva. Just after performing valsalva maneuver, phlebotomy would be done with a 16 G intravenous needle (in the antecubital vein) by an expert 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Group II (Control): Will be acting as control and will not perform valsalva. Just after performing valsalva maneuver, phlebotomy would be done with a 16 G intravenous needle (in the antecubital vein) by an expert 
 
ExclusionCriteria 
Details  Repeated plateletpheresis donors, donors with abnormal skin condition such as scar, infection at the site of proposed needle puncture, scars, eczema, those in whom the venipuncture would be difficult or traumatic (blood extravasation, hematoma, nerve injury, arterial puncture injury, allergy, veinitis, thrombosis, sign and symptom of vasovagal syncope, convulsion, sweating), donor with history of syncope/vasovagal attack, anxiety disorder, donors requiring > 1 attempt for successful intravenous cannulation or change of site . Donors who are not able to hold the mercury column up to 30 mmHg for a period of at least 20 seconds would be excluded from the study. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
To evaluate analgesic efficacy of valsalva procedure in attenuating the needle puncture pain in first time non-remunerated voluntary plateletphereis Donors  1 hr after platlet donation 
 
Secondary Outcome
Modification(s)  
Outcome  TimePoints 
1. To assess anxiety status of platelet donors
2. To compare pain severity between male and female donors


 
1 hr after platlet donation 
 
Target Sample Size   Total Sample Size="160"
Sample Size from India="160" 
Final Enrollment numbers achieved (Total)= "160"
Final Enrollment numbers achieved (India)="160" 
Phase of Trial   N/A 
Date of First Enrollment (India)   18/03/2016 
Date of Study Completion (India) 18/09/2016 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
still not published  
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary
Modification(s)  

Aims and objectives:

 

Primary objective:  To evaluate the efficacy of valsalva procedure in attenuating the needle puncture pain in first time non-remunerated voluntary plateletpheresis donors

Secondary objective:

1.To assess anxiety status of platelet donors

2. To compare pain severity between male and female donors

 


 

Methodology: Blood Donors donating blood at Blood Donation center of the Department  of Transfusion Medicine, will be randomized with the help of a computer-generated table of random numbers into 2 groups of 80 each. Group I (Valsalva):   Donors will be asked to blow into a rubber tubing connected to sphygmomanometer and raise the mercury column up to 30 mmHg for a period of at least 20 sec; Group II (Control): will be acting as control and will not perform valsalva. Just after performing valsalva maneuver, phlebotomy would be done with a 17 G intravenous needle (in the antecubital vein) by an expert

 

Exclusion: Repeated plateletpheresis donors, donors with abnormal skin condition such as scar, infection at the site of proposed needle puncture, scars, eczema, those in whom the venipuncture would be difficult or traumatic (blood extravasation, hematoma, nerve injury, arterial puncture injury, allergy, veinitis, thrombosis, sign and symptom of vasovagal syncope, convulsion, sweating), donor with history of syncope/vasovagal attack, anxiety disorder, donors requiring > 1 attempt for successful intravenous cannulation or change of site . Donors who are not able to hold the mercury column up to 30 mmHg for a period of at least 20 seconds would be excluded from the study.

We therefore wish to evaluate its efficacy in attenuating the phlebotomy venipuncture pain.

 
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