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CTRI Number  CTRI/2025/11/098123 [Registered on: 26/11/2025] Trial Registered Prospectively
Last Modified On: 25/11/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Case Control Study 
Study Design  Single Arm Study 
Public Title of Study   Measuring finger blood flow to predict whether a nerve block in the shoulder area will work in adults.  
Scientific Title of Study   Predicting successful supraclavicular brachial plexus block in adults using pulse oximetry perfusion index: a prospective observational study  
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Durga 
Designation  PG Scholar 
Affiliation  SRM Institute of Science and Technology, 
Address  Room No:D4-23,4th floor, D block Extension, Department of Anesthesia, SRM medical college, SRM Nagar, Potheri, Kattankulathur, Chengalpattu district, Tamil Nadu -603203 India.
Room No:D4-23,4th floor, D block Extension, Department of Anesthesia, SRM medical college, SRM Nagar, Potheri, Kattankulathur, Chengalpattu district, Tamil Nadu -603203 India.
Chennai
TAMIL NADU
603203
India 
Phone  9566109948  
Fax    
Email  dv6553@srmist.edu.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Karthik K 
Designation  Associate Professor 
Affiliation  SRM Institute of Science and Technology, 
Address  Room No:D4-23,4th floor, D block Extension, Department of Anesthesia, SRM medical college, SRM Nagar, Potheri, Kattankulathur, Chengalpattu district, Tamil Nadu -603203 India.
Room No:D4-23,4th floor, D block Extension, Department of Anesthesia, SRM medical college, SRM Nagar, Potheri, Kattankulathur, Chengalpattu district, Tamil Nadu -603203 India.

TAMIL NADU
603203
India 
Phone  9444586662  
Fax    
Email  karthikk1@srmist.edu.in  
 
Details of Contact Person
Public Query
 
Name  Durga 
Designation  PG Scholar 
Affiliation  SRM Institute of Science and Technology, 
Address  Room No:D4-23,4th floor, D block Extension, Department of Anesthesia, SRM medical college, SRM Nagar, Potheri, Kattankulathur, Chengalpattu district, Tamil Nadu -603203 India.
Room No:D4-23,4th floor, D block Extension, Department of Anesthesia, SRM medical college, SRM Nagar, Potheri, Kattankulathur, Chengalpattu district, Tamil Nadu -603203 India.

TAMIL NADU
603203
India 
Phone  9566109948  
Fax    
Email  dv6553@srmist.edu.in  
 
Source of Monetary or Material Support  
Nil 
 
Primary Sponsor  
Name  SRM Institute of Science and Technology 
Address  SRM Institute of Science and Technology, Kattankulathur, Chengalpattu District, Tamil Nadu – 603203 
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 Karthik K  SRM medical college and research institute  Room No:D4-23,4th floor, D block Extension, Department of Anesthesia, SRM medical college, SRM Nagar,Potheri, Kattankulathur, Chengalpattu district, Tamil Nadu -603203 India.
Chennai
TAMIL NADU 
9444586662

karthikk1@srmist.edu.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SRM medical college hospital and research centre  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  , (1) ICD-10 Condition: M973||Periprosthetic fracture around internal prosthetic shoulder joint,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patient undergoing elective upper limb procedures under ultrasound-guided supraclavicular nerve block.

Patient providing written informed consent to participate in the study.
 
 
ExclusionCriteria 
Details  Unwilling patient.

Patient with diabetes mellitus and peripheral vascular disease.

Patient with anatomical deformities of upper limb.

Vascular injury due to fracture of the limb
Presence of edema in the limb to be block.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
The study is expected to establish the perfusion index (PI) as a reliable, non-invasive, and objective tool for the early prediction of successful supraclavicular brachial plexus block, potentially enabling faster clinical decision-making and improved patient care.
 
2, 4, 6, 8, 10, 15, 20, 25 and 30 minutes.
 
 
Secondary Outcome  
Outcome  TimePoints 
Nil  Nil 
 
Target Sample Size   Total Sample Size="62"
Sample Size from India="62" 
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)   17/12/2025 
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="0"
Months="7"
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  

This study aims to assess whether changes in the perfusion index measured by pulse oximetry can predict the success of supraclavicular brachial plexus block in adult patients. The study will include adults scheduled for upper limb surgery and analgesia under ultrasound guided supraclavicular block. Perfusion index values will be recorded before the block and at several time points after the injection of local anesthetic. The clinical success of the block will be assessed using standard sensory and motor testing. The study will compare perfusion index changes between successful and failed blocks and will determine the time point and cutoff value that best predicts block success. The findings may help clinicians identify early whether the block is effective.

 
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