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CTRI Number  CTRI/2026/01/100662 [Registered on: 09/01/2026] Trial Registered Prospectively
Last Modified On: 08/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Effect of Adding Dexamethasone to Scalp Nerve Block for Pain Relief After Brain Surgery 
Scientific Title of Study   Evaluation of dexamethasone as an adjuvant for scalp nerve block for post operative analgesia following supratentorial craniotomy 
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 Kirti Kshetrapal 
Designation  Profesor 
Affiliation  pt. B.D. Sharma PGIMS Rohtak 
Address  Department of anaesthesiology and critical care, pt. B.D. Sharma PGIMS

Rohtak
HARYANA
124001
India 
Phone  9215650615  
Fax    
Email  kamalkirti47@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Nitish agarwal 
Designation  Junior Resident 
Affiliation  pt. B.D. Sharma PGIMS Rohtak 
Address  Department of anaesthesiology and critical care, pt. B.D. Sharma PGIMS

Rohtak
HARYANA
124001
India 
Phone  8708537472  
Fax    
Email  nitishagarwal18nov1999@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Nitish agarwal 
Designation  Junior Resident 
Affiliation  pt. B.D. Sharma PGIMS Rohtak 
Address  Department of anaesthesiology and critical care, pt. B.D. Sharma PGIMS

Rohtak
HARYANA
124001
India 
Phone  8708537472  
Fax    
Email  nitishagarwal18nov1999@gmail.com  
 
Source of Monetary or Material Support  
pt. B.D. Sharma PGIMS Rohtak,Daryao nagar, Rohtak Haryana,India 124001 
 
Primary Sponsor  
Name  pt. B.D. Sharma PGIMS Rohtak 
Address  pt. B.D. Sharma PGIMS Rohtak Haryana 124001 
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 
Dr Nitish Agarwal  pt. B.D. Sharma PGIMS Rohtak  Neurosugery operation theatre, Lala Shyam Lal Superspeciality Building,
Rohtak
HARYANA 
8708537472

nitishagarwal18nov1999@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Biomedical Researcg Ethics Committee,Pt B.D. sharma PGIMS,rohtak  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: G00-G99||Diseases of the nervous system,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  the scalp nerve block will be done before incision to patients undergoing supratentorial craniotomy  the scalp nerve block will be done with 20ml of 0.5% bupivacaine,1ml of 100mcg/ml epinephrine plus 1 ml dexamethasone 10 min prior to surgery 
Comparator Agent  the scalp nerve block will be done before incision to patients undergoing supratentorial craniotomy  the scalp nerve block will be done with 20ml of 0.5% bupivacaine,1ml of 100mcg/ml epinephrine plus 1 ml normal saline 10 min prior to surgery 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  American society of anaesthesiologist physical status classification 1-3, Glassgow coma scale(GCS) score of 15/15 schedule to undergo elective supratentorial craniotomy under general anaesthesia 
 
ExclusionCriteria 
Details  1)Patients having contraindications to regional anaesthesia
2)coagulation abnormalities
3)active infection at injection site
4)chronic pain syndromes
5)chronic opioid use(more than 2 weeks or 3 days per week for more than 1 month)
6)extreme body mass index(<15 or >35)
7)refusal or inability of patient or legal guardian to provide inform consent 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
To compare Visual Analogue Scale(VAS) for pain following scalp nerve block with local anaesthetic agents with or without addition of dexamethasone in patients undergoing supratentorial craniotomy under general anaesthesia  vas scale for pain assessment will be done at baseline, 24hrs and 3 months 
 
Secondary Outcome  
Outcome  TimePoints 
intraoperatice heamodynamic parameter  pre induction,before block,after block, before incision, after incision, 15 min,30 min, 1 hr, 2hr after incision 
duration of postoperative analgesia   
24 hrs analgesic requirement   
Demand to 1st rescue analgesia   
postoperative nausea and vomiting   
 
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   Phase 2/ Phase 3 
Date of First Enrollment (India)   20/01/2026 
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="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 - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report
    Response -  Analytic Code

  3. Who will be able to view these files?
    Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [kirtikamal47@gmail.com].

  6. For how long will this data be available start date provided 28-12-2025 and end date provided 28-12-2026?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary   This study is to evaluate the role of dexamethasone as adjuvant added to scalp nerve blocker postoperative analgesia following supratentorial craniotomy. Depending on whether Dexamethasone is used as adjuvant to provide postoperative analgesia following  craniotomy, patients will be randomly allocated into two groups. Group S will include patient receiving drug alone while Group DS will receive dexamethasone along will drug ,10 min prior to surgery. Primary objective will be to compare Visual Analogue Scale for pain following Scalp nerve block, Secondary objective will be intraoperative heamodynamic parameter, duration of postoperative analgesia ,24hrs analgesic requirement. demand of first rescue analgesia ,post operative nausea and vomiting, drug related complication if any.Data will be compiled and appropriate stastical test will be used to analyse the results 
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